Cardiology Flashcards
Stage 1 HTN
130-139 Hg or 80-89 Hg
Stage 2 HTN
> 140/90
Choice of HTN agents
thiazide diuretic
ACE
ARB
CCB
Black pt choice of HTN meds
thiazide diuretics
CCB
Heart Failure Clinical Signs and Symptoms
- Resting tachycardia
- Abnormal ECG
- Tachypnea
- Crackles
- Diaphoresis
- S3 and/or S4
- Peripheral edema may be present
AAA Risk Factors
- Age >65 years
- Smoking history
- Male gender > female
- White race
- Family history
2 valves that cause most of the trouble in heart
aortic
mitral
diastolic murmur always needs
referral
systolic murmurs
mitral regurg
physiologic murmur
aortic stenosis
mitral valve prolapse
diastolic murmurs
aortic regurg
mitral stenosis
aortic stenosis associated findings
angina, syncope, HF
aortic regurg associated findings
angina, CHF, dizziness, chest pain
mitral stenosis associated findings
dyspnea
a. fib
mitral regurg associated symptoms
SOB
fatigue
HF
mitral valve prolapse associated findings
palpitations
chest pain
“click”
if amlodipine prescribed, labs would
not be needed
if ace or arb prescribed, labs would
be needed to check potassium, bun/cr
if thiazide diuretics, labs would be
needed to check potassium
never give these two hypertension meds together
ace and arb
do you need to taper statin
no
when to add fibrate
only if triglycerides over 500
these meds cause lower extremity edema
NSAIDs
heart failure pt should never be on
CCB
best way to evaluate for AAA
abdominal us
ABI that indicates peripheral artery dx
less than 0.9, >1.3
aortic listening point
2 ICS, right sternal border
CCB
amlodipine
nifedipine
ARB
losartan
candesartan
thiazide diuretics
HCTZ
chlorothiazide
