2023-09-10T04:53:09+03:00[Europe/Moscow] en true <p>a</p>, <p>c</p>, <p>ACEi/ARB, aldosterone antagonist, statin, aspirn</p>, <p>recommended for all patients, continue for 3 years; normal function; indefinite for LV dysfunction</p>, <p>a,c,d</p>, <p>LV dysfunction (EF&lt;40%) on BB, ACEi/ARB; HF symptoms or DM</p>, <p>f; may be falsely low after ACS event</p>, <p>continue indefinitely, 81 mg, if allergic use clopidogrel</p>, <p>continue agent patient started on, a minimum of 12 months (Class I), high bleeding risk </p>, <p>liver dysfunction, age &gt;75 use moderate intensity </p>, <p>a</p>, <p>b</p>, <p>c</p>, <p>d</p>, <p>hypotension, brady/tachycardia, RV infarction, 5' phosho inhibitors</p>, <p>sildenafil; vardenafil </p>, <p>tadalafil</p>, <p>prevent by having 10-14 hour nitrate-free interval daily</p>, <p>IV, sublingual, oral, ointment, patch </p>, <p>keep in og dark container, keep close by, once opened needs to be refilled, contact 911 if first SL NTG doesn't relieve angina, take while sitting down</p>, <p>BP &lt; 130/80, A1c&lt; 7%, pneumoccoal/influenza vaccines</p>, <p>thienopyridine (p2y12), RAS, oxygen, morphine, beta blocker, invasive cardiac intervention, nitroglycerin, statin/salicylate</p>, <p>hypotension/shock, SCr &gt;2.5 (men) &gt; 2.0 (women), K+ &gt; 5</p> flashcards
Post-Acute Management

Post-Acute Management

Customize
collection saved
Share
Long Term Learning Spaced Repetition
Add to Long Term Learning Desk
Fast learning Repeat this set of flashcards
Preview Test Spell
Play
Match
Review

  • a

    Which is recommended for ALL patients?

    a) Beta-Blocker

    b) CCB

    c) ACEi/ARB

    d) Aldosterone Antagonist

    e) statins

    f) Aspirin

    g) P2Y12 inhibitor

  • c

    What is used to prevent cardiac remodeling?

    a) Beta-Blocker

    b) CCB

    c) ACEi/ARB

    d) Aldosterone Antagonist

    e) statins

    f) Aspirin

    g) P2Y12 inhibitor

  • ACEi/ARB, aldosterone antagonist, statin, aspirn

    If we decide to additional meds, which do we continue indefinitely? (4)

  • recommended for all patients, continue for 3 years; normal function; indefinite for LV dysfunction

    Beta-Blocker notes? (3)

  • a,c,d

    Which is recommended for patients with LV dysfunction?

    a) Beta-Blocker

    b) CCB

    c) ACEi/ARB

    d) Aldosterone Antagonist

    e) statins

    f) Aspirin

    g) P2Y12 inhibitors

  • LV dysfunction (EF<40%) on BB, ACEi/ARB; HF symptoms or DM

    Which patients are aldosterone antagonists recommended for?

  • f; may be falsely low after ACS event

    We should choose the statin based off the LDL level. T/F?

  • continue indefinitely, 81 mg, if allergic use clopidogrel

    Aspirin therapy notes? (3)

  • continue agent patient started on, a minimum of 12 months (Class I), high bleeding risk

    P2Y12 therapy notes? (3)

  • liver dysfunction, age >75 use moderate intensity

    Pre-cautions with Statin therapy? (2)

  • a

    After 12 months, which option involves continuing ASA & discontinuing P2Y12?

    a) option 1

    b) option 2

    c) option 3

    d) option 4

  • b

    After 12 months, which option involves continuing BOTH ASA & P2Y12?

    a) option 1

    b) option 2

    c) option 3

    d) option 4

  • c

    After 12 months, which option involves changing the P2Y12 inhibitor to Ticagrelor 60mg BID?

    a) option 1

    b) option 2

    c) option 3

    d) option 4

  • d

    After 12 months, which option involves discontinuing the P2Y12 inhibitor and starting Rivaroxaban 2.5 mg BID?

    a) option 1

    b) option 2

    c) option 3

    d) option 4

  • hypotension, brady/tachycardia, RV infarction, 5' phosho inhibitors

    Nitroglycerin should be used with Caution in? (4)

  • sildenafil; vardenafil

    Avoid using _______ & _______ 24 hrs after using Nitroglycerin.

  • tadalafil

    Avoid using ________ 48 hours after using Nitroglycerin.

  • prevent by having 10-14 hour nitrate-free interval daily

    How do we prevent Nitroglycerin Tolerance?

  • IV, sublingual, oral, ointment, patch

    Rank the NTG products in terms of speed of action. (fastest-slowest)

  • keep in og dark container, keep close by, once opened needs to be refilled, contact 911 if first SL NTG doesn't relieve angina, take while sitting down

    NTG patient education? (5)

  • BP < 130/80, A1c< 7%, pneumoccoal/influenza vaccines

    What are our BP, DM, and vaccine goals for Post-Acute Care?

  • thienopyridine (p2y12), RAS, oxygen, morphine, beta blocker, invasive cardiac intervention, nitroglycerin, statin/salicylate

    What is the treatment plan for Post-Acute care? (THROMBINS2)

  • hypotension/shock, SCr >2.5 (men) > 2.0 (women), K+ > 5

    Aldosterone Antagonists should be used with caution if? (3)