Nicole <3 Flashcards
ACS: Signs/Symptoms
-Chest pain
-Dyspnea
-Nausea
-Diaphoresis
-Palpitations
-Pallor
-Anxiety
-JVD and 3/4 heart sound
-ST elevation/depression/inversion
-Positive biomarkers
Tenecteplase in NSTEMI
NEVER fibrinolytics for NSTEMI
-Studies have shown the risk is higher than the benefit in NSTEMI and it can cause complications to worsen pt’s consider
-Risk assessment strategy drives NSTEMI tx
Heparin for NSTEMI
Yes, heparin can be used for an early invasive driven approach to help prevent new clots from forming while pt is getting stabilized
NTG for NSTEMI
Yes, it can help with pt’s chest pain and reduces overall mortality in NSTEMI cases
Likely cause of ACS
Exertion/exercise, non-adherence
Con of Tica
-Dosed BID
-Can’t be used in ICH pts
-Caution in COPD due to dyspnea AE
Con of Prasu
-Cannot be used in TIA/stroke hx
Con of Clopido
-Genetic variability poses a risk bc it is unsure how/if a pt will respond to it
Choose one AP drug and give dose/route/freq
Ticagrelor
LD: 180 mg
MD: 90 mg BID
By mouth
Secondary Prevention
-ASA 81 (helps prevent CV events from happening again)
-Carvedilol (BB, reduces mortality)
-ACEI/ARB (reduces mortality)
AC in Cancer
-LMWH if > 30
-Riva, Apixa, Edox
-UFH if other CI
ESRD pt, choose AC
Heparin
-Check dosing
-Can’t use LMWH in ESRD
Bioprosthetic Valve Tx
Initial 3-6 months of Warfarin, INR 2-3
ASA 8, lifelong
Mechanical Valve Tx
AVR
-INR 2-3
-ASA 81
AVR RF or MVR
-INR 2.5-3.5
-ASA 81
Risk factors of Gout
WHICH IS NOT = Female
These are:
-Male, AA, age, fam hx
-Metabolic syndrome
-Renal insufficiency
-Diabetes, HTN, HF
-Meat, beer, soft drinks, fructose, seafood
Which med when used long term can cause osteoporosis?
Prednisone
Male with hip fracture, -2, which drug
Alendronate
Feminizing agents
Spironolactone (200-400) or Dutasteride + Estradiol 2 mg BID
