TPX Exam 1 Cardio Flashcards
PTH
10-65 pg/ml
ALT
4-36 IU/L
Bilirubin
Total: 0.1-1.2 mg/dL
Direct: 0.1-0.3 mg/dL
Glucose
60-100
Na
135-145
25(OH)D
40-60 ng/mL
Ca
8.5-10.5
phosphorous
2.8-4.5 mg/dL
BUN
7-25
Cr
0.6-1.3
CO2
20-29
AST
8-33 IU/L
Cl
94-106
K
3.5-5.1
Hemoglobin
12-17.4 g/dL
Hypertension
Goal: <130/80
>130/80- lifestyle modifications
>130/80 + ASCVD >10%- meds
>140/90- meds
Hyperlipidemia
Primary prevention:
LDL>190 - high
45-75yo +LDL 70-189mg/dL
-w/diabetes: moderate
-ASCVD >7.5: moderate
-ASCVD>20: high
Ischemic Heart Disease
-aspirin
-high intensity statin
-BB +/- CCB
-SL nitroglycerin
STEMI
ST elevation, troponin
NSTEMI
ST depression, troponin
NSTEMI and STEMI
MONA
+P2Y12 inhibitor
+anticoagulant
Heparin
Anticoagulant
-no renal dose adjustment
Enoxaparin
Anticoagulant
-renal dosing
-preferred in pts getting fibrinolytic
-hold for 12 hrs before surgery
Bivalirudin
Anticoagulant
-for HIT positive patients
Anticoagulants
Heparin
Enoxaparin
Bivalirudin
P2Y12 Inhibitors
Clopidogrel
Prasugrel
Ticagrelor
Cangrelor
Clopidogrel
P2Y12 Inhibitor
-hold for 5 days before surgery
Prasugrel
P2Y12 inhibitor
-not for pts <60 kg or >75 yo
-hold 7 days before surgery
Ticagrelor
P2Y12 Inhibitor
-hold 5 days before surgery
Cangrelor
P2Y12 Inhibitor
-can stop quickly for surgery
ACS Discharge Meds
Aspirin
High Intensity Statin
BB
ACEi
P2Y12- 1yr
Aldosterone antagonist if EF<40%
