Anti-arrhythmic/Coag/HTN

Question 1

Draw the Antiarrhythmic Rx flow chart is there is NO structural heart dz

Answer 1

Question 2

Draw the Antiarrhythmic Rx flow chart is there IS structural heart dz

Answer 2

Question 3

Draw the rate slowing rx flow chart for a. fib

Answer 3

Question 4

What can you use to assess the risk of a pt forming a clot and needing anti-coag theapy?

Answer 4

CHA2DS2VASc score

Question 5

What is included in the CHA2DS2VASc score?

Answer 5

Congestive HF

Hypertension

Age > 75y.o (2 PTS)

DM

Stroke/TIA (2 PTS)

Vascualr dz (prior MI, plauqe)

Age 65-74

Sex (female)

Question 6

what does a score of O for the CHA2DS2VASc score mean?

Answer 6

Low risk: no anti-coags needed

Question 7

what does a score of 1 mean according to the CHA2DS2VASc score

Answer 7

Moderate: oral anticoagulation (aspirn, dibigatran, warfarin)

Question 8

What does a score of 2+ mean according to the CHA2DS2VASc score?

Answer 8

High Risk: oral anticoagulate (dabigatran, warfarin)

Question 9

when should you initiate tx for HTN in;

pts >60 y.o.

pTS <60 Y.o.

Answer 9

>150/90

>140/90

Question 10

What Meds can you give a Caucasian with HTN?

Answer 10

HCTZ

ACE (use if kidney dz)

ARB

CCB (for AA) –> verapamil, Diltiazem