Exam 2.1 Flashcards
Arterial insufficiency
- not enough blood flow to the area
- atrophy
- hair not growing
- shinning skin
- poor pulses
Venous insufficiency
- got the blood but can’t get it out
- swollen legs
- vercosites
- brownish skin
When in doubt the answer is
quit smoking
P with aortic occlusion
- pain
- polar
- pallor
- pulselessness
- paralysis
- paresthesia
- purple toes
Venous insufficiency treatment
- compression stockings
- stop smoking
- don’t eat salt
- elevate legs
Loop diuretics before and after starting
- BMP, electrolytes, glucose, kidney function
- add potassium supplement
- unless potassium is high via labs
DeBakey - Type 1
dissection starts in the ascending aorta and travels over the arch and descending aorta
DeBakey - Type 2
confined to the ascending aorta
DeBakey - Type 3
starts in the descending aorta
Stanford
solely based on initial dissection
Type A
surgical management
Type B
medical management
Swollen Legs
venous insufficiency
Murmur and pulse at the same time
systolic
Stenosis
not opening enough
Aortic Stenosis treatment
surgery
How do you tell if the valve is bad
Echo
Causes of aortic stenosis
- congenital
- senile degeneration and calcification
- rheumatic fever
Rheumatic
mitral valve stenosis
Aortic insufficiency (regurgitation)
Syphilis Congenital Rheumatic Endocarditis Aortic dilation Marfan's
Bugs with IV use
staph arues
Drugs for IV use
-cillin
Valve with IV use
tricuspid
Gallop
S1, S2, and something else
S3
- ventricular gallop
- HF
- dilated cardiomyopathy
- young person
- athletes
- pregnancy
S1
AV valves close
S4
related to some pathology
Fixed split S2
ASD
if potassium is low than
digoxin goes crazy
Too much warfarin
Vitamin K
Criteria for Stroke clot busters
- nonhemmorhagic stroke
- no head trauma
- no bleeding anywhere that can’t be compression
- less than 3 to 4.5 hours
Criteria for MI clot busters
less than 12 hours
Clopidogrel before PCI
- 300 mg before
- 75 mg daily after
Beta-blocker SE
- dizziness
- fatigue
- gaining weight
ACE SE
- cough
- swelling in lips and tongue
CCB SE
- swelling
- constipation
- reflex tachycardia
Alpha Blockers SE
syncope
Hydralazine SE
syncope
African American HTN
CCB
Post MI with HTN
beta-blocker