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35 Cards in this Set
- Front
- Back
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Dx
px has HTN, mild hypernatremia, hypokalemia, metabolic alkalosis |
PRIMARY HYPERALDOSTERONISM:
Conn's Syndrome b/l adrenal hyperplasia |
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antidote for:
salicylates |
activated charcoal
Na+Bicarb dialysis |
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antidote for:
B-Blocker |
atropine
glucagon Ca2+ insulin & dextrose atropine |
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antidote for:
digoxin |
activated charcoal
Dig Fab fragments |
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antidote for:
iron |
deferoxamine
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antidote for:
copper |
penicillamine
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antidote for:
t-PA and Streptokinase |
aminocaproic acid
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Rx for MI due to cocaine overdose
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Benzo's (e.g. Lorazepam)
CCB's ** DO NOT GIVE B-BLOCKERS |
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type of heart block:
PR interval is longer than .2 sec (5 small boxes) |
1st degree
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type of heart block:
no relationship between P and QRS |
3rd degree
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type of heart block:
PR interval becomes progressively longer until beat dropped |
2nd degree - Type I (aka Weinckebach's)
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type of heart block:
PR interval fixed but with occasional blocked beats |
2nd degree - Type II
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which heart block needs a pacemaker
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2nd degree - Type II
3rd degree |
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an EKG shows complete independence of P waves and QRS, what is the next best step
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Dx: 3rd degree block
Tx: pacemaker |
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pathology with EKG:
narrow QRS not a/w P waves rate of 60 bpm |
junctional rhythm
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pathology with EKG:
narrow QRS not a/w P wave rate > 60 but < 100 |
accelerated junctional rhythm
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pathology with EKG:
narrow QRS not a/w P wave rate > 100 |
junctional tachycardia
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What is the tx for premature atrial contractions (PAC's)
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observation
reduce caffeine stop smoking r/o hyperthyroidism |
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px has atrial fib with rapid ventricular rate, he had a chronic atrial fib previously, what should be done before cardioversion
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transesophageal echo (to look for atrial thrombus)
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which endocrine disorder can cause atrial fib
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hyperthyroidism
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what is the drug of choice for acute onset atrial fib with rapid ventricular rate in a px with WPW
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procainamide
electrical cardioversion |
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Dx for multifocal atrial bradycardia (MFAB)
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3+ different P wave morphologies
< 60 bpm |
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Dx for wandering pacemaker (aka multifocal atrial rhythm)
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3+ different P wave morphologies
< 100 bpm |
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Dx for multifocal atrial tachycardia (MFAT)
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3+ different P wave morphologies
> 100 bpm |
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what is the drug of choice for paroxysmal supraventricular tachycardia
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carotid massage
IV adenosine |
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pathology with EKG:
wide QRS not a/w P waves rate 20-40 |
ventricular rhythm
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pathology with EKG:
wide QRS not a/w P waves rate > 40 but < 100 |
accelerated ventricular rhythm
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pathology with EKG:
wide QRS not a/w P wave rate > 100 |
ventricular tachy
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pathology with EKG:
chaotic, no p-waves, no QRS |
V fib
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pathology with EKG:
erratic QRS that varies in amplitude in a repeating pattern (sinusoidal) |
torsades
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antiarrhythmic that should be avoided in px with preexisting lung disease
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Amiodarone
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What are some common SE's with the use of amiodarone & what should be monitored
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Pulmonary fibrosis (monitor PFT's & diffusion capacity before starting & q 6 months)
Liver damage (monitor LFT's) Hyper/hypothyroidism (monitor TFT's) |
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what are the classes of anti-arrhythmics
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"SoBe PoCa"
CLASS I: Na+ channel blockers ("So" = sodium) CLASS II: B-Blockers ("Be" = Beta) CLASS III: K+ channel blockers ("Po" = potassium) CLASS IV: CCB's ("Ca" = calcium) OTHER: Adenosine |
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generally, what arrhythmias do each anti-arrhythmic class tx
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CLASS I:
V-Tach (lidocaine) CLASS II: PVC's A-fib/flutter MAT V-Tach CLASS III: A-fib/flutter CLASS IV: A-fib/flutter PSVT MAT ADENOSINE: PSVT (unless 2nd/2 WPW) |
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What is Rx for SVT vs SVT 2nd/2 WPW
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SVT: Adenosine
SVT 2ND/2 WPW: amiodarone procainamide catheter ablation of accessory pathway **DO NOT GIVE ADENOSINE |
