Internal Medicine Rotation Flashcards
Maximum volume of air produced with full inhale- exhale:
FVC
Volume of air exhaled in one second
FEV1
FEV1/FVC
the fraction of the FVC that can be exhaled in the first second
As obstruction increased, FVC ____
decreases
How often should I do spirometry
onset, once new tx is stable, poor control, Q1-2 years
A diabetics LDL should be
100 if no CAD
70 if CAD
Pneumonia vaccine is given Q
10 years
How can I make my ACE/ARB work better
Add HCTZ 25mg
ZOCOR=
simvastatin
Cozaar=
Losartan
Glipizide - class and MOA
sulfonylurea- stimulate the release of insulin from pancreatic cells
2.5-5mg BID
Norvasc=
amlodipine ( CCB)
Increase HDL ( not meds)
exercise and red wine. Is primarily genetic
Vitamin D with/ without food?
With needed for absorption
Cheapest statin
zocor ( simvastain)
Mild statin, moderate statin
mild prevacol
moderate vocor
Treat Systolic HTN
CCB, thiazide
Amlodipine is cheap and good. 5mg works well. The side effect of 10 is often
leg edema. (CCB)
If a patient has angioedema due to an ACE, can they use an ARB? What about dry cough?
No ARB if angioedema
Yes ARB if cough
When to use a beta blocker for HTN
Comorbid cardiac disease
atenolol is mild
HTN but no labs. What can I safely start while waiting for labs
amlodipine 5mg
What is the danger of dropping BP too quickly
stroke due to lack of cerebral perfusion
Imodium dose
4mg first dose then 2mg Q4 hours not to exceed 16mg/day
C Dif often caused by:
clindamycin
Treat graves
Tepazole 10mg QD ( is methimazole dosed less frequently)
