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12 Cards in this Set
- Front
- Back
INR
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- < 5 : hold warfarin 1-2 days
5-9: hold warfarin, admin low dose vit K - > 9 high dose vit K - any bleeding: IV K, FFP, recombinant factor VIIa, or prothrombin complex concentrate |
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3v disease
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- CABG
- stenting is bad in DM pts because high risk of restenosis |
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when do you see brady s/p MI?
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- inferior wall MI
- usually resolves in 24-48 hours, and asympt - if hemodynamically unstable then first temporary transvenous pacer and then get perQ transluminal coronary angioplasty (PTCA) |
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most common cause of secondary HTN in young pts?
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- renal parenchymal disease
- next is endocrine etiology - third is renovascular disease |
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hyponatremia in CHF?
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- pt is volume overloaded but b/c of HF, renal arterioles are not perfused and so increase ADH and no diuresis
- pt usually asymptomatic, just fluid restrict |
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which DM med causes CHF?
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- pioglitazone (thiazolidinediones)
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stable angina-- next step?
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- rx nitro and do excercise stress NOT AS A DX WORKUP but as a RISK STRATIFICATION
- angiography for chronic stable angina only if high risk on exercise stress or sx despite max medical therapy |
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greatest risk factor in AAA?
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- smoking >HTN, cholesterol, alcohol, DM
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young kid with mitral regurg?
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- chordae tendinae rupture
- old guys s/p MI have papillaru muscle rupture |
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marfan vs ehlers danlos
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- marfan: (tall and thin-- mitral valve is stretched) chronic progressive mitral regurg, rarely acute regurg 2/2 ruptured chordae tendineae; arachnodactyly, loose joints
- ehlers: (hyperflexible-- including vessels = berry aneurysms) acute rupture of chordae tendineae, pes planus, scoliosis, velvety thin scars |
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tx of torsades
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- unstable: defib (polymorphic Vtach)
- stable: mg sulfate |
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tx of acute decompensated HF?
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- decrease preload e.g. diuretics
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