CVS - Pulmonary HTN And Shock Flashcards
In Pulmonary HTN which group of drug is given for iv Vasodilator testing
iv Calcium channel blockers
DOC if iv CCB is effective in Pulmonary HTN
Oral Calcium channel blockers (5%)
DOC if iv CCB not effective in Pulmonary HTN
Endothelin antagonist
Endothelin antagonist drugs include
Bosentan
Ambresentan
Macicentan
Phosphodiesterase inhibitors used in Pulmonary HTN
Sildenafil
Tadalfil - longest acting
Also used in Impotency
Phosphodiesterase inhibitors used in Pulmonary HTN
Sildenafil
Tadalfil - longest acting
Also used in Impotency
Prostaglandins PGI2 nd E2 include which drugs
Iloprost
Epoprostenol
Trepnestinil
Most effective
Cannot be given orally
Which drug is selective Non-injectable PGI2 antagonist
Selexipag - Oral
Guanylate cyclase agonist used in Pulmonary HTN
Riociguat
Guanylate cyclase agonist used in Pulmonary HTN
Riociguat
Most commonly used drug in Pulmonary HTN
Warfarin - because there is high risk of Thromboembolism
Shock means
Decreased tissue perfusion
Shock means
Decreased tissue perfusion
Periphery will be cold in which Shock
Cardiogenic shock
Hypovolemic shock
Periphery will be cold in which Shock
Cardiogenic shock
Hypovolemic shock
Periphery will be warm in which Shock
In Distributive Shock due to Vasodilation
Hypoadrenal Shock
Septic shock
Neurogenic shock
Anaphylactic shock
Secondary shock is due to
Vasoconstriction
Treatment of Shock
CAB - Chest compressions, breathing and airway
Fluid replacement - Ringer lactate or Normal saline
Vasopressors
Vasopressors used in Septic shock
Nor adrenaline - DOC
Dopamine
Phenylephrine
Vasopressors used in Cardiogenic shock
Nor adrenaline
Dopamine
Specific treatment in Septic shock
Antimicrobial agents
Specific treatment in Septic shock
Antimicrobial agents
DOC In Anaphylactic shock
Adrenaline im 1:1000
DOC In Anaphylactic shock
Adrenaline im 1:1000
DOC in Hypoadrenal Shock
Steroids
DOC in Hypoadrenal Shock
Steroids
Treatment of Secondary shock
Vasodilators
Treatment of Secondary shock
Vasodilators
