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CV > CV2 > Flashcards

CV2 Flashcards

1
Q

RAD

V1 is high

A

Right ventricualr hypertrophy

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2
Q

How do you treat a sinus bradycardia?

A

Atropine

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3
Q

s for each pacemaker

A

SA/Atrial 100-80
AV: 80-60
Junctional 60-40
Ventricular 40-20

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4
Q

Atrial arrhthymia numbers?

A 
Wandering pacemaker <100
MAT 100+
A fib = 350-600
A flutter = 250-350
Paroxysmal atrial contraction = 150-250
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5
Q

what causes MAT? How do you treat

A

Lung stuff like COPD

DC theophylline

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6
Q

Rates for V tach and V flutter

A

V tach 150-250

V flutter 250-350

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7
Q

What will ECG show in a pt with PE

A

RBBB, Inverted T waves in V1-V4, and S1Q3T3

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8
Q

What do you give high dose ASA and Colchicine for?

A

Endocarditis and pericarditis

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9
Q

What micro causes each?
Pericarditis
Endocarditis
Myocarditis

A

Peri: Coxsackie, TB

Endo: Staph a, Strept V.

Myo: Coxackie, trichinella, Chagas

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10
Q

You see FROM JANE on PE. Dx?

A

Infective endocarditis

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11
Q

what is the ultimate synergistic effect in pharm?

A

Genatmicin needs

Penicillin, ampicilllin and vanco can pop holes in the guy

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12
Q

How do you treat HACEK

A

Ceftriaxone

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13
Q

What is colchicine

A

Tubuiln binder to decrease inflammation

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14
Q

Which valve dysfunctino can cause ortner syndrome?

A

Mitral stenosis Can compress the left recurrent laryngeal resulting in this due to LVH

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15
Q

What lab should you get in a pt with Aortic stenosis?

A

CBC for hemoglobin o see if they have Microangiopathic hemolytic anemia

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16
Q

RBBB + LAD
LBBB + LAD
LBBB + RAD

A

Mitral stenosis
L+L –> myocardial dysfunction
L+R –> congestive cardiomyopathy

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17
Q

What are some drugs that can cause sinus bradyardia

A

Digoxin, quinidine, Hyperkalemia

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18
Q

Tx PAC?

A

Beta blocker

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19
Q

What are the ECG stuff for PE?

A
  • RBBB
  • S1Q3T3
  • T1-4 inversion
20
Q

If a pt is experiencing vagal caused a fib, what do you use?

A

Disopyramide, because it’s a vagolytic

21
Q

When do you choose a Class 2 antiarrhythmic?

When is it contraindicated?

A

if arrhythmia is caused by catecholamines

Asthma, PVD, Raynaud

22
Q

What is first line for V fib?

A

Amiodarone

23
Q

Treat V fib

A

Defib

Amiodarone

24
Q

Empiric treatment for Acute Rheumatic Fever

Empiric Treatment for infectious endocarditis?

A

ARF: Pen G Gent for Strept Pyogenes
IE: Vanco Gent for Staph A and Strept Viridans

25
Q

Who is highly susceptible to Pen G

A

S. Viridans

26
Q

we want a shorter abx course to minimize adverse effects in a pt with IE

A

Gen and Pen G

27
Q

Adverse effects of colchicine

A

Hair loss, bone marrow suck, peripheral neuritis, myopathy

28
Q

pt is unable to perform a stress test. WHat pharm do you give them to induce stress?

A

anything to incresae HR –> Dipyridamole, Adenosine, regedonone

29
Q

What are some drugs you can give for angina

A

Clopidrogel and ASA

30
Q

what arteries supply the nodes

A 
RCA= SA and AV
LAD = RBB
LAD = Left anterior BB
RCA = Left posterior BB
31
Q

What are inotropes

A

Dopamine
Doputamine
Milrinone

32
Q

Pt is in shock. What test do you run to discover it is cardiogenic? What is the tx for a cardiogenic shock?

A

Echo
Pressors: Epi!
Inotrope: dopamine, dobutamine, milrinone

33
Q

how do you increase natriuetic eptides?

A

Use valsartan/sacubitril to inhibit neprilysn which increases natruretic peptides

34
Q

Wat does ivabradine do?

when do you use it?

A

Inhibit funny Na channel

HF when BB are contraindicated (ADHF)

35
Q

how to reverse digoxin toxicity?

A

Anti-digoxin abs
KCL
phenytoin
Lidocaine

36
Q

What is hydralazine? When do you use it? ASE?

A

(not understood) Vasodilator
CHF if ACE is contrainidcated (Preg, angioedema)

Angina, flushing, edema, tachycardia
Pruritus
Drug induced lupus

37
Q

What is nesiritide? When to use? ASE?

A

Synthetic BNP
Acute decompensated

Hypotension, increase creatinine

38
Q

What is milrinone? WHen to use? ASE?

A

PDE inhibitor Vasodilates
Short term decompensated 3rd line)

Arrhythmia, hypotension

39
Q

What worsens Chronic diastolic HF?

A

anything that increases MAP, like a fib (not pushing blood forward = backed up

40
Q

A black patient presents with HF what do you give htem

A

Isosorbide and hydralazine

41
Q

When is lactate important

A

Shock, decrease of O2

42
Q

What are these thing used for?

  • PET
  • Echo & CMRI
  • CT
  • Angiography
A

PET: Coronary flow
Echo & CMRI: Wall abnormalities
CT: LVH LBBB Digitalis
ANgiograph: Gold standard atherosclerosis

43
Q

Empiric treatment for RHF?
If allergic?
joint pain?

A

Pen G and Gent
Allergic = macrolides
ASA and naproxen

44
Q

Tx for staph aureus IE?

What if they are beta lactam sensitive?

A

Naficillin

Beta lactam sensitive: dapto or vanco

45
Q

Pt with hair loss, myopahty, bone marrow decreased

A

Colchicine

CV (3 decks)

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