Random Flashcards
CPR for adult
30:2 . Once advanced airway 1 breath every 6 seconds
CPR child
15:2 when 2 rescuers. 30:2 when one. Once advanced aiway thn 1 breath every 2-3 seconds
Greatest concern for hypotensive pts
Orthostatic hypertension due to chair position
Elevated blood pressure
120-129 & <80 mm hg
Stage 1 HT
130-139 to 80-89 mm hg
Stage 2 HT
> =140 to >= 90 mm hg
Drug consideration for HBP pts
Avoid erythro nd clarithro in pts taken CCB as it will increase hypotension
NSAID consideration for HBP pts
Avoid prolonged, more than 2 weeks
Hypertensive urgency
> 180/120 with no tissue damage. Tx only emerg, send to MD immediately
Hypertensive crisis/emergency
> 180/120 with organ damage. Call 911
At what BP reading we start avoiding elective tx
180-200 and 110-115
Cardioselective biomarker
Troponin
Cardiac and skeletal muscle biomarker
CK-MB
Stable angina, MI more than a month ago
Supplemental oxygen. Keep nitroglycerin handy
Unstable angina, recent MI
Oxygen and prophylactic nitroglycerin
Drug consideration with IHD
Cautious with NSAID and do not discontinue anti platelets
Angina attack
Chest pain more than 15 mins
Relieved by nitroglycerin
Sweating. Increased BP nd heart rate
Sitting up
CAB
Oxygen & nitroglycerin
Repeat 2 more times after give one aspirin 325 mg nd call 911
In which emergency we can’t give epi
Acute MI
Acute MI management if pt conscious
Sitting up
CAB
Morphine
Oxygen
Nitroglycerin
N2O
Aspirin 325mg
Nitroglycerin contraindicated when
BP lower than 90/60
Recent use of erectile dysfunction drug
Cialis(tadalafil)
Viagra(sildenafil)
Levitra(vardenafil)
Right side heart failure caused by
Left side heart failure
Paroxysmal nocturnal dyspnea
Congestive heart failure
Cheyne-stroke respiration
Clubbing of finger
Cyanosis
Distended neck veins
CHF
Which pts are best treated in hospital
Symptomatic heart failure
NSAIDS avoided in
CHF
Avoid macrolides in cardiac arrhythmia because
QT prolongation, bradycardia and antiarrythmic drugs
When to avoid epi and levenodorfin
Pts taking digoxin for arrhythmia
Avoid aspirin and NSAIDs
In stroke history
Pts taking warfarin
Avoid tetracycline and metronidazole. Can cause warfarin toxicity
Sudden dizziness
Sudden vertigo
Sudden headaches
Vision change
Nausea, vomiting
Transiet parasthesia
Unilateral weakness or paralysis
Stroke