Family Medicine EOR Study Guide & Exam Review | Family Medicine EOR Prep

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Science Medicine Cardiology Save




Family Medicine EOR
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Terms in this set (1011)


1) OVER 65 y/o (also recommended for 50+)
2) <65 + cardio/pulm disease (including asthma),
Who gets Pneumovax chronic liver disease, alcoholism, DM, cigarette
smokers, asplenia patients, sickle cell anemia, risk of
meningitis with cochlear implant or CSF leak

over 65 or chronic give PCV20 >1 year after PCV23
conditions and received
PCV23 but no prior PCV

- PCV20 OR
pneumococcal vaccine - PCV15 + PCV23
schedule as adult



what pneumococcal PCV20 or PCV21
vaccines are only 1 dose

- 20-valent pneumococcal conjugate vaccine (PCV20)
- 21-valent pneumococcal conjugate vaccine (PCV21)
options for pneumococcal - 15-valent pneumococcal conjugate vaccine (PCV15)
vax in COPD patients
never vaxxed - if the PCV15 is administered, a dose of the 23-valent
pneumococcal polysaccharide vaccine (PPSV23)
should be given typically at least 1 year later.

- normal or Q waves (previous
MI)
EKG of stable angina
- ST depression during angina




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cardiac stress test of demonstrates reversible wall motion abnormalities/ ST
stable angina depression >1 mm

definitive diagnosis for - coronary angiography
stable angina - PCI if severely symptomatic

- Nitroglycerin sublingual → IV NTG
tx of stable angina - Beta-blockers = metoprolol or atenolol
- Severe: angioplasty and bypass

what is most important BB daily
drug to decrease mortality
in stable angina

- O2 demand is unchanged
pathophysiology of - supply is decreased,
unstable angina secondary to low resting
coronary flow

- ST segment depression
- T wave inversion
EKG of unstable angina
- transient ST elevation



- Admit to the unit with continuous cardiac monitoring,
establish IV access, O2
- Pain control with NTG and morphine
- ASA and/or clopidogrel - (Plavix reduces the
incidence of MI in patients with unstable angina
compared with ASA alone)
- LMWH continued for at least 2 days
- β-Blockers = metoprolol or carvedilol
Treatment of unstable
angina - Replace electrolytes
- If the patient responds to medical therapy → stress
test to determine if catheterization/revascularization
necessary
- Revascularization if symptoms persist despite
medical therapy
- Reduce risk factors: stop smoking, weight loss, treat
DM/HTN
- ACE inhibitors and statins




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