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21 Cards in this Set
- Front
- Back
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2 kinds of ACS
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AMI
NSTEMI/UA |
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AMI includes (2)
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STEMI
new LBBB |
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framingham risk factors (7)
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age
sex LDL HDL BP smoking DM |
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step 1 in chest pain management
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evaluate likelihood of CAD (framingham?)
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in step 1 of chest pain management, if pain is atypical, do ___
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discharge
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in step 1 of chest pain management, if pain is typical but CAD risk is low, do ___
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monitor in ED
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in step 1 of chest pain management, if pain is typical and CAD is intermediate/high, do ___
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admit to hospital
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in step 2 of chest pain managment, if there is one of ___ (3) admit to hospital, otherwise do ___
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recurrent pain
ECG changes positive markers ETT (exercise tolerance test) |
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if the ETT is positive, do ___ otherwise ___
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admit to hospital
discharge |
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initial tx for UA/NSTEMI
of these, ___ (4) are given PO |
Beta blocker
Enoxaparin Morphine Oxygen Aspirin + Clopidogrel Nitrates Beta blocker Aspirin Clopidogrel Nitrates |
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beta blocker for ACS is ___. if beta blockers are contraindicated, use ___, e.g., ___ (2).
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metoprolol
cardioselective CCBs verapamil diltiazem |
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5 beta blocker contraindications
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COPD
long PR 2' or 3' AV block bradycardia sys BP<90 |
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after initial Tx of UA/NSTEMI, give ___ IV if pain continues
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nitrate
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2 nitrate contraindications
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hypotension
PDE5 inhibitor, e.g. sildenafil |
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2 cardio-CCB contraindications
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pulmonary edema
LV dysfunction |
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4 morphine contraindications
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hypotension
respiratory depression confusion obtundation |
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Prinzmetal angina on ECG
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transient ST elevation
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Tx of STEMI
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Beta blockers
Enoxaparin Morphine Oxygen Aspirin + clopidogrel Nitrates 1' PCI or fibrinolysis |
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4 absolute fibrinolysis contraindications
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any Hx of CV hemorrhage
CVA (any kind) in last year HTN above 180 sys or 110 dias active internal bleeding (including menses) |
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after STEMI give ___
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ACEI
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TIMI criteria
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age >= 65
3 or more CAD risk factors known CAD already on aspirin >2 anginal episodes in last day ST changes (0.5 mm) positive cardiac enzymes |
