TPX Exam 2 Cardio Flashcards
Heart Failure Meds
ARNi, ACEi or ARB
BB
MRA
SGLT2i
Metoprolol in heart failure
XR- 200mg/day
Carvedilol
25-50mg bid
Bisoprolol
10mg/day
Valsartan
160mg BID
Entresto
97/103 BID
Lisinopril
20-40mg/day
ACEi to ARNi
stop ACEi 36hrs prior
> 10mg - 49/51mg bid
<10 mg- 24/26 BID
ARB to ARNi
> 160- 49/51 bid
<160- 24/26mg bid
Diagnosis of Diabetes
A1C: >6.5%
FBG: >126mg/dl
Pre-Diabetes
A1C: 5.7-6.4
FBG: 100-125mg/dl
Goals for Diabetes
A1C: 7%
FBG: 80-130mg/dl
1-2 hrs after meal: <180
Insulin Dosing Type 1
0.4-0.6% units/kg/day
-50% as basal
-50% as prandial divided between 3 meals
Insulin to carb ratio
500/TDD= grams of carb covered by 1 unit
Insulin sensitivity factor
1800/TDD= glucose lowering from 1 unit
Type 2 Insulin
Basal: 0.1-0.2 units/kg/day
-titrate 2 units q3days until FG<150
prandial: 10% basal dose if needed
Metformin
Titrate 500mg weekly to 2000mg
A1C: 1.5-2%
SGLT2i
0.5-1%
DPP-4
0.5-0.9%
TZDs
1-1.5%
SUs
1.5-2%
alpha-glucosidase inhibitors
0.3-1%
Meglitinides
0.8-1%
Amylin
0.4-0.5
Levothyroxine dosing
1.6-1.7mcg/kg/day USING IBW
normal TSH levels
0.4-4.5 mIU/L
CI >2.2
warm
CI<2.2
cold
PCWP >18
wet
PCWP <15
dry
Normal K levels
3.5-5.1
Normal Na levels
135-145
Normal Cl levels
97-106
Normal BUN levels
7-25
Normal CO2 levels
20-29
Normal Cr
0.6-1.3
Normal glucose
60-100