What is DIC? Cause?
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-Hemorrhage and thrombosis occurring simultaneously and is always a
secondary process
-Anything that can cause inflammation (sepsis, shock, malignancy,
obstetrical complications)
Role of ACE inhibitors in HF
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, -Action: Decrease SVR, increase CO, decrease remodeling and delay
progression of HF
-For all pts unless major contraindications or complications
-ARBs may be used in place of ACE-I
How do milrinone infusion help patients with acute decompensated HF?
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Inotrope that increases contractility and causes positive inotropic effects
on myocardium
What does MONA stand for and how do those interventions help?
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-Morphine: relieves pain and decreases fear and anxiety
-Oxygen: supplemental oxygen increases myocardial oxygen. Maintain >90
-Nitroglycerin: IV and sublingual vasodilates coronary arteries and
decreases pain
-Aspirin: chewing this at beginning of chest pain reduces mortality
Symptomatic bradycardia: Tx
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, -Tx sx of hypo-perfusion with atropine (hypotension, dizziness, CP, changes
in LOC)
What important hemodynamic information can be obtained from a pulmonary
catheter?
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reflects the amount of force your heart is exerting to pump blood from
your heart to your lungs. If your heart has to work harder to pump that
blood, then your pulmonary artery (PA) pressure goes up.
(systolic, diastolic, mean), PAOP (wedge pressure), and cardiac output (6-12
mmHg)
-Basically used to monitor right and left heart function
hf left vs rt
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-Right sided HF: systemic back-up to peripheral extremities
-Left sided HF: pulmonary back up in the lungs
Left side HF can lead to Right side HF
What are some basic criteria used to identify patients who should be admitted to an
ICU?
Give this one a try later!
Give this one a try later!
-Hemorrhage and thrombosis occurring simultaneously and is always a
secondary process
-Anything that can cause inflammation (sepsis, shock, malignancy,
obstetrical complications)
Role of ACE inhibitors in HF
Give this one a try later!
, -Action: Decrease SVR, increase CO, decrease remodeling and delay
progression of HF
-For all pts unless major contraindications or complications
-ARBs may be used in place of ACE-I
How do milrinone infusion help patients with acute decompensated HF?
Give this one a try later!
Inotrope that increases contractility and causes positive inotropic effects
on myocardium
What does MONA stand for and how do those interventions help?
Give this one a try later!
-Morphine: relieves pain and decreases fear and anxiety
-Oxygen: supplemental oxygen increases myocardial oxygen. Maintain >90
-Nitroglycerin: IV and sublingual vasodilates coronary arteries and
decreases pain
-Aspirin: chewing this at beginning of chest pain reduces mortality
Symptomatic bradycardia: Tx
Give this one a try later!
, -Tx sx of hypo-perfusion with atropine (hypotension, dizziness, CP, changes
in LOC)
What important hemodynamic information can be obtained from a pulmonary
catheter?
Give this one a try later!
reflects the amount of force your heart is exerting to pump blood from
your heart to your lungs. If your heart has to work harder to pump that
blood, then your pulmonary artery (PA) pressure goes up.
(systolic, diastolic, mean), PAOP (wedge pressure), and cardiac output (6-12
mmHg)
-Basically used to monitor right and left heart function
hf left vs rt
Give this one a try later!
-Right sided HF: systemic back-up to peripheral extremities
-Left sided HF: pulmonary back up in the lungs
Left side HF can lead to Right side HF
What are some basic criteria used to identify patients who should be admitted to an
ICU?
Give this one a try later!
