Mgt Flashcards
1
Q
Psvt
A
Non pharm- vagal maneuver (carotid sinus stim, Valhalla maneuver
Pharm - adenosine (1st episode)
Metoprolol succ ( repeated)
2
Q
A.fib, a flutter
A
Acute -Metoprolol, or digoxine(if assd with L.vent dysfun)
Chronic - metopeolol
3
Q
Anticoags for afib n aflutter pts
A
Warfarin If valvular problem or
DOACs
4
Q
Inr 3 - 3.5
A
10 % decrease the warfarin
5
Q
Inr 3.5 - 4
A
Decrease warfarin by 20% then skip 1 dose
6
Q
Inr 4- 4.9
A
Hold warfarin until inr returns to normal then start with 20-30% less warfarn
7
Q
Inr > 5
A
Stop warf, Vit k
8
Q
VT
A
Cpr, o2, defib,
Amiodarone
9
Q
Pulmonary edema
A
O2. Morphine Lasix
If no impvt nitrogly
10
Q
Cardiogenic shock
A
O2, ns to r/o hypovol then NE or dopamine
11
Q
Htn
A
Amilodip, hct. Can add prils (especially lisinopril)
