Simplified 1st Line Drugs Flashcards

1
Q

Aortic Stenosis

A

BB if angina is present
ACEI if HF is present
Definitive treatment is surgical valve replacement

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2
Q

Coartication of the aorta

A

Prostaglandin to open PDA

Surgical repair

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3
Q

PDA

A

Indomethacin

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4
Q

VSD

A

Large: surgery
Small: monitor
Also use lasix, high cal diet if CHF is present

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5
Q

Atrial septal defect

A

> 8 mm = surgery

Lasix

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6
Q

TOGA

A

Prostaglandin

Surgery (transpose great arteries AND coronary arteries)

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7
Q

Truncus Arteriosus

A

Multiple surgeries throughout life

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8
Q

A-flutter

A

BB

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9
Q

A-Fib

A

Diltiazem; BB

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10
Q

PSVT (retrograde P waves, hidden/simultaneous with QRS)

A

Adenosine

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11
Q

WPW

A

Procainamide

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12
Q

AV Block

A

Atropine

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13
Q

Torsades de Pointes

A

IV Mag sulfate

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14
Q

V-tach with LV dysfunction

A

IV amiodarone

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15
Q

Dilated cardiomyopathy

A

BB

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16
Q

Restrictive cardiomyopathy

A

BB

17
Q

HOCM

A

BB

18
Q

Takosubo

A

Supportive

19
Q

STEMI/NSTEMI

A

STEMI = emergent PCI or fibrinolytics; morphine for pain

For both:
ACEI
ASA
BB
Clopidogrel (use heparin if going for PCI, then change back to clopidogrel post-PCI)
High intensity statin

PRN nitro

20
Q

Angina

A

ASA
BB
PRN nitro
Statin

21
Q

Prinzmetal angina

A

Don’t use BB!!!

CCB

22
Q

HTN

A

ACEI or ARB
CCB
Thiazide diuretic

23
Q

Proteinurea

A

ACEI or ARB

24
Q

HTN Emergency

A

IV Labetalol

25
Q

Acute Pericarditis

A

Rest + NSAIDs

Colchicine 3 mo if necessary

26
Q

Cardiac tamponade

A

Pericardiocentesis

27
Q

HFrEF

A

BB (metoprolol succinate, bisoprolol, carvedilol)
ACE-I
Lasix

28
Q

HFpEF

A

Treat underlying symptoms, include Lasix

29
Q

Hyperlipidemia

A

Atorvastatin or Rosuvastatin (40 or 80mg)

30
Q

SVT

A

Verapamil or adenosine

31
Q

V-tach with no/minimal LV dysfunction

A

Procainamide