ANP 650
MIDTERM EXAM REVIEW
A patient presents with chest pain and shows ischemic EKG changes -
ANSWERS-Revascularization
A patient presents with chest pain, diffuse ST elevations, and
positional changes - ANSWERS-Pericarditis
Different types of cardiomyopathy - ANSWERS--Dilated: MI,
ischemia, drug induced
- Restrictive: fibrosis, autoimmune
What would indicate a patient needs to be admitted? - ANSWERS--
ABG (hypoxia, acidosis)
- Hyponatremia (120's)
- Renal failure (BUN >20, Cr >1.2)
- ALOC
Cardiac Resynchronization Therapy (CRT) - ANSWERS-o
Pacemakers: symptomatic bradycardia, heart blocks
o Indication for resynchronization: HF
o AICD: low EF after failed medical management, V-tach with good
prognosis
, Indications for high intensity statin: - ANSWERS-Those who have
athersclerotic cardiovascular disease (ASCVD) and are age 75 or
younger.
If you suspect CAD, what is the most accurate non-invasive
diagnostic tool: Coronary CTA - ANSWERS-Coronary CTA
T2DM Plan - ANSWERS-Metformin: Cheap. First line. Can lower
A1C by 1.5%. Is it ok w/ his Kidney function? YES, but caution when
GFR <50. S/e: Diarrhea/GI distress
Stage 2 HTN Plan - ANSWERS-- Thiazide (efficacious in African
American, signs of overload w/ diastolic dyfunction). Watch renal
function/lytes
- Ace/ARB May slow renal decline, but need to watch renal function,
K. (Threshold to DC is usually increase in creatinine 30%)
- Dihydropyramidine Calcium Channel Blocker. May increase edema,
but no impact on renal function/lytes
CKD 3a Plan - ANSWERS-HTN/DM Control and Atherosclerotic
DX RF MOD
ACE/ARB
Avoid nephrotoxins (NSAIDS/Contrast)
Start checking meds/dosing if gets <50
MIDTERM EXAM REVIEW
A patient presents with chest pain and shows ischemic EKG changes -
ANSWERS-Revascularization
A patient presents with chest pain, diffuse ST elevations, and
positional changes - ANSWERS-Pericarditis
Different types of cardiomyopathy - ANSWERS--Dilated: MI,
ischemia, drug induced
- Restrictive: fibrosis, autoimmune
What would indicate a patient needs to be admitted? - ANSWERS--
ABG (hypoxia, acidosis)
- Hyponatremia (120's)
- Renal failure (BUN >20, Cr >1.2)
- ALOC
Cardiac Resynchronization Therapy (CRT) - ANSWERS-o
Pacemakers: symptomatic bradycardia, heart blocks
o Indication for resynchronization: HF
o AICD: low EF after failed medical management, V-tach with good
prognosis
, Indications for high intensity statin: - ANSWERS-Those who have
athersclerotic cardiovascular disease (ASCVD) and are age 75 or
younger.
If you suspect CAD, what is the most accurate non-invasive
diagnostic tool: Coronary CTA - ANSWERS-Coronary CTA
T2DM Plan - ANSWERS-Metformin: Cheap. First line. Can lower
A1C by 1.5%. Is it ok w/ his Kidney function? YES, but caution when
GFR <50. S/e: Diarrhea/GI distress
Stage 2 HTN Plan - ANSWERS-- Thiazide (efficacious in African
American, signs of overload w/ diastolic dyfunction). Watch renal
function/lytes
- Ace/ARB May slow renal decline, but need to watch renal function,
K. (Threshold to DC is usually increase in creatinine 30%)
- Dihydropyramidine Calcium Channel Blocker. May increase edema,
but no impact on renal function/lytes
CKD 3a Plan - ANSWERS-HTN/DM Control and Atherosclerotic
DX RF MOD
ACE/ARB
Avoid nephrotoxins (NSAIDS/Contrast)
Start checking meds/dosing if gets <50
