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Cardio (actually) > Nicole <3 > Flashcards

Nicole <3 Flashcards

1
Q

ACS: Signs/Symptoms

A

-Chest pain
-Dyspnea
-Nausea
-Diaphoresis
-Palpitations
-Pallor
-Anxiety
-JVD and 3/4 heart sound

-ST elevation/depression/inversion
-Positive biomarkers

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2
Q

Tenecteplase in NSTEMI

A

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

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3
Q

Heparin for NSTEMI

A

Yes, heparin can be used for an early invasive driven approach to help prevent new clots from forming while pt is getting stabilized

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4
Q

NTG for NSTEMI

A

Yes, it can help with pt’s chest pain and reduces overall mortality in NSTEMI cases

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5
Q

Likely cause of ACS

A

Exertion/exercise, non-adherence

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6
Q

Con of Tica

A

-Dosed BID
-Can’t be used in ICH pts
-Caution in COPD due to dyspnea AE

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7
Q

Con of Prasu

A

-Cannot be used in TIA/stroke hx

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8
Q

Con of Clopido

A

-Genetic variability poses a risk bc it is unsure how/if a pt will respond to it

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9
Q

Choose one AP drug and give dose/route/freq

A

Ticagrelor

LD: 180 mg

MD: 90 mg BID

By mouth

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10
Q

Secondary Prevention

A

-ASA 81 (helps prevent CV events from happening again)
-Carvedilol (BB, reduces mortality)
-ACEI/ARB (reduces mortality)

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11
Q

AC in Cancer

A

-LMWH if > 30
-Riva, Apixa, Edox
-UFH if other CI

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12
Q

ESRD pt, choose AC

A

Heparin
-Check dosing
-Can’t use LMWH in ESRD

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13
Q

Bioprosthetic Valve Tx

A

Initial 3-6 months of Warfarin, INR 2-3

ASA 8, lifelong

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14
Q

Mechanical Valve Tx

A

AVR
-INR 2-3
-ASA 81

AVR RF or MVR
-INR 2.5-3.5
-ASA 81

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15
Q

Risk factors of Gout

A

WHICH IS NOT = Female

These are:
-Male, AA, age, fam hx
-Metabolic syndrome
-Renal insufficiency
-Diabetes, HTN, HF
-Meat, beer, soft drinks, fructose, seafood

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16
Q

Which med when used long term can cause osteoporosis?

A

Prednisone

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17
Q

Male with hip fracture, -2, which drug

A

Alendronate

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18
Q

Feminizing agents

A

Spironolactone (200-400) or Dutasteride + Estradiol 2 mg BID

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19
Q

Masculinizing effects

A

IRREVERSIBLE
-Hair growth
-Deepen voice
-Clitoral enlargement
(CHV)

REV
-Muscle mass
-Loss menses
-Vaginal atrophy

20
Q

Intact Uterus

A

NEED BOTH E AND P

(est and pro)

BE SET PEAR

21
Q

AE of Estrogen

A

Increase coag factors

22
Q

Birth control for VTE pt

A

Progesterone only product
-Check oral or IM

23
Q

Least DDIs for statins

A

Pravastatin

24
Q

High intensity statins for which pt

A

-ASCVD risk
-Diabetes 40-75 with LDL 70-189 with ASCVD risk
-Triglycerides 150-499
-HeFH

25
Q

Vomit/diarrhea: shock type

A

Hypovolemic

26
Q

Acute HTN crisis: Renal and AD

A

Nicardipine

27
Q

PUD Clari resis 18% with PCN allergy

A

PMTB (quad)

28
Q

Hem stroke INR 4.6

A

Vitamin K 5-10

Kcentra 35

29
Q

PAH + AV test

A

Always CCB

30
Q

PAH on sildenafil and botensan, high risk

A

Add PCA (like epo)

31
Q

HF recommend an SGLT2

A

Dapa 10 or Empa 10

32
Q

HF lifestyle/monitoring parameter

A

-Exercise
-Immunizations
-Fluids < 2 L/d
-Salt < 2 g/d
-Weigh/BP/HR daily

33
Q

HF low output still and < 90 SBP

A

NOT nitrates

Dopamine

34
Q

HF on max furosemide, give rec

A

Switch or add thiazide

35
Q

Cold and Wet: first med

A

SBP < 90
-Inotropes + diuretics

SBP 90+
-Nitrates + diuretics

36
Q

When to not give Dofetilide

A

AE
-QTP
-AV block
-VT/V fib

Needs renal adj

No HF pts

37
Q

AAD cinchonism

A

Quinidine

38
Q

COPD and AADs

A

CAUSE BS
-Propafenone
-Sotalol
-Adenosine

39
Q

SHD + Mono VT

A

PASM
-procain
-amio
-sotalol
-mg

40
Q

3 monitoring parameters for Amio

A

-LFTs
-Thyroid panel
-Eye exam

41
Q

AAD for Afib with SHD/HF and COPD

A

Dofetilide

42
Q

Cardioembolic stroke

A

ANTICOAG

43
Q

AAD question first thing you do in ED

A

Cardiovert

44
Q

Monitor Xa for AC

A

CCEO < 30

-lupus
-children
-cancer
-elderly
-obese

45
Q

Avoid if soy/egg allergy

A

Clevidipine

Cardio (actually) (22 decks)

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