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CARDIOLOGY > [AF/flutter] > Flashcards

[AF/flutter] Flashcards

1
Q
A

embolic stroke (4%)

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2
Q
A

warfarin

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3
Q
A

anyone with an irregular pulse

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4
Q
A

dizzy
faint
palpitations
(other symptoms)

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5
Q
A

HTN
alcohol
caffeine

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6
Q
A

hypokalaemia

low magnesium

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7
Q
A

MI
mitral valve disease
heart failure
heart ischaemia

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8
Q
A

pneumonia

PE

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9
Q
A

Hyperthyroidism

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10
Q
A

‘lone’ AF

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11
Q
A

dyspnoea
palpitations
chest pain
faintness

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12
Q
A

irregularly irregular

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13
Q
A

T

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14
Q
A

Absent P waves

irregular QRS complexes

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15
Q
A

left atrial enlargement
mitral valve disease
reduced LV function
(other structural abnormalities)

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16
Q
A

benign tumour of the atria.

17
Q
A

the measurable degeneration of the ability of the heart to contract due to any cause - usually leading to heart failure

18
Q
A

haemochromatosis

19
Q
A

the pulse calculated from listening over the apex of the heart with stethoscope

20
Q
A

the apical would be greater (this is due inefficient heart contractions which fail to transmit the pulse to a peripheral site. )

21
Q
A

absent P waves

irregular QRS complexes

22
Q
A

electrolyte imbalance (K and Mg - hypo)

23
Q
A

Exclusion of MI

24
Q
A

exclusion of hyperthyroidism

25
Q
A

within 48 hours

26
Q
A

very ill

haemodynamic instability

27
Q
A

O2

28
Q
A

U&Es

29
Q
A

Cardioversion

patient should be in ITU and under GA/IV sedation

30
Q
A

GA or IV sedation

31
Q
A
  1. monophasic 200J
  2. monophasic 360J
  3. monophasic 360J (biphasic 200J)
32
Q
A

Amiodarone IVI 5mg/kg over 1hr
then
Amiodarone IVI 900mg over 24hrs (central line)

alternatively
Amiodarone PO 200mg/8hrs for 1 week
Amiodarone PO 200mg/12hrs for 1 week
Amiodarone PO 100-200mg/24hrs mainenance

33
Q
A

flecainide

34
Q
A

class Ic anti-arrhythmic drug

sodium channel blocker - use dependent. strong -ve ionotrope

35
Q
A

2mg/kg IV over 10-30 minutes

max 150mg

36
Q
A

ECG

37
Q
A

IHD
WPW
unstable patient

CARDIOLOGY (11 decks)

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