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Cardio Random

Random Cardio

QuestionAnswer
Compelling indications left ventricular dysfunction Diuretic + ACEI -->then BB (metoprolol ER, bisoprolol, or carvedilol) Add on: ARB or Ald Ant
Compelling indications post MI BB (not w/ ISA) --> then ACEI or ARB Add on: Ald Ant
Compelling indications coronary disease BB --> then ACEI or ARB Add on: CCB, diuretic
Compelling indications DM ACEI or ARB Add on: diuretic Add on: BB, CCB
Compelling indications CKD ACEI or ARB
Compelling indications stroke prevention Diuretic + ACEI (or ARB)
Digoxin toxicity Neuro (visual disturbances, confusion, fatigue) CV (arrhythmias, bradycardia, heart block) GI (anorexia, ab pain, N/V)
Before pharmacologic or direct-current cardioversion: if afib >= 48hrs or unknown, anticoag with warfarin for 3wks prior to elective cardioversion and continue for at least 4wks after sinus rhythm restored
CHADS2 Score Use Estimates stroke risk in non-rheumatic atrial fib patients
CHADS2 Score Components Cardiac failure Hypertension Age (>75) Diabetes Stroke (doubled)
CHADS2 Score Treatments 0 = ASA 75-325mg QD 1 = ASA 75-325mg WD or warfarin 2 = warfarin
Long QT causing drug classes (torsades) Antiarrhythmics, Antibiotics, Antidepressants, Antipsychotics (methadone&droperidol)
Torsades treatment Magnesium sulfate IV 2g over 1 minute
Amiodarone monitoring ECG, Pulm fxn test(fibrosis), eye exam (corneal microdeposits), LFT (N/V, dark urine, lethargy), thyroid, chest Xray, blue-gray skin discolor, photosensitivity,
Antiarrhythmic Beta Blockers metoprolol, propranolol, esmolol
Heart failure Beta Blockers carvedilol, metoprolol succinate, bisoprolol
Rate control options 1. digoxin 2. BB (esmolol, metoprolol, propranolol, etc) 3. CCB (dilt, verap)
dofetilide (Tikosyn) dosing Renal Adjust >60 = 500mcg BID 40-60 = 250mcg BID 20-39 = 125mcg BID <20 = not recommended
Antiarrhythmics to avoid in heart failure flecainide & propafenone (IIc) negative inotropic effects
CCBs to avoid in heart failure diltiazem & verapamil (NDHP) negative inotropic effects
Prinzmetal's angina drugs CCBs = DOC, add nitrates AVOID BBs
chronic stable angina drugs BB = DOC (non ISA) CCBs nitrates Ranolazine combo BB+nitrates (attenuate fx) combo BB+CCB (attenuate fx) ACEIs/ARBs for highrisk?
Pharmacologic management of UA and NSTEMI Morphine Oxygen Nitrates Aspirin
CCBs to avoid in angina, NSTEMI short acting DHP
STEMI predictors of death (30 days post MI) >70 HTN afib tachycardia large infarct size prior MI female
Created by: psugirl033
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