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Pharmaco spé tableaux > A. Médocs à donner selon la pathologie_CARDIO > Flashcards

A. Médocs à donner selon la pathologie_CARDIO Flashcards

1
Q

TT hypertension

A 
1ère intention : 
B-bloquant 
antagoniste calcique 
ISRA
diurétiques 
2ème intention 
alpha-bloquant 
antihypertenseurs centraux

faut pas donner acetazolamide (inhibiteurs de l’anhydrase carbonique)

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2
Q

Angor général

A

BBloquants
Antiangoreux 1ère int = DERIVES NITRES

Antiangoreux 2ème int = IVABRADINE

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3
Q

angor stable

A

Antagonistes calciques

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4
Q

angor instable

A

Héparine N
Héparine BPM DALTEPARINE
ASPIRINE 160-300 mg

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5
Q

angor prévention

A

ANTI-THROMBROTIQUE

STATINES (facteurs de risque)

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6
Q

IC

A 
IEC
SARTANS
DIURETIQUES épargne K+ = SPIRONOLACTONE (+hyperaldo)
APPORT hydrosodée
Antiangoreux 2eme int = IVABRADINE
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7
Q

IC stable + chronique

A

BBloquants

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8
Q

IC grave

A

DIGITALIQUES = DIGOXINE (+ FA + flutter)

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9
Q

IC gauche

A

Antiangoreux 1ère int = DERIVES NITRES

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10
Q

IC aigue

A

Inotropes + (inhib PDE3) = MILRINONE et LEVOSIMENDAN

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11
Q

INSUFFISANCE CARDIAQUE chronique avec FEV diminuée

A

Inhib néprysiline = SACUBITRIL-VALSARTAN

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12
Q

ARYTHMIE SUPRAVENTRICULAIRES

A 
CLASSE 1 = RYTHMODAN + VERNAKALANT
CLASSE 1 = CIPRALAN + APOCARD + RYTHMONORM
CLASSE 3 = AMIODARONE + SOTALOL
AUTRES = ADENOSINE
CLASSE 4 = ANTAG CALCIQUES
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13
Q

ARYTHMIE VENTRICULAIRES

A

CLASSE 1 = LIDOCAINE

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14
Q

ARYTHMIE

A

CLASSE 2 = BBloquants

PHENYTOINE = antiépileptique actif canaux Na

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15
Q

effet cardio-protecteur

A

BBloquants

ASPIRINE (perte si avec AINS)

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16
Q

INFARCTUS

A 
IEC
ASPIRINE (160-300 mg)
HEPARINE N
HEPARINE BPM = DALTEPARINE
TRHOMBOLYTIQUES = UROKINASE + METALYSE
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17
Q

INFARCTUS aigu

A

Antiangoreux 1ère int = DERIVES NITRES

18
Q

NEPHROPATHIES

A

IEC

SARTANS

19
Q

RETENTION HYDRONA

A

Diurétiques thiazidiques

Diurétiques anse (+ oedème

20
Q

HYPERCHOLEST

A

HYPERCHOLEST STATINES
Dérivés nicotiniques = ACIPIMOX
Inhib PCSK9 = …CUMAB (primaire)

21
Q

HYPERTG

A

FIBRATES

Dérivés nicotiniques = ACIPIMOX

22
Q

DYSLIPIDEMIE

A

EZETIMIBE
FIBRATES
Résines = COLESTYRAMINE
Inhib PCSK9 = … CUMAB (mixte)

23
Q

PREVENTION CARDIO-VASCU

A

STATINES
EZETIMIBE
Inhib PCSK9 = …CUMAB

24
Q

PREVENTION DES MThrEMBo

A 
ASPRINE
Thienopyridines = CLOPIDOGREL
DIPYRIDAMOLE avec aspirine + Antag VITK
TOUTES LES HEPARINES
ANTAG VIT K
INHIB THROMBINE et Xa
25
Q

PREVENTION DES MThrEMBo après un Syndrome Coronarien aigu

A

Analogue de l’adénosine = TICAGRELOR Tjrs avec aspirine

26
Q

TT DES MThrEMBo

A

TOUTES LES HEPARINES
ANTAG VIT K
INHIB TROMBINE et Xa
THROMBOLYTIQUES = UROKINASE + METALYSE

27
Q

AVC ischémique

A

ASPIRINE

HEPARINE BPM = DALTEPARINE

28
Q

FA + Flutter

A

DIGITALIQUES+ ANTAG VIT K (prévention)

29
Q

Anti HT et grossesse

A

Tous ok SAUF IEC SARTANS

30
Q

anti angoreux et grossesse

A

Tous ok sauf MOLSIDOMINE et IVABRADINE

31
Q

anti arythmique et grossesse

A

Tous ok sauf AMIODARONE (classe 3)

32
Q

hypolipidémiants et grossesse

A

Tous ok sauf STATINES et FIBRATES

33
Q

anti-angrégants et grossesse

A

Tous ok sauf ASPIRINE

34
Q

anti-coagulants et grossesse

A

Tous ok sauf ANTAG VIT K

35
Q

V/F pr les IC et hypotension, pas de CI de grossesse

A

V

36
Q

tremor

A

Indication chez BBloquants et EI chez B2-mimétiques et Acide valproïque

37
Q

syndrome de Raynaud

A

Indication chez Antag calciques DIHYDRO

38
Q

glaucome

A

Indication chez ACETAZOLAMIDE et CI chez Parkinson Anticholinergiques centraux

39
Q

si intolérance statines

A

résines + Fibrates

40
Q

dépression respi

A

BENZO + ANALGESIQUES MORPHINIQUES

Pharmaco spé tableaux (53 decks)

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