Progress 7 (Page 80-100)

mbch4kz2's version from 2016-05-08 18:04


Question Answer
What are the 5 types of AF?Acute (<48hours), Paroxysmal (spontaneous termination within 7 days), Recurrent (2 or more episodes), Persistent (not self-terminating, lasts >7days), Permendes (>1 year, not terminated by cardioversion)
What type of patient should AF rhythm control be used for?Symptomatic, young, presenting for the 1st time, secondary to treatment or corrected precipitant, patient with congestive HF
What type of patients should AF rate control be used for?>65, coronary heart disease, contraindication to antiarrhythmics, unstable for cardioversion
What are the 2 steps of rate control treatment for AF?1. Administer LMWH with B-blocker (Bisoprolol) or Ca antagonist (Amlodipine) 2. Ca channel blocker (verapamil)- digoxin only in sedentary patients
What is the treatment for rhythm control AF?Amiodarone
What is a side effect of amiodarone treatment?Hypo/hyperthyroidism due to its similarity to thyroxin- can also cause thrombophlebitis)
Name 5 causes for hypertension1. Primary hyperaldosteronism 2. Renal disease 3. Acrogmegaly 4. NSAIDs 5. Pregnancy 6. Cushing's syndrome 7. Steoroids 8. Combined oral contraceptive
What is first line treatment for bradycardia?Atropine- if this fails then tranvenous pacing
How long should warfarin be prescribed for provoked DVT3 months
How long should warfarin be prescribed for unprovoked DVT6 months
What is the treatment of DVT1. LMWH (or fondaparinux)- should be continued for at least 5 days 2. Warfarin should be given within 24 hours of diagnosis
How should a patient with current chest pain or in the last 12 hours be managed?Emergency admission
How should a patient with chest pain in the last 12-72 hours be managed?Hospital for same day assessment
How should a patient with chest pain >72 hours ago be managed?Full assessment with ECG and troponin before deciding on further action
How should a patient with a CAD score of >90% be managed?No further diagnostic testing
How should a patient with a CAD risk of 61-90% be managed?Coronary angiography
How should a patient with a CAD risk of 30-60% be managed?Functional imaging- myocardial perfusion scan, stress schocardiography
How should a patient with a CAD risk of 10-29% be managed?CT Ca scoring
What is bronchiectasis?A permanent dilation of the airways secondary to chronic infection or inflammation
Name 4 causes of bronchiectasis1. Post-infective; TB, measles, pertussis, pneumonia 2. Cystic fibrosis 3. Bronchial obstruction (cancer, foreign body) 4. Immune deficiency (selective IgA) 5. Allergic bronchopulmonary aspergillosis 6. Ciliary dyskinetic syndromes (Kartagener's syndrome, Young's syndrome) 7. Yellow nail syndrome
What specific sign may you see in an Xray of bronciectasis?Tramlines
What blood type §would you give to people whose blood type is not know?O rhesus -ve (universal donor)
What transfusion would be most appropriate for chronic anaemia?Packed red cells
What transfusion is most appropriate in patients who are thrombocytopaenic, bleeding or require surgeryPlatelet rich plasma (can give platelet concentrate in thrombocytopaenia also)7
What transfusion would you give to patients with clotting deficiencies?Fresh frozen plasma (200-500ml)

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