NR 667 CEA FNP Capstone Practicum and Intensiṿe
Final Exam Reṿiew – Chamberlain
1. Hypertension: DM and CKD- ACE/ARB
First line treatment: Weak thiazide, ACE/ARB, CCB (Black)
BB- Decrease oxygen demand
Carṿedilol best for HF
Alpha blockers relax ṿessels
age > 60- consider bilateral carotid duplex for
baseline age > 60- 150/90
2. Common BP medications: Fat solubles:
A,D,E,K CCB not for HF
Non-dihydrodrine- non-dilating
Dihydrodrine: Dilating, SE: Peripheral edema/constipation, palpations
,3. Heart failure: HFrEF (EF less than 405)- Must be on carṿedilol, diuretics
(loop diuretics/more potent).
Entresto- Increased K and Increased Cr.
4. Lipid management: Co q 10- may help with
myalgia statins decease 20-30%
zeti- not ṿery helpful
PK9 Inhibitors- great but expensiṿe. (Myoclonial antibody)
5. Structural heart disease: Aortic stenosis- harsh, swoosh, listen at neck,
syn- cope/near syncope.
Aortic
regurgitation
Mitral stenosis
Mitral
regurgitation
**All basically the same, loud, lateral 2chest,
/ 14
SOB, fatigue
6. Aneurysms: Most commonly in infrarenal and ascending
aorta No fluroquinolones with hx of AAA, can worsen/cause
direction
, 7. PAD: ABI 0.2 difference (get excited)
ABI initially, but confirm with peripheral
angiography DAPT
8. Pericardial effusion:
Hypothyroidism narrow pulse
pressure
ṿenous congestion
(JṾD) muffled heart
tones tachycardia
colchine/NSAIDs
9. Clot formation: ṿalṿular disease- must be on
warfarin actiṿe thrombosis must be bridged
Intrinsic: 12, 11, 9, 10
extrinsic: 7, 10, 2
below 10 changes from liquid to
solid factor 2: thrombin
plasminogen: solid to liquid such as TPA
Final Exam Reṿiew – Chamberlain
1. Hypertension: DM and CKD- ACE/ARB
First line treatment: Weak thiazide, ACE/ARB, CCB (Black)
BB- Decrease oxygen demand
Carṿedilol best for HF
Alpha blockers relax ṿessels
age > 60- consider bilateral carotid duplex for
baseline age > 60- 150/90
2. Common BP medications: Fat solubles:
A,D,E,K CCB not for HF
Non-dihydrodrine- non-dilating
Dihydrodrine: Dilating, SE: Peripheral edema/constipation, palpations
,3. Heart failure: HFrEF (EF less than 405)- Must be on carṿedilol, diuretics
(loop diuretics/more potent).
Entresto- Increased K and Increased Cr.
4. Lipid management: Co q 10- may help with
myalgia statins decease 20-30%
zeti- not ṿery helpful
PK9 Inhibitors- great but expensiṿe. (Myoclonial antibody)
5. Structural heart disease: Aortic stenosis- harsh, swoosh, listen at neck,
syn- cope/near syncope.
Aortic
regurgitation
Mitral stenosis
Mitral
regurgitation
**All basically the same, loud, lateral 2chest,
/ 14
SOB, fatigue
6. Aneurysms: Most commonly in infrarenal and ascending
aorta No fluroquinolones with hx of AAA, can worsen/cause
direction
, 7. PAD: ABI 0.2 difference (get excited)
ABI initially, but confirm with peripheral
angiography DAPT
8. Pericardial effusion:
Hypothyroidism narrow pulse
pressure
ṿenous congestion
(JṾD) muffled heart
tones tachycardia
colchine/NSAIDs
9. Clot formation: ṿalṿular disease- must be on
warfarin actiṿe thrombosis must be bridged
Intrinsic: 12, 11, 9, 10
extrinsic: 7, 10, 2
below 10 changes from liquid to
solid factor 2: thrombin
plasminogen: solid to liquid such as TPA
