cardio tx

Question 1

prophylaxis for dental procedures in patients with endocarditis

Answer 1

2g Amoxicillin 30-60 min before procedure

Question 2

empiric tx for acute endocarditis in a patient w/ native valve and no IVDU

Answer 2

ampicillin + nafcillin + gentamicin

Question 3

tx for bacterial endocarditis w/ prosthetic valve

Answer 3

vanco + gentamicin + rifampin

Question 4

tx for bacterial endocarditis in IVDU

Answer 4

Nafcillin 2g iV q4hr

Question 5

tx for hypertensive emergency

Answer 5

sodium nitroprusside

Question 6

tx for hypertensive urgency

Answer 6

clonidine

Question 7

tx for malignant HTN

Answer 7

hydralazine

Question 8

3 tx for systolic HF

Answer 8

ACE

BB

Loop diuretic

Question 9

which 3 beta blockers reduce mortality in HF

Answer 9

Bisoprolol

Carvedilol

Metoprolol Succinate

(ACE must also be started ASAP to reduce M&M)

Question 10

how to tx acute worsening of HF?

Answer 10

O2 + ACE + stop BB + start Nitro + start double dose of diuretic IV

once stable: go back on BB and PO loop diuretics

Question 11

Tx of diastolic HF

what 2 meds should not be used?

Answer 11

ACE + BB or CCB

do NOT use diuretics in stable chronic diastolic failure

NEVER use digoxin

Question 12

tx for acute diastolic HF

Answer 12

same as systolic

ACE + loop diuretic IV + Nitro + O2