Cardio Flashcards
Hypertension
MEDADVICE
• Lifestyle Mods: Weight loss, DASH diet, exercise, tobacco/alcohol cessation
• Consult with MO before starting BP meds, can Rx HCTZ 25mg QD PO
• UA
• FBG
• Lipid panel
• ASCVD Risk Calculator
Hypertensive Urgency
MEDADVICE
- Reduce DBP >110 over 24hr
- Consult MO before giving BP meds
- Serum creatine
- UA for protein, RBCs, red cell casts
- CMP
- Troponins
- EKG
- CXR
- CT
Hypertensive Emergency
MEDEVAC
- Reduce BP by 25% within 1-2hr, then >160/110 in 24hr
- Consult MO before giving BP meds
- UA
- CMP
- Troponins
- EKG
- CXR
- CT
Hyperlipidemia
- Lifestyle Mods
- Smoking cessation
- Low fat diet
- Simvastatin 5-10mg qHS
- Monitor LFTs
Atherosclerosis
- Lifestyle Mods
- Atorvastain Lipitor 10mg PO QD
- Smoking cessation
- Low fat diet
AMI
MEDEVAC
• Oxygen
• Nitrogen
• Aspirin
• Morphine
• Enoxaparin 1mg/kg SC q12
PAD
- Lifestyle Mods
- Daily Aspirin therapy
Acute Arterial Occlusion of a Limb
MEDEVAC
• MEDADVICE before giving Enoxaparin 1mg/kg SC q12hr
• CBC
• Doppler
• Requires REVASCULARIZATION within 3hrs
NSTEMI
- Enoxaparin 1mg/kg SC q12hr
- Aspirin 325mg
- Metoprolol 50mg BID
Aortic Dissection
MEDEVAC
• Pain control with Fentanyl
• Manage HTN with BP meds
• EKG
• Troponin/CKM-B
• Order CT scan
Pericarditis
MEDADVICE possible MEDEVAC
• EKG
• CBC
• Aspirin 325mg PO Q6hr
• NSAIDS
Myocarditis
- Rest
- Fluid
- Pain control with Morphine
- NO NSAIDS
Endocarditis
- Echocardiogram
- Empiric therapy
- Ceftriaxone 1 gram IM inj
- 3 sets of blood cultures
CHF
MEDEVAC
• Furosemide 40mg IV
• Nitroglycerine sublingual spray
Pericardial Tamponade
MEDEVAC
• IV fluids bolus
• Pericardiocentesis is required
