Days to weeks
BP elevated but no target organ damage
Severe HA, nosebleeds, blurred vision
HTN urgency
Hrs to days
BP >180/120 with target organ s/sx esp neuro
Unstable angina, edema, seizures, renal insuf.
Stupor, Coma
HTN emergency-
Direct vasodilators -monitor neuro for stroke
Severe, abrupt increase in BP
>140-240SBP and >100-120 DBP
Rate of increase is more imp than abs value
HTN crisis
Embolic strokes are often caused when irregular HR cause chamber to retain some blood that eventually clots
Fem-Pop bypass
evaluate pulses distal to graft qhr x 8 hrs then q 2 hrs x 24 using doppler
Antidote for heparin and LMWH
Protamine sulfate
Antidote for Warfarin
Vit K
Air hunger
Chest pain
Breathlessness
Fainting
Coughing up blood
PE
T or F
You will usually have to take anticoagulant (Warfarin) for at least 6 months after a PE
True
Best method for dx PE
Pulmonary angiography
Apresoline is a direct vasodilator reserved to
treat hypertensive crisis
What type of drug is aldactone?
K sparing diuretic
What type of drug is Lopressor?
Beta-blocker--Metoprolol
What type of drug is Alteplaste (Activase)
Tissue plasminogen activator (t-PA)
What type of drug is Diltiazem (Cardizem/Norvasc)?
Calcium Channel Blocker
What type of drug is digoxin (Lanoxin)?
Cardiac glycoside-Promotes movement of Ca from extracellular to intracellular and strengthens myocardial contraction. Also slows conduction through SA and AV nodes. (CHECK HR BEFORE ADMIN)
What type of drug is Budesonide (Rhinocort)?
Corticosteroid-Reduces nasal inflammation
What type of drug is albuterol (Proventil)?
Adrenergic---Bronchodilator may cause HTN, tachycardia, nervousness
What does Penicillin G treat?
Pneumococcal pneumonia
What type of drug is Solu-Medrol?
Glucocorticoid--treats inflammation (severe)
Side effect: Heart failure, HTN, edema, DVT risk
What type of drug is erythromycin?
Macrolide (Anti-infective)
What does erythromycin treat?
Mycoplasmas, Legionnaires
What dos tetracycline treat?
Mycoplasma
What do cephalosporins treat?
Klebsiella
What does Bactrium treat?
Pneumocystis
These are all forms of:
§Streptococcus
pneumoniae
§Klebsiella
pneumoniae
§Pseudomonas
aeruginosa
§Escherichia
coli
§Haemophilus
pneumoniae
Other
influenza viruses
Community acquired pneumonia
What type is §Streptococcus pneumonae
Hospital acquired
What type of pneumonia is:
§“Walking Pneumonia”
§Severe Acute Respiratory Syndrome (SARs)
Atypical pneumonia
What type of pneumonia is:
Pneumocystis - HIV
Immunocompromised related (Opportunistic)
mycoplasma pneumoniae –
Walking pneumonia
Dry hacking cough-very contagious
Pneumocystis Pneumonia
Immunocompromised-opportunistic
Abrupt onset
Respiratory distress can be signif.
The_____ lobe of the lung is the most frequent location of aspiration pneumonia