Pericarditis Flashcards by Alice Richards | Brainscape

Q

acute pericarditis pain pain radiates to the

A

trapezius
left shoulder
left arm

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Q

how might a pt w. pericarditis present

A

leaning forward

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Q

pe findings of pericarditis

A

pericardial friction rub

serial EKG changes

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Q

mc condition affecting the pericardium

A

pericarditis

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Q

mc complication of pericarditis

A

cardiac tamponade from pericardial effusion

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Q

causes of pericarditis

A

idiopathic

post infectious

inflammatory

metabolic

CVD

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Q

EKG changes associated w. pericarditis

A

diffuse ST elevations and PR depression

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Q

tx for pericarditis

A

NSAIDs → Ibuprofen

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Q

what NSAID should NOT be used for pericarditis

A

indomethacin

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Q

what med should be given to pt’s for 3 months after an initial episode of pericarditis

A

colchicine

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Q

admission indications for pericarditis (4)

A

fever > 100.4

immunosuppression

trauma

anticoags

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Q

what is beck’s triad

A

hypotn

jvd

muffled heart sounds

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Q

sx of cardiac tamponade

A

dyspnea

tachycardia

tachypnea

cold/clammy extremities

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Q

CXR findings of cardiac tamponade

A

bottle shaped heart

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Q

EKG findings of cardiac tamponade

A

electrical alternans

PR segment depression

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Q

definitive therapy for cardiac tamponade

A

pericardiocentesis

pericardiotomy

Q

supportive tx for cardiac tamponade

A

IVFs

bed rest w. leg elevation

Q

pharm for cardiac tamponade

A

inotropic drug → dopamine

Q

what should be avoided in cardiac tamponade

A

PEEP/CPAP