24/02 Flashcards
What is the first line management of Chronic HF?
ACEi and Beta blocker (bisoprolol)
Start one and then commence on other
What is second line treatment of Chronic HF?
Spironolactone
What is the management of angina?
Statin and Aspirin should be prescribed
GTN spray also (risk of tolerance)
Either a beta blocker or calcium channel blocker should be prescribed
-if symptoms not controlled on one then add the other in
What is the management if INR >8 with minor bleeding?
Stop warfarin and give IV Vitamin K
When establishing someone on warfarin what should be done if there INR is <2?
Increase warfarin dose and add LMWH to cover for the time it takes for increased dose to have an effect
What are ECG features of hypertrophic obstructive cardiomyopathy?
Signs of LVH
S or T wave abnormalities- T wave inversion common
Deep Q waves
Can occasionally see AF
How does hypertrophic obstructive cardiomyopathy cause death?
Sudden death due to ventricular arrythmia
What should be done in ACS if there is still ST elevation post fibrinolysis?
Consider PCI
What is the anti emetic of choice in Parkinsons?
Domperidone
What is a risk of metoclopramide in young patients?
Acute dystonic effects
What are features of supranuclear palsy?
Postural instability and falls
Impaired vertical gaze
Parkinsonism
Cognitive impairment
When can thrombolysis with alteplase be given in stroke patients?
If they present within 4.5hrs of symptoms onset
