Greife auf kostenlose Karteikarten, Zusammenfassungen, Übungsaufgaben und Altklausuren für deinen Cardiology Kurs an der University of Calgary zu.
2752
Karteikarten
244
Studierende
0
Lernmaterialien
which artery branches off the dominant coronary artery?
Posterior interventricular.
65% are right dominant
Which murmurs do not vary with respiration? (location)
Mitral or aortic
Describe aortic regurgitation murmur
Diastolic, high pitched, decrescendo
Causes of chest pain and rise in troponin (lots)
Aotic dissection
Arhythmia
Hypotension HEat fialure
Cardiac inflammation (-itis and -osis)
Surgery/chest trauma
PE/ARDS
TTP/Sepsis/viral
Severe GI bled
CKD
Stroke
Diabetes/hypothyroidism
What does digoxin do? what conditions
It is a cardiac glycoside and Positive inotrope (strengthen heart contractions).
Heart failure due to systolic dysfunction.
Certain SVT
AF with BB or CCB (ventricular control)
What are major concerns with digoxin?
Narrow therapeutic window
Arrhythmias with some electrolyte disturbances hypoK and hypoMg
Labs to order post MI admission
STAT ECG
CXR
INR/PTT
Troponin
+/- BNP
ECG presentation for NSTEMI
ST segment depression
T wave inversion or flattening (not always)
Dynamic changes
Causes of LBBB (lots) (6)
Anterior MI
Ischemic heart disease
Aortic stenosis
Dilated cardiomyopathy
Hypertension
Digoxin toxicity
Hyperkalemia
When can primary percutaneous coronary intervention (PCI) be performed?
Within 90-120 mins of symptom onset.
FMC < 90 min goal
suspected STEMI reperfusion order set management includes
12 lead ECG
IV 0.9% 30mL/hr
O2 > 90%
ASA 160mg
Nitro if SBP above 100 mmHg + chest pain 0.3-0.4 mg q 5 minutes prn- no help
place defib pads
Clear bleeding risks and other CI -> Fibrinolysis?
Ticagrelor + enoxaparin OR UFH
PCI (angioplasty)
What does the right coronary in the right dominant heart supply?
Right atrium
Sinoatrial node
AV node
Majority of right ventricle
Greife kostenlos auf tausende geteilte Karteikarten, Zusammenfassungen, Altklausuren und mehr zu.
Jetzt loslegen
