GOGETA
Trying to get in PGY1
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Medications that will lower mortality after and MI
1-Aspirin
2-Thrombolytics
3-B blockers
If you have MI with low cardiac output meaning less than 50 then you give
Ace inhibitors like captopril IT LOWERS MORTALITY
Patient can reinfartc in the hospital even with the best mangement
Not crush but also remember that to check reinfarction use CK-MB
Pericarditis gives you ST elevation, and is most commly because of cosakie virus
Not in crush but also remember to treat it with NSAID
UNSTABLE ANGINA HY
-ST depression
-Pain does not respond to tx of Nytroglycerin
-NORMAL CARDIAC ENZYMES
-Give heparin
Prinzmetal
also call variant angina
normal artery
tx with Calcium chanel antangonists
My question is how can you diferentiate nutcraker from prinzmetal?
Will stop here anyone want to add or correct be my guess
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| GOGETA
Trying to get in PGY1
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http://upload.wikimedia.org/wikipedia/commons/e/e...
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| GOGETA
Trying to get in PGY1
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Paten ductus arteriousus
- Machine like murmur
-To close it use indomethacin
-To open it use Prostaglandin E1
- Associated with RUBELLA and HIGH ALTITUDES(new to me)
Atrial Septal Defect
- SPLIT S2
-PAPITATIONS
-secudum type most common
-asymptomatic untill adult
-MOST DO NOT NEED CORRECTION
I ask when or what is the criteria to correct them?
Ventricular Septal Defect
MOST COMMON CONGENITAL HEART PROBLEM
-Holosystolic murmur
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| GOGETA
Trying to get in PGY1
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Heparin goes with PTT to tx overdose use protamine
Warfarin goes with PT to treat overdose use fresh frozen plasma for emergencies
Aspirin goes with Bledding time to treat overdose use platelet transfusion
Heparin can give you THROMBOCYTOPENIA
Best DVT profilaxis before surgery is pneumatic pants, use warfarin if is a pelvis surgery
Superficial thrombophlebitis is treated with NSAD and is NOT a risk factor for Pulmonary Embolus.
Left side thrombo= goes to n artery
right side thrombo= goes to the lung
Not in crush but if D DIMER is negative then NO PE.
Spiral CT the first test for PE
How can you diferentiate superficial thrombophlebitis form DVT?
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| hero
Forum Guru
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GOGETA wrote:
Best DVT profilaxis before surgery is pneumatic pants, use warfarin if is a pelvis surgery
questionable statement. As far as i know it's coumadin or LMWH postop 6 wk-6 mo.
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| hero
Forum Guru
Topics: 42
Posts: 557
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for prinzmetal definitive dx - egronovine stimulation test with subsequent angio
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| hero
Forum Guru
Topics: 42
Posts: 557
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For pericarditis - ST elevation in ALL LEADS, PR elev in avR with PR depression in other
cardiac enz - mild elevation
echo - to rule out peric effusion
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| GOGETA
Trying to get in PGY1
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hero wrote:
questionable statement. As far as i know it's coumadin or LMWH postop 6 wk-6 mo.
That is what Crush says let me recheck again its for prevention for surgery
it says use low heparin if ambulation is not possible.
O wait I just see what you say
if Pe or DVT then give hepatin nd then change to warfarin for for at least 3-6 months
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| GOGETA
Trying to get in PGY1
Topics: 381
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hero wrote:
for prinzmetal definitive dx - egronovine stimulation test with subsequent angio
Angio will be normal. right?
then treat with calcium channel antagonist
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| GOGETA
Trying to get in PGY1
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Thanks hero for the replies
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| MAB
Forum Elite
Topics: 20
Posts: 285
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most common congenital heart problem is- BICUSPID AORTIC VALVE...and then VSD...correct me if I am wrong
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| sandra
Forum Guru
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in nutcracker, no ecg changes unlike prinzmetal where u get st elevation
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