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Progress 12 (Page 164-171)

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mbch4kz2's version from 2016-05-11 18:05

Section

Question Answer
What is the escalation of care in severe asthma?1. Oxygen 2. Salbutamol 3. Ipratropium bromide 4. IV hydrocortisone or oral predniscolone 5. Magnesium sulphate IV 6. IV salbutamol/aminophylline
What pulse would you see in asthma or cardiac tamponade?Pulsus paradoxus
What pulse would you see in aortic stenosis?Slow rising
What conditions would yo see a collapsing pulse in?Aortic regurgitation, patent ductus arteriosus, hyperkinetic (anaemia, thyrotoxis, ever, exercise, pregnancy)
What pulse would you get in severe left ventricular failure?Pulsus alternans
What pulse would you get in mixed aortic valve disease?Bisferans pulse (double pulse- 2 systolic peaks)
What condition would you feel a 'jerky' pulse?HOCM
What are the features of hyperthermia on ECG?1. Bradycardia 2. 'J' wave- hump at end of QRS 3. 1st degree heart block 4. Long QT 5. Atrial and ventricular arrhythmias
What are the side effects of ACE-inhibitors?Cough, angioedema, hyperkalaemia, 1st dose hypotension
What conditions would you not prescribe ACE-inhibitos in?Pregnancy, renovascular disease, aortic stenosis, high dose diuretics
What is hypertension management for a patient who is <55 years old?1. ACE-i 2. ACE-i + Ca-channel blocker 3. ACE-i + Ca-channel blocker +Thiazide diuretic
What is the level of K+ below which you would prescribe spironolactone?4.5
What is hypertension management for a patient >55 or afro-carribean?1. Ca-channel blocker 2. ACE-i + Ca-channel blocker 3. ACE-i + Ca-channel blocker + Thiazide diuretic
What is class I heart failure?No symptoms
What is class II heart failure?Mild symptoms (slight limitation of physical activity; comfortable at rest)
What is class III heart failure?Moderate symptoms (comfortable at rest)
What is class IV heart failure?Severe (unable to carry out physical activity without discomfort)
What level of pO2 should patients be offered long-term oxygen therapy?<7.3
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