Heart Failure | Murmurs | Hypertension | Medications | MISC |
---|---|---|---|---|
Elevated BNP
2DECHO- EF < 40% EKG
What is the diagnostic tools for diagnosis
|
Aortic Valve- Mitral and tricuspid S1 Apex
AV
|
Lifestyle modifications
1st line treatment
|
what Is a side effect of ACE inhibits
-switch to ARB, Life threatening, can happen at any time
Causes angioedema
|
Anticoagulant to decrease chances of throwing a clot
Beta blocker for rate control
What medications are given with afib and why
|
NSAID's
What medications should be avoided in these patients
|
Semilumar valves- Aortic Pulmonic S2 Base
SV
|
130-139/80-89
Stage 1 HTN
|
What is Ace inhibitors
-monitor Creatinine, increase by 30% change medications
Nepro-Renal protective
#1 selection in CKD stage 3 or better |
1. 1
2. 2-3 3. Vit K (Extra- warfarin interact with many meds "the A's")
What is the normal INR for a patient not on warfarin, on warfarin, and what is the antidote for warfarin
|
Diuretics
BP
what medications are often used in these patients
|
Grade 4
Palpable thrill at what grade
|
>10%
ASCVD Risk to treatment
|
Thiazide diuretics and Calcium Channel Blocker
African Americans preferred medications
|
CHF, Pregnancy
apex of the heart Uncontrolled HTN, LVH, Apex
When and where do you hear S3 heart sound
when and where do you hear S4 heart sound |
Daily weights
Edema
what is important to monitor with these patients
|
Mitral stenosis
Aortic regurgitation Diastolic REFER
MS. ARD
|
Nifedipine, Labetolol, methadopa
Medications in pregnancy
|
What is TZD
Increase uric acid, increase glucose, increase triglycerides
Good for osteoporosis |
Aortic- S1
Pulmonic- S2 Tricuspid Mitral - S3 S4
All People Take Money
|
gynecomastia (breast development)
What is an important side effect to inform male patients of taking spironolactone
|
Mitral regurgitation (arm pit)
Physiological Aortic stenosis (neck) Systolic Mitral valve prolapse (click)
MR PASS MVP
|
What is microvascular vs macrovascular complications
-opathies
VS. Sroke, MI, Heart failure |
What is CCB
Increases edema and headaches, never give with GERD
|
REFER
Split S2 on inspiration and expiration
|