Scv - Samenvattingen, Aantekeningen en Examens

What is the most important sign in a critically ill pt? Why? - ANSWER-Tachypnea Indicates metabolic acidosis w/ respiratory alkalosis compensation A pt misses dialysis for a few days and comes in with fluid overload. He's tachycardic and tachypneic. On physical exam, you find JVD, pulsus paradoxus (20 mmHg drop during inspiration), and HoTN (80/40) with distant, muffled heart sounds. Lungs are clear to auscultation. What is the dx? - ANSWER-Cardiac tamponade; obstructive shock If a pt ...

ASCVD Diseases Dosing 2024/2025 UFH - medically ill - 5000 sc q8-12 h LMWH - medically ill - 40 mg sc qd CrCl<30 = 30 mg qd sc Rivaroxaban - medically ill - 10 mg qd for 35 days UFH - orthopedic surgery - 5000 sc q 8-12h LMWH - orthopedic surgery - 40 mg qd or 30 mg BID Rivaroxaban - orthopedic surgery - 10 mg qd Apixaban - orthopedic surgery - 2.5 mg BID Aspirin - orthopedic surgery - 81-162 mg qd UFH - acute VTE - 80 units/kg bolus, 18 unit/g/hr IV drip LMWH - acute VTE - 1 mg/k...

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Altace Ramipril ACEI (block conversion AngI to AngII, block degradation of bradykinin, which is thought to contribute to vasodilatory effects and side effects of dry hacking cough and angioedema) C/I: hx of angioedema, do not use w/in 36 hrs of sacubitril/valsartan (Entresto), do not use with aliskiren in DM Boxed warning: can cause injury and death to the developing fetus when used in 2nd and 3rd trimester. Discontinue as soon as pregnancy is detected Warnings: angioedema, hyperkalemia, hypoten...

What is ASCVD? 1. Acute coronary syndromes - MI - Unstable angina - Coronary or other arterial revascularization 2. Stable angina 3. Stroke or transient ischemic attack (TIA) 4. Peripheral arterialdsease (PAD) - aotic aneurysm Risk factors for atherosclerosis 1. Dyslipidemia (LDL and lipoprotein abnormalities) 2. Type 2 diabetes (dysglycemia) 3. Hypertension 4. Lifestyle choices (smoking, diet, inactivity, obesity) 5. Age (males >45, females >55) 6. Family history (premature ASCVD males&l...

Identify the primary intervention that is recommended for metabolic syndrome that also serves as the foundation of ASCVD risk reduction. Lifestyle therapy (heart healthy lifestyle) Recognize the statin benefit groups. 1. In patients with clinical ASCVD, reduce low density lipoprotein cholesterol (LDL-C) with _________ therapy or ________ therapy. The more LDL-C is reduced on statin therapy, the greater will be subsequent ______. Use a maximally tolerated statin to lower LDL-C levels by ≥50%....

RCIS Exam Review Exam Questions With Answers What is the formula for calculating cardiac output? CO = HR x SV Stroke volume is _________? Related to preload Preload is most impacted by what? Increased filling volumes A patient with chronic untreated hypertension would demonstrate what? Increased afterload Vascular resistance/pressure is most influenced by what? Radius of the vessel The formula for BP is what? BP = CO x SVR What component of a PCWP indicates M...

In patients with T2DM w/ ASCVD, the risk of CHD and ischemic stroke are _____ x greater than in those w/o DM 4 Pharmacologic recommendations for managing patients with ASCVD in T2DM? 1) ADA recommends ________ aspirin (____-____) in pts w/ ASCVD 2) _______ intensity statin for all DM who are ______ yo 3) Manage other comorbid conditions (_____/____) low dose 75-162 mg moderate >40 HTN/ HLD Diabetes is a risk factor for ASCVD but it is thought to be __________ instead of _________. syne...

RCIS Exam Review Exam Questions With Answers What is the formula for calculating cardiac output? CO = HR x SV Stroke volume is _________? Related to preload Preload is most impacted by what? Increased filling volumes A patient with chronic untreated hypertension would demonstrate what? Increased afterload Vascular resistance/pressure is most influenced by what? Radius of the vessel The formula for BP is what? BP = CO x SVR What component of a PCWP indicates M...

ETA CET 2024 EXAM QUESTIONS WITH COMPLETE SOLUTIONS.