Cardio vascular stuff

Question 1

What bp med should be avoided in stroke b/c might increase pressure in the head?

Answer 1

Nitroprusside

Question 2

Hypotension, abdominal pain, pulsatile mass is what?

Answer 2

Ruptured AAA

Question 3

Screening for AAA?

Answer 3

All men 65 - 75 who smoked

Men less than 5.5 or women less than 5 check every 6 months

Question 4

Stanford A aortic dissection?

Answer 4

A for including any ascending. B is descending

Question 5

Main risk factor for aortic dissection?

Answer 5

HTN IS NUMBER 1, trauma, coarct, syph, ehlers danlos, marfan

Question 6

Imaging for suspected dissection?

Answer 6

CXR, you see widening

Then get CT with contrast for better look

Question 7

Dissection tx?

Answer 7

Beta blocker to decrease impulse!

Stanford A requires emergency repair (makes sense b/c branches get messed up)

Stanford B can be treated by Beta blocker (think B for Beta Blocker). Unless ruptures, or can’t control bp, or ischemia

Question 8

How do you know if severe claudication?

Answer 8

ABI

Question 9

Meds for PAD?

Answer 9

Gluc and BP control
Cilostazol (arterial dilator that can’t be used if CHF)
Daily aspirin or clop
STATINS

Question 10

What do you do before surgery for claudication?

Answer 10

Do a stress test first b/c atherosclerosis could be all over

Question 11

DVT tx?

Answer 11

Elevate
LMWH heparain
Then Warfarin

IVC filter if contraindicated for warfarin (like people at high risk of falling)