Cardiology

Question 1

What are the specific doses of hyperkalemia meds?

Answer 1

C BIG K Drop

C - Ca gluconate (3 grams)

Bicarb (1 amp)
Insulin (10U)
G - glucose (D50)

K - Kayexalate

Dialysis

Question 2

Wellen’s Syndrome

Answer 2

deep symmetric or biphasic t waves in V2-V3 when pain free

high risk LAD occlusion

Tx- heparin and admit for cath

Question 3

Indications for Lytics in STEMI

Answer 3

> 1-2 mm elevations in 2 contiguous leads with CP < 12 hours

Exclusion: ICH, neurosurgery, cx, recent stroke or head trauma, aneurysm

Question 4

BP Goal in AAA v. Aortic Dissection

Answer 4

BP Goal in AAA = systolic 100

BP Goal in Aortic Dissection = systolic < 110 (also want HR < 60)

Question 5

What diagnosis should you consider in persistent unexplained tachycardia?

Answer 5

Myocarditis

Question 6

4 Stages of Pericarditis ECG

Answer 6

Diffuse ST elevations and PR depressions
Normal
T wave inversions
Normal

Question 7

How do you check BP in LVAD pt? What is the BP goal?

Answer 7

Measure MAP by applying BP cuff then pressure when you hear bloodflow MAP

(goal 70-90)

Question 8

What do you do if LVAD pt flat lines?

Answer 8

check battery, check temp, check for hum over heart (means it is working)

Question 9

Tx SAH

Tx PreE

Tx Pulmonary Edema

Tx Pheo/Cocaine/MAOI

Answer 9

SAH - give nimodipine to prevent vasospasm

PreE - Mag

ACS/pulmonary edema - give nitrates to decrease preload

Pheochromocytoma/Cocaine/MAOI crisis (all cause by alpha) - give alpha blocker (phentolamine) before beta blocker

Question 10

What does a magnet do to pacemaker.AICD?

Answer 10

“dumb mode” - pace at 70 without shocking

Question 11

What intubation med should you avoid in pacemaker/AICD?

Answer 11

Sux - depolarizing can cause twitching which is mistaken for arrhythmia –> inappropriate shock