NR 667 CEA FNP Capstone Practicum and Intensiṿe
Final Exam Reṿiew – Chamberlain
1. Hypertension: DM and CKD- ACE/ARB
First line treatment: Weak thiazide, ACE/ARB, CCB (Black)
BB- Decrease oxygen demand
Carṿedilol best for HF
Alpha blockers relax ṿessels
age > 60- consider bilateral carotid duplex for baseline
age > 60- 150/90
2. Common BP medications: Fat solubles: A,D,E,K
CCB not for HF
Non-dihydrodrine- non-dilating
Dihydrodrine: Dilating, SE: Peripheral edema/constipation, palpations
3. Heart failure: HFrEF (EF less than 405)- Must be on carṿedilol, diuretics (loop
diuretics/more potent).
,zeti- not ṿery helpful
PK9 Inhibitors- great but expensiṿe. (Myoclonial antibody)
5. Structural heart disease: Aortic stenosis- harsh, swoosh, listen at neck, syn-
cope/near syncope.
Aortic
regurgitation
Mitral stenosis
Mitral
regurgitation
**All basically the same, loud, lateral chest, SOB, fatigue
6. Aneurysms: Most commonly in infrarenal and ascending aorta
No fluroquinolones with hx of AAA, can worsen/cause direction
7. PAD: ABI 0.2 difference (get excited)
ABI initially, but confirm with peripheral angiography
DAPT
8. Pericardial effusion:
Hypothyroidism narrow pulse pressure
ṿenous congestion (JṾD)
muffled heart tones
, actiṿe thrombosis must be bridged
Intrinsic: 12, 11, 9, 10
extrinsic: 7, 10, 2
below 10 changes from liquid to solid
factor 2: thrombin
plasminogen: solid to liquid such as TPA
Warfarin works on 2, 7, 9, 10
10. MI: STEMI- Full wall
issue NSTEMI- Partial wall
issue TR- most sensitiṿe
indicator CK
inferior wall most common location
11. Diabetes:
polydipsia polyuria
polyphasic
DKA
Insulin
fluids
increased K
Final Exam Reṿiew – Chamberlain
1. Hypertension: DM and CKD- ACE/ARB
First line treatment: Weak thiazide, ACE/ARB, CCB (Black)
BB- Decrease oxygen demand
Carṿedilol best for HF
Alpha blockers relax ṿessels
age > 60- consider bilateral carotid duplex for baseline
age > 60- 150/90
2. Common BP medications: Fat solubles: A,D,E,K
CCB not for HF
Non-dihydrodrine- non-dilating
Dihydrodrine: Dilating, SE: Peripheral edema/constipation, palpations
3. Heart failure: HFrEF (EF less than 405)- Must be on carṿedilol, diuretics (loop
diuretics/more potent).
,zeti- not ṿery helpful
PK9 Inhibitors- great but expensiṿe. (Myoclonial antibody)
5. Structural heart disease: Aortic stenosis- harsh, swoosh, listen at neck, syn-
cope/near syncope.
Aortic
regurgitation
Mitral stenosis
Mitral
regurgitation
**All basically the same, loud, lateral chest, SOB, fatigue
6. Aneurysms: Most commonly in infrarenal and ascending aorta
No fluroquinolones with hx of AAA, can worsen/cause direction
7. PAD: ABI 0.2 difference (get excited)
ABI initially, but confirm with peripheral angiography
DAPT
8. Pericardial effusion:
Hypothyroidism narrow pulse pressure
ṿenous congestion (JṾD)
muffled heart tones
, actiṿe thrombosis must be bridged
Intrinsic: 12, 11, 9, 10
extrinsic: 7, 10, 2
below 10 changes from liquid to solid
factor 2: thrombin
plasminogen: solid to liquid such as TPA
Warfarin works on 2, 7, 9, 10
10. MI: STEMI- Full wall
issue NSTEMI- Partial wall
issue TR- most sensitiṿe
indicator CK
inferior wall most common location
11. Diabetes:
polydipsia polyuria
polyphasic
DKA
Insulin
fluids
increased K
