CV Flashcards
1
Q
MI acute with doses
A
Morphine 5mg IV Oxygen if hypoxic Nitrates sublingual tablet 500 micrograms Aspirin 300mg orally Ticagrelor 180 mg orally
2
Q
Angina surgical
A
PCI (stent)
Coronary artery bypass (vein from leg)
3
Q
Anginal Medical
A
GTN spray
Long term put on B blockers and CCB
4
Q
AF
A
lots of choice
first line= beta blocker for rate and rhythm control
can also control rate with CCBs, digoxin
can also control rhythm with amiodarone
consider anticoagulation
5
Q
Heart Failure
A
First line is ACEi and Beta Blocker
can add furosemide to help relieve symptoms
If stage 3/4 on the NYHA and the above aren’t working then consider:
- Aldosterone antagonists e.g. spironolactone (help mortality)
- ARB e.g. losartan
Consider digoxin if old and AF
6
Q
MI secondary prevention
A
ACEi
Beta Blocker
Statin
Dual antiplatelet= aspirin and clopidogrel
7
Q
Hypertension
A
ACEi if under 55 or diabetic
CCB if over 55 or black
Then combine
then add thiazide like diuretic
