Cardiac Flashcards

1
Q

Cardiac Arrest labs/w/u?

A
EKG
ABG
CMP
CBC
CXR
FAST US
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2
Q

TX for PEA?

A

Epi/dobutamine

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3
Q

mcc for PEA? (9)

A
Low O2
low vol
Low pH
Low T
Tension PTX
Tamponade
Lytes
OD
ACS
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4
Q

Indications for cooling after ROSC?

A
  • Vfib
  • Adult
  • ROSC in 60 mins
  • EMS less than 15 mins
  • Intubated
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5
Q

Contraindications for cooling after ROSC?

A
Non-cardiac cause
SBP   less than 90
T less than 30
DNR
Preg
Coagulopathy
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6
Q

10 emergency causes for RD/SOB?

A
Acute HF
ACS
Anyphylaxis
COPD/Asthma
Tamponade
Pulm HTN
PE
PNA
PTX
Obstruction
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7
Q

W/U for RD/SOB? unknown cause?

A
CXR
d-dimer
EKG
ABG
CMP
CK
US
CT
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8
Q

Indications for BIPAP(5)?

A

Severe/mod dyspnea
RR >25
pH 45
Using accessory muscles

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9
Q

Contraindications for BIPAP?

A

Cardiac Arrest
Obstruction
AMS

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10
Q

Immediate TX for decomp HF?

A

NO

Can add PPV, diurese

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11
Q

Immediate tx for ACS?

A

Aspirin

Then heparin

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12
Q

Tx for anyphylaxis

A

Epi + b-ag + steroids

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13
Q

Tx for primary pulm HTN?

A

O2

Diurese PPV

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14
Q

CAP ABX?

A

Macrolide OR Quinolone, OR Doxy

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15
Q

HCAP ABX?

A

Levo + Zosyn OR ipanem OR Cef

+/- Vanc

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16
Q

HCAP risk factors?

A

Hospitalized for 2 days in last 90 days
Nursing home
Visited hospital, got IV drugs or wound care in last month

17
Q

Best tx for acute CHF (morbidity and mortality benefit)?

A

CPAP or BiPAP