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Illness Scripts > Palpitations > Flashcards

Palpitations Flashcards

1
Q

Symptoms of AF

A

Breathlessness
Palpitations
Vague bad sensation
Chest discomfort
Dizziness
Pre syncope
Can be asymptomatic

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2
Q

Investigations for AF

A

FBC UE LFT CRP
Thyroid function test
ECG
ECHO

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3
Q

What is the HAS-BLED score

A

One year risk of major bleed in people taking anticoag for AF

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4
Q

How can you rate control AF?

A

Beta blocker
Calcium channel blocker
Digoxin if sedentary

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5
Q

How do we rhythm control stable AF?

A

Stable - cardio version or beta blocker

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6
Q

How do we rhythm control unstable AF?

A

<48 hours - flecainide or amiodarone (amiodarone in structural heart disease)

> 48 hours - rate control and anticoag for 3-4 weeks, then cardiovert

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7
Q

Can thyrotoxicosis cause AF?

A

Yep

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8
Q

Symptoms of SVT

A

Palpitations
Chest pain
Breathlessness
Dizzy
Presyncope

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9
Q

How does SVT look on ECG

A

Rate 150+
T wave changes

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10
Q

How do we manage SVT?

A

Vasovagal manoeuvres
Adenosine
Unstable = cardioversion
Can do catheter ablation in chronic

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11
Q

ADENOSINE

A

SVT

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12
Q

Risk factors for SVT

A

ETOH
caffeine
Drugs

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13
Q

Risk factors for VT

A

Post MI

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14
Q

Risk factors for AF

A

ETOH
Thyroid disease

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15
Q

What does ECG show in VT

A

Rate over 160
T changes
ST elevation

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16
Q

Symptoms of sepsis

A

Infection
Hypotension
Tachycardia
Fever
Raised WCC

17
Q

Sepsis 6

A

Bloods
Lactate
Urine output

Antibiotics
Fluids
Escalate

Illness Scripts (5 decks)

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