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Cardiology > Medication/Intervention Treatment > Flashcards

Medication/Intervention Treatment Flashcards

1
Q

HTN First Line treatment

A

1) Hydrochlorothiazide (HCTZ)

2) Lisinopril, Enalapril, Captopril

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2
Q

HTN medications that are not first line

A

Losartan (ARB)

Diltiazem, Amlodipine (CCBs)

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3
Q

First line treatment in an HTN Urgency

A

Clonidine or Labetalol PO

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4
Q

HTN Emergency

A

Labetalol IV

Once stable: Metoprolol 25-50mg PO twice daily

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5
Q

Coronary Artery Disease

A

Atorvastatin

Aspirin

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6
Q

Peripheral Artery Disease

A

Cilostazol

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7
Q

Acute arterial occlusion of a limb

A

Enoxaparin

Heparin

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8
Q

Occlusive Cerebrovascular Disease

A

Aspirin

Statins

(Anticoagulants if positive A-Fib)

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9
Q

Dyslipidemia

A

Statins

Aspirin

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10
Q

Unstable Bradycardia

A

Atropine 0.5mg IV push, repeat every 3-5 minutes (3mg max)

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11
Q

Unstable bradycardia and Atropine was ineffective

A

Dopamine or Epinephrine

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12
Q

Initial treatment of Supraventricular Tachy (SVT)

A

Stimulate the Vagus nerve

-Breath hold, valsalva, carotid massage, face in ice water

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13
Q

SVT treatment when vagal maneuvers fail

A

Adenosine 6 mg IV push, 12 mg push if initial 6 doesn’t work. Can repeat one more 12 mg push

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14
Q

Second line pharmacological treatment of SVT

A

Metoprolol

Diltiazem

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15
Q

Hemodynamically Unstable SVT

A

50-150 J Synchronized Cardioversion

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16
Q

Initial treatment of Wolf Parkinson White Syndrome

A

Vagal Maneuvers

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17
Q

Treatment of WPW syndrome when vagal maneuvers fail

A

Adenosine

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18
Q

Atrial Fibrillation/A-Flutter

A

Metoprolol

Diltiazem

Enoxaparin

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19
Q

Unstable Atrial Flutter/A-Fib

A

100-200 J Synchronized Cardioversion

20
Q

V Tach

A

Lidocaine

Amiodarone

Magnesium

21
Q

Stable V-Tach >150 HR, Narrow complex

A

Vagal Maneuvers

Adenosine

Betablocker OR CCB

22
Q

Unstable V Tach

A

100-200 J synchronized cardioversion

23
Q

Stable V-Tach >150 HR, Wide complex

A

Adenosine

Antiarrhythmic Infusion: Procainamide, Amiodarone, or Sotalol

24
Q

V Fibrillation

A

ACLS Protocol for cardiac arrest

25
Q

Stable Torsades

A

2g Magnesium

26
Q

Unstable Torsades

A

100 J Synchronized Cardioversion

27
Q

Unstable 2nd Degree AV Block Type I

A

Atropine

Dopamine or Epinephrine if atropine doesn’t work

28
Q

Unstable 2nd Degree AV Block Type II

A

Atropine and Transcutaneous pacing

Dopamine if atropine is ineffective

29
Q

Unstable 2nd Degree AV Block Type II with signs of heart failure

A

Dobutamine or Epinephrine, Transcutaneous pacing

30
Q

3rd Degree AV Block

A

Atropine and Transcutaneous pacing

Dopamine if atropine is ineffective

31
Q

3rd Degree AV Block with signs of heart failure

A

Dobutamine or Epinephrine, Transcutaneous pacing

32
Q

Shockable Rhythm CPR Medications

A

First: Epinephrine 1mg IV Push

Second: Amiodarone 300mg IV push or Lidocaine 1-1.5mg/kg IV push

33
Q

Non-Shockable Rhythm CPR Medication

A

Epinephrine 1mg IV Push (every 3-5 minutes)

34
Q

ROSC with SBP <90 and MAP <60

A

1-2L IV fluids

Vasopressor infusion: Norepinephrine or epinephrine or dopamine

35
Q

Acute Coronary Syndrome (MI)

A

Aspirin

Nitroglycerin 0.4mg SL

Oxygen if <94%

Morphine 4-8mg IV for pain unrelieved by nitroglycerin

36
Q

STEMI

A

MONA

Lovenox 30mg IV Bolus, then 1mg/kg SC q 12hrs

Betablocker IV if not hypotensive

37
Q

CHF

A

Furosemide or Bumetanide

38
Q

CHF with pulmonary edema

A

Furosemide (Lasix)

39
Q

Aortic Dissection

A

Metoprolol or Labetalol

Morphine for pain

40
Q

Chronic Aortic Dissection management

A

Betablockers,

ACEI

ARB

Diuretics

41
Q

Pericarditis (viral)

A

Aspirin 325-650mg every 6 hours

NSAIDS for up to 3 weeks

42
Q

Viral or idiopathic Myocarditis

A

Rest, Fluids, Pain control with morphine

43
Q

Meningococcemia or Rheumatic Fever Myocarditis

A

Antibiotic Therapy

44
Q

Endocarditis

A

Ertapenem 1g IV q 24 hours OR Vancomycin 1g q 12 hours
WITH
Ceftriaxone 2g IV Daily

45
Q

Pericardial Tamponade

A

IV Fluids to battle hypotension

Pericardiocentesis (18g 10cm needle w/ 20ml Syringe)

46
Q

Cardiac Contusion

A

Pain control with analgesics

47
Q

DVT/Pulmonary Embolism

A

3-6 month anticoagulant therapy:

  • Lovenox
  • Heparin

Cardiology (5 decks)

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