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11 Cards in this Set
- Front
- Back
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Complications post- MI
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Arrhythmias
CHF Mechanical Complications Recurrent Infarction |
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Mechanical Complications post MI
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Free Wall Rupture (usually in the first 4 days post MI, for sure in first 2 weeks--> cardiac tamponade, hemopericardium)
Interventricular Rupture Dressler's Syndrome (ASA is tx, avoid NSAIDS that would interfere with scar tissue formation) |
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Tx for V Tachycardia?
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IV amiodarone
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Dressler's Syndrome
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pleuritis
pericarditis fever immunologic reaction post MI (weeks to months post MI) treat with ASA |
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What is the most specific sign of CHF?
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S3
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Treatment for CHF Class I-II
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ACE plus Loop
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Treatment for CHF Class II-III
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ACE plus Loop + Beta Blocker
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Treatment for CHF Class III-IV
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ACE, Loop, BB, plus Digoxin (for systolic dysfunction to help with symptoms, though no improvement of morbidity or mortality)
if still symptomtic, may add spironolactone |
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Nocturia with CHF
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elevation of the legs causes more venous return--> fill up lungs (dyspnea) and may also filter into bladder
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Kerley B Lines
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Indicate pulmonary congestion on CXR; short horizontal lines near the periphery of the lungs at the costophrenic angle indicating dilation of the lymphatic vessels
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Digitalis
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positive ionotrope; useful in patients with an EF less than 30%, severe CHF, or severe AFib.
Provides short term symptomatic relief, but no reduction of morbidity or mortality |
