Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

On Thi Noi Tru > THA > Flashcards

THA Flashcards

1
Q

Can xac dinh cac yeu to nao

A

Nguyen nha
Yeu to nguy co tim mach
Ton thuog co quab dich/ bieu hien tim mach tren lam sang

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Yeu to nguy co benh tim mach

A

Nam >45, nu >55

Nam 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ton thuòn co quan dich~ bieu hien benh tim mach tren lam sang

A 
Day that trai
Suy tim
Dau that ngũc/ nhoi mau co tim cu
Can thieu mach vanh
Tbmmn, con thieu mau nao thoang qua
Sa sut tri tue
Vong mac do ThA
Than do tha
Bly dmnb
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Phan nhom nguy co A B C

A

a : tha ko ytnc ko ton thuing co quan dĩch/bh tim mach tren lam sang
B: tha co it nhat mot ytnc khong phai DTD, ko ton thuong co quan dich/ b tim mah tren lam sang
C: tha kem dtd hoac ton thuong co quan dich/ benh tim mach trb lam sang

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Dieu tri tha khong dung thuõc

A 
Giam can neu thua can
Han che ruou
Bo sung day du canxi, mg, kali
Giam stress
Tang van dog the luc
Ngung hit thiox la
Giam man
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Giam can neu thua can

A

Muc tieu: 18,5-22,9
Tang can lam tan suat mac THA va dtd
Deu dan: van dong the luc, thux an nang luong thap va theo doi can nang
Tha va beo phi gidm Ha tam thu du giam can rat it
Thux an: giam beo bao hoa( thi mo dong vat, dau dua, dau co), beonbao hoa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Han che ruou

A

Nguyen tac:

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Stress

A

Tha va tang nhip tom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Tang hoat dong the luc

A

Tang hoat dong the luc: da dang cac hoat dong, phu hop voi trang thai suc khoe bn
Chua co thoi quen: 10 phut-30 phut
Giam nguy co mac 28-35
Muc tieu: ha, duong, choles, mau tou nao va co quan ngoai vi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ngung thuoc la

A

Tu tu va thay the san pham nicotin khac: gian, gum, hit, xit
Tang van dong the luc va giam thux an giau anng luog: tang can sau bo thuox
Bien conmah vanh, sor quy, mm ngoai bien

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Giam an man

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Loi tieu

A

Thiazide
Quai
Khang aldosterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ngh cuu Allhay

A

Bien co tim mach/ ti le tu vong khong khac biet o nhom dung loi tieu chlorthalidon, ucmc lisinopril, chen kenh canxi amplodipin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Theo doi| loi tieu

A

Chuc nang than

Roi loan dien giai

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Loi tieu thiazide

A

Uc tai hap thu Na ong luon xa ( 10% nen loi tieu yeu )

Gfr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Loi tieu quai|tha

A

Chi dinh: suy than, tha khang tri, con tha nang
- sulfamide: di ung, doc tai
Roi loan dien giai
- loi tieu quai (25 % natri nen tac dung lointieu manh) hieu qua trog suy than

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Loi tieu khang aldosterol|tha

A

Khag lai hoat tinh aldos: tai hap thu na va kenh K/H ong xa
Spironi khang hoat tinh aldos; trian va amiloride khog phu thuoc vao nong do aldos
- chindijh: cuog aldos
- ccd: suy than, tang kali
Phu: nu hoa tuyen vu, thieu nang sinh dux, roi laon tieu hao

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Beta-blockers, tac dung

A

Giam nhip tim , giam co bop, giam co
Giam renin/ mau, giam tiet renin,
Hoat tinh tk ngoai bien, gian tiep qua truf uong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Ca yeu to de chon lua thuoc beta

A

Isa
Tan trog nuoc/ mo–) gan/ than
Dac hieu /khong dac hieu

20
Q

Mot so vibdu cua beta

  • gan , than
  • isa
  • khong dac hieu
  • phoi hop beta va alpha
A 
- proprn, carve, meto
Biso: gan va than, aten, nadolol:than
- acebutalol
- propran a timolol
- carve va labe
21
Q

Ccd beta

A

Nhip tim cham block nhi that nang suy tim ko on dinh, prinzmetal, ttrang CO thap, suc can ngoai bien, hen, hoi luu tinh mach
Tuong doi:
- verapamil, dil, amiodarone
- than trong voi diigoxin

22
Q

Tac dung phu beta

A 
Nhip tim cham
Block nhi that
Giam co bop co tim
Dau ngux khi ngung thuoc dot ngot
Hc reynauld, conthat phe quan
Tang ldl, giam hdl
Pud
23
Q

Thuox chen kenh canxi

- phan nhom

A

Dhp : amlo, nife, nicar –) gian mach ngoai bien
Non-DHp: : nut xoang va nut nhi that
- benzothiazepin ( diltiazem)
- diphenyl akylamin (verapamin)

24
Q

Ccd uc canxi

A

Suy tim : db nhom non DHP (dhp nhu amlo, felo dung duoc)
Nhip cham
Block nhi that

25
Q

Tac dung phu cua uc canxi

A

Ngan: do bung mat, hoi hop, u tai
Dai: phu mat ca chan ( uc men chuyen de giam tac dung nay₫

26
Q

Muc tieu dieu tri

A

Nguyen nhan

Ng nhan ko giái quyet duoc| tha nguyen phat: kiem soat ha + giam cac ytnc tim mach

27
Q

Co che tac dung uc che men chuyen /ThA

A

Uc che two ATii- gian mach
Uc hinhbthanh aldos : giam u muoi nuoc
Giam thoai bien brady: gian mach

28
Q

Ccd ucmc

A

Hep dong mach than 2 ben
Hep dm than/ than duy nhat
Tang kali mau
Mang thai va cho con bu

29
Q

Tac dung phu ucmc

A

Ho khan
Tang kali mau, suy than
Phu mach, giam bc trung tinh, noi ban

Thoingian tac dubg 5-7ds

30
Q

Chia nhom ucmc

A

Hoa hoc/ sh, cacboxyl, phosphoryle
Chuyen hoa: ko chuyen hai, gan, loai tan trong nuoc
Tg tac dung: nagn (capto), dai

31
Q

Thuoc uc che thu the

A 
Thu the AT1
- at2:  gian mach
- aldos: giam muoi va nuoc
- phu thanh mach va giam tiet endotheline, giam hoat hoa hiao cam
Ko tac dong len brady--) ko ho
32
Q

Loi diem cua uc che thu the

A

Uc canxi: khong phu mat a chan
Bb: ko met mou, roi loan xuing; bang chung chonrang co cai thien chuc nang tinh duc a tt cuog
Ucmc: ko ho

33
Q

Ccd UCTT

A

Phu nu mang thai va cho con bu

34
Q

Phoi hop thuoc:

A

Ha >160 (do ii theo jnc 7)

Yeu tonnguy contim machcao

35
Q

Chindinh bat buoc cho tung loai thuoc

A

Hinh

36
Q

Yeu to nguy co benh THA

A 
Yeu to di truyen
Gioi tinh (nam, nu man kinh)
Tuoi (>60₫
Dtd
Rl lipid mau
Beo phi
Hut thuoc la
Ruou bia
Che do sinh hoat
An uong man it kali va canxi
Doi song kinh te va ap luc tam ly
37
Q

Chuan bi bn truoc do

A

Nghi ngoi 5 phut
Khong cafe 1g truoc do
Khong thiox la 15ph truoc do
Khong dug thuoc cuong giao cam

38
Q

Dung cu

A

2/3 chieu dai canh tay
Bao chu vi canh tay
Tren nep khuyu 3 cm

39
Q

Ky thuat do

A

Bn nam / ngoi: quan trong la bang quan ngang muc tim
Mat tieng mach: bom 20-30mmHg
Xa van toc:3mmHg/s
Co tieng mach dau tien: HAT Thu; mat mah (K V ) HA tam truog
Nghe khing ro, de nghi bn dua tay cao len, nam mo ban tay nhieu lan sau do do lai!
Mot lan kham do it nhat 2 lan; neu giua 2 lan tri so do khog henh qua la duoc; lay so tot hon
Doi tuing:
- tre: 2 tay, Ha chan. Su chenh lech, lay Ha tay cao hon
- >65ys, dtd, tha: do 2 tu the ( nam va dung)

40
Q

Cac chu y ve phan tih chi so HA:

A

Ha tam thu va truong cao: lay phan do cao nhat
HA tam thu don thuan: tam thu >|=140 va tam truig135/85
- 24h : 125/80
Tha ai chiang trang:
- cao o phong kham nhu Ha taj bha va 24h bunh thuog!

41
Q

Trieu chung THA

A

Dien tien cham, nen thuong lo tr chung
3 nhom tc:
1) tang ha: nhuc dau vung cham vao buoi sang sau khi thux day, hay het sau khu vai gio chong mat, hoinhop, mau met moi
2) mach mau: nhin loa do ton thuong vong mac, chay mau lui, dau nguc do boc tach dm chu nguc, chong mat tu the!
3) can ban : (u tuy t3) nhuc dau tung con, do bung mat, kem hoi hop danh trong nguc, yeu liet co do ha kali mau

42
Q

Hoi tienn can THa

A

Tien su gd ve THA
Tri so HA bn co khi nao tang khong
Benh tim mach som dtd benh thhan roi loan lipid.
Ban than:
- yeu to nc: ruou bia, thuoc la, cach sinh hoat…
-bly: dtd, benh than, cac loai thuoc da va dang dung ( ngua thai, giam dau , steroid)
- kho thi, dau nguc , phu truoc day
- thoi gian phat jien tha, muc do ha( ha cao nhat, tri so ha lam bn sinh hoat de chiu)
- thuix dieu tri ha, su tuan thu thuoc

43
Q

Tham kham nguoi benh

A 
Can nag, chieu cao, bmi,vong eo
Mat tron beo ma ung hong, gay co buou mo
Da day, cham chap, ve mat it linh hoat trong suy giap
Mat can doi cac chi: hep ep dmc
To cac dau chi
Mach:
- 2 ben va so sanh; mach chi treb va chi duoi
- dau xo cug mm
- dm nghe at: canh, chu, than (at quanh ron, canh duong giua ron benP hay T)
tim:
- mom tim, 
- nhip tim
- a2 thuong manh
- +_ t4, 
-t3 hay rale no goi y suy tim
- am thoi tam thu, tam truong di kem
Kham toan dien

-

44
Q

Xet nghiem thuog quy trong tha

A 
Ctm, hct
Ion do 
Duong huyet doi
Bilan lipid, acid uric
Bun, crea, 
Tptnt
Ecg 
Soi day mat, x quanh nguc thang
Sieu am tim doppler
45
Q

Bien chung tha

A

Tim:
- day that trai: 85 la dong tam, 15 la lech tim–) nmct gap 3 lan, suy tim 4 la, dot qy 6 lan
-suy tim: luc dau la suy tim tam truong, sau do anh huong tam thu
- mach vanh: co tim thieu mau cuc bo/ nmct
Than kinh:
- dot quy
- thieu mau nao thoang qua
Than:
- than do tha la nn hang dau gay stm giai doan cuoi
Ton thuong cau than, mm than
Mat:
-phan loai keith-waegner-bakerr:
@ 1; dm co nho, ngoan nghoeo ( bt d -2/3 tm)
@ 2: bat cheo dm-tm
@ 3: do 2 + xuat huyet, phu ne, xuat tiet
@ 4: do 3 + phu gai thi
Mach mau:
- xo vua
- dm chi duoi
- phinh boc tach dm chu ngux!
Mach mau

46
Q

THA va thai ky

A

Truox khi co thai: truox tuan le 20 thai ky
Trong thai ky: sau tuan le 20, ha thuog ve bt sau sanh, nhung lan co thai sau ko phai luon luon co tHA
Tha: 24 h sau sanh: thoang qua
Tha trong hai ky:
- tam thu >/=140 hay t truong >|= 90
- > 25 tam thu/>15 tam truong voi ha trong 3 thanh dau thai ky

47
Q

Cac nn khac

A 
Tha va thai ky
Benh tao keo: quanh nut d'm, takayasu, lupus
Phong
Da honh cau: tang kl mau va do quanh mau
Nao
Sau phai thuat long nguc

On Thi Noi Tru (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions