5 Cardiovasc Flashcards
More of action of spironolactone
Mineralocorticoid receptor antagonist, inhibits sodium reabsorption in the collecting duct
Want is the mode of action of digioxin?
Increased vagal nerve activity so slowing if av conduction
Mode of action of ivabradine
Selective inhibition of the pacemaker
Symptom control for oedema in HF?
Furosemide 40 OD
Lifestyle advice for HF
Salt intake Smoking BP Weight Alcohol Exercise
Counselling for HF
Recognise worsening symptoms, weight self Adherence What is HF Resuming sexual activity is ok Prognosis
Drugs to avoid in HF?
NSAIDS
Steroids
Na increasing drugs such as antacids
Two comorbid considerations for HF?
Vaccinations
Depression
ACS modifiable risk factors
Hypertension Smoking Chol Triglycerides Sat fat intake Obesity Diabetes Lifesly
Alcohol advice
No more than 3-4 units for men and 2-3 for women per day.
What happens in a exercise tolerance test that indicates ACS?
85% of max predicted heart rate is not reached, substantial ST segment depression
What is heart failure?
When the delivery of blood and oxygen is inadequate for the needs of the tissues
WHO GETS A PCI
All stemi
Some nsemi
The full shabang of drugs for NTEMI with grace score over 3%
Aspirin 300mg clop 600mg Fodaparinux 2.5mg od Beta blocker Ace Statin IV Nitrates if in pain Morphine and metoclopramide prn
Thrombolysis is shown to reduce mortality in …., but not …..
Stemi but not nsemi
But this is largely superceeded by PCI.
