Cardio

Question 1

INITIAL MI

Answer 1

MONA

MORPHINE OXYGEN NITRATES ASPIRIN

Question 2

MI

Answer 2

PCI / CABG
Thromoblysis - alteplase / streptokinase within 12 hours
Beta blocker - bisoprolol
ace-i (rampiril)
Clopidogrel 
GpIIb/IIIa - abciximab

After = daily aspirin, bb,acei, simvastatin

Question 3

Angina

Answer 3

Statins - simvastatin
Aspirin and clopidogrel
Beta blockers - bisoprolol
Nitrate - gtn 
Ccb - amlodipine
Long acting nitrate - isosobide nitrate

Question 4

Peripheral artery disease

Answer 4

Treat as if angina + percutanenous transluminal angioplasty within 4-6 hours

Question 5

Cardiac tamponade

Answer 5

Pericardiocentensis

Question 6

Pericardial effusion

Answer 6

Treat underlying

If reoccurent make fenestrations

Question 7

Infective endocarditis

Answer 7

Blind - amoxicillin and gentamicin
Staph - flucloxacillin and gentamicin
Strep - benzylpenicillin and gentamicin

Question 8

Atrioventricular nodal reentrant tachycardia / not nodal

Answer 8

Catheter ablation
Vagalmanoeuvre or carotid sinus massage
Cardioversion

Question 9

DVT / PE

Answer 9

LMWH - ENOXAPARIN
Warfarin
Stockings

Question 10

Pericarditis

Answer 10

NSAIDS
Colchicine
Aspirin

Bed rest

Question 11

Bradycardia

Answer 11

Stop drugs that may contribute

Symptomatic - atropine (mAChR antag)

Question 12

Atrial flutter

Answer 12

Cardioversion
BB - BISOPROLOL
Ccb - verapamil
Digoxin - inhibit na/k atpase
Amiodarone

Question 13

Atrial fibrillation

Answer 13

Rate control - bb (bisoprolol) ccb (verapamil) if these fails digoxin

Rhythm control - amiodarone / cardioversion

Anticoagulants (warfarin)

Question 14

Chronic heart failure

Answer 14

1) lifestyle modification
2) treat underlying cause
3) avoid nsaids and verapamil

4) loop diuretics - Furosemide
5) bb - bisoprolol
6) spironolactone
7) digoxin
8) vasodilators