Heart ll Flashcards
Ankle Brachial Index
normal
gangrenous
> 0.95 normal
< 0.2 gangrenous
Aortic dissection/aneurysm presentation
sharp constant pain unrelated to movement
peripheral pulses & BP different on ea side
chest pain w radiation to back, abd, neck
nitroglycerin for what?
if it doesn’t help chest pain what does it rules out?
angina
if chest pain not better w NO r/o angina
Sudden onset of syncope - think what cause?
HT block
if > 50 yo w sudden onset dysrhythmias, think what?
Bundle branch block
born with it - SA node bypasses AV to accessory bundle causing ______
WPW
premature ventricular activation
Diastolic Murmur indicates what?
HT disease
Heparin - what clotting factors?
antithrombin lll
If a pt is on digoxin and comes into the ER, do what?
check blood levels
Digoxin toxicity?
mechanism?
looks like the flu & yellow halo vision
increase intracellular Ca - AP length
Anti-arrhythmic drug from Cinchona plant
Quinidine
Toxicity of Quinidine
looks like menieres (tinnitus, hearing loss, HA, N, dizzy, vertigo)
When to use amiodarone
antiarrhythmic
ACUTE
Testing for Endocarditis
blood culture
ECHO confirm vegetations
Pt had a URI and now has fatigue dyspnea and palpitations. What do you suspect?
myocarditis
viral
see w HT failure
