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26 Cards in this Set
- Front
- Back
Use ACEi’s in pts with?
(7: ACDH2MU) |
ACS
CKD DM HF High risk CAD or stroke MI Unstable angina |
|
Use Aldo-R xers (spironolactone, eplerenone) when?
(2) |
HF
Prior MI |
|
When use ARBs?
(3: CDH) |
CKD
DM HF |
|
When use beta-xers?
(8: A2EHM2s/uT) |
ACS
ATachy or Afib Essential tremor High risk CAD MI Migraines Stable or unstable angina Thyrotoxicosis |
|
When use CCBs?
(2: AR) |
ATachy
Raynaud’s |
|
When use Thiazides?
(5: DH2NO) |
DM
HF High risk CAD or stroke Nephrogenic DI Osteoporosis |
|
CI to ACEi’s?
(ARP) |
Angioedema
Pregnancy Renovasc HTN |
|
CI to Aldo-R xers?
(HP) |
HK
Pregnancy |
|
CI to ARBs?
(PR) |
Pregnancy
Renovasc HTN |
|
CI to B-xers?
(ACHS) |
Asthma
COPD Heart block Sick sinus syndrome |
|
CI to CCBs?
(CHPS) |
CHF
Heart block Pregnancy Sick sinus syndrome |
|
CI to Thiazides?
(G’LP) |
Gout
‘lyte disturbance Prengancy |
|
What vessels do they dilate?
Nitroprusside NG Hydralazine, a1 antags, CCBs |
NP: arteries + veins
NG: veins only HAC: arteries only |
|
1. Venodilators reduce?
2. Arterial dilators reduce? (PL, AL, or both? |
1. PL
2. AL |
|
Clues to:
1. Pheo 2. PCKD 3. Cushing’s 4. Renovasc HTN → all these can cause 2° HTN! |
1. UCatecholamines + intermittent svr HTN, dizzy, diaphoresis
2. High Cre + BUN, flank mass, +FHx 3. Dexamethasone suprsn test or 24-hr UCortisol 4. MR/CT Angio, US, ACEi-nuclear renal scan |
|
Acid-base:
1. High CO2 + pH<7.4? 2. High CO2 + pH>7.4? 3. Low CO2 + pH>7.4? 4. Low CO2 + pH<7.4 |
1. Resp acid
2. Met alk compensn 3. Resp Alk 4. Met acid compensn |
|
Acid-base:
1. High Bicarb + pH<7.4 2. High Bicarb + pH>7.4 3. Low Bicarb + pH>7.4 4. Low Bicarb +pH<7.4 |
1. Resp acid compensn
2. Met Alk 3. R Alk compensn 4. Met Ac |
|
Cmn cause of:
Resp alk? (3: A2H) |
Anxiety
ASA/sali OD HVent |
|
HC + <
HC + > LC + > LC + < |
R Ac
M Alk C R Alk M Ac C |
|
HB + <
HB + > LB + > LB + < |
R Ac C
M Alk R Alk C M Ac |
|
Cmn cause of:
Met alk? (5: ADHV2) |
Antacid abuse (milk-alkali)
Diuretics (not CAi’s) HAldo Volume contrxn Vomiting |
|
Cmn cause of:
Resp Acid? (5: AC2DS) |
Asthma
Chest wall issues COPD Drugs (Op, benzo, barb, EtOH) Sleep apnea |
|
Cmn cause of:
Met Ac? (8: ACDDELMU) |
ASA/sali OD
CAi’s DKA Diarrhea EtOH Lactic acidosis (sepsis/shock) MeOH/Eth glycol psn Uremia |
|
Pt w/ Resp alk + Met acid?
+/- tinnitus, HoGly, n/v |
ASA/Sali OD
Tx: alknz urine (w/ bicarb) |
|
SIADH commonly results from…?
(8: CHOMPPSS) |
Chlorpropramide
Head trauma Meningitis Opioids Painful states Pulm infxns Sm cell lung Ca Surgery |
|
High K with which 2 dz?
|
Addison’s
HoAldo |