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25 Cards in this Set
- Front
- Back
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ACS : Unstable Angina |
CP at rest OR CP>20min. EKG changes, transient ST or T wave changes may occur. Troponin : normal early |
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NSTEMI |
Cardiac symptoms
EKG changes, ST depression, T wave abnormalities.
Troponin : Elevated |
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STEMI |
Cardiac symptoms.
EKG changes. ST elevation. New LBBB.
Troponin : elevated. |
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Posterior MI and where seen EKG changes |
Tall R wave. ST depression. Upright T wave. |
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Inferior MI : leads and which part of heart |
Leads : 2,3, AVF Right ventricle |
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Anterior MI Leads |
V1, V2, V3, V4 |
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Septal MI Leads |
V1, V2 |
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Lateral MI Leads |
V1, AVL, V5, V6 |
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Apical MI Leads |
V5, V6 |
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Prinzmetals Angina |
Coronary artery spasms, NOT clot or atherosclerotic changes.
Associated with use of stimulants.
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Inferior wall MI : Tx |
2,3, AVF
fluids. Inotropes to incr contractility. Vasodilators to decrease afterload. |
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Heart Failure : L sided |
Pulmonary edema Dependant edema/lower extremities |
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Heart Failure : R sided |
(Cor Pulmonale) Venous congestion. Generalized edema
R sided failure leads to L sided failure |
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S1 |
Apex
Mitral/tricuspid closure Beginning of systole |
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S2 |
loudest at Base
Aortic and pulmonic closure Beginning of diastole |
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S3 and S4 : what areas? |
s3-pulmonic s4-tricuspid |
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Hypertensive Emergencies : Dx, Tx, Goal |
Rapid rise of BP, possible end organ dysfx. SBP >140, DBP>90
Tx : Nipride because it causes arterial and venous dilation, which decreases afterload and preload.
Goal : Decreaser BP 20-30% over 2-3hrs in pt with chronic HTN.
Labetalol may cause reactive airway problem(wheezing) in pts with CHF COPD etc |
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Becks Triad : when seen?, actually 4 sx |
Trauma with blood accumulation in pericardium. Pericarditis with infections fluid accumulation in pericardium. Both causing Cardiac Tamponade
1)JVD 2)muffled heart tones 3)decreased SBP 4)pulsus paradoxus |
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Raunauds Disease |
Vasomotor response to cold or emotional stress(subtype of Peripheral Vascular Disease)
Onset : can be due to cold, hot, stress, pain. |
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Buergers Disease |
Inflammation and thrombosis of distal arterioles.(subtype of Peripheral Vascular Disease) |
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Peripheral Vascular Disease |
Atherosclerosis of arteries.
Intermittent claudication, usually with activity, usually in legs. |
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DVT : target INR |
INR2-3 for 3-6months.
High risk pts will get IVC filter. |
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Aortic Aneurysm : definition, risk factors, s/s |
Dilation of a segment of blood vessel. Risk factors - atherosclerosis, men, >50
S/S : Varied BP in upper extremities, CXR shows widened mediastinum. |
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Arterial Lines : indications, where zeroed, goal |
Indication : pt receiving vasoactive IV infusions or those with unstable BP
Transducer zeroed at phlebostatic axis (4th ICS, midaxillary).
Goal 70-105. |
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Allens Test |
?? |
