[3] Pirates:[1]p. 3 Pulmonary: PE, COPD Iatrogenic Rheumatic heart: mitral regurgitation Atherosclerotic: MI, CAD Thyroid: hyperthyroid Endocarditis Sick sinus syndrome ABCD:[1]p. 30 Anti-coagulate Beta-block to control rate Cardiovert Digoxin 3 D's:[1]p. 30 Diminished heart sounds Distended jugular veins Decreased arterial pressure Betablockers Acting Exclusively At Myocardium:[1]p. 30 Betaxolol Acebutelol Esmolol Atenolol Metoprolol
Lasix Morphine Nitrites Oxygen VassoPressors[4] FAILURE[1]p. 30 Forgot medication Arrhythmia/ Anaemia Ischemia/ Infarction/ Infection Lifestyle: taken too much salt Upregulation of CO: pregnancy, hyperthyroidism Renal failure Embolism: pulmonary Darth Vader Death Arrhythmia Rupture(free ventricular wall/ ventricular septum/ papillary muscles) Tamponade Heart failure (acute or chronic) Valve disease Aneurysm of Ventricles Dressler's Syndrome thromboEmbolism (mural thrombus) Recurrence/ mitral Regurgitation[5] DUST:[1]p. 31 Depressed ventricular function Unstable angina Stenosis of the left main stem Triple vessel disease WiLLiaM MaRRoW:[1]p. 31 W pattern in V1-V2 and M pattern in V3-V6 is Left bundle block.
[6] INFARCTIONS[1]p. 34 IV access Narcotic analgesics (e.g. morphine, pethidine) Facilities for defibrillation (DF) Aspirin/ Anticoagulant (heparin) Rest Converting enzyme inhibitor Thrombolysis IV beta blocker Oxygen 60% Nitrates Stool Softeners ASK ME[1]p. 32 Atrial contraction Systole (ventricular contraction) Klosure (closure) of tricuspid valve, so atrial filling Maximal atrial filling Emptying of atrium BOOMAR:[1]p. 32 Bed rest Oxygen Opiate Monitor Anticoagulate Reduce clot size PULSE:[1]p. 32 Persistent chest pains Upset stomach Lightheadedness Shortness of breath Excessive sweating O BATMAN![1]p.
Thrombolytics (e.g. heparin) Morphine Ace prn Nitroglycerin COAG:[1]p. 32 Cyclomorph Oxygen Aspirin Glycerol trinitrate "IL PQRST" (person has ill PQRST heart waves):[1]p. 32 Intensity Location Pitch Quality Radiation Shape Timing 8 S's:[1]p. 32 Soft Systolic Short Sounds (S1 & S2) normal Symptomless Special tests normal (X-ray, EKG) Standing/ Sitting (vary with position) Sternal depression LEft sided murmurs louder with Expiration RIght sided murmurs louder with Inspiration.[1]p.
Early repolarization Ventricular hypertrophy Aneurysm Treatment (e.g. pericardiocentesis) Injury (AMI, contusion) Osborne waves (hypothermia) Non-occlusive vasospasm ABCDE:[1]p. 35 Adenosine Beta-blocker Calcium channel antagonist Digoxin Excitation (vagal stimulation) LAMB:[1]p. 35 Lidocaine Amiodarone Mexiltene/ Magnesium Beta-blocker Never let monkeys eat bananas: Neutrophils lymphocytes monocytes eosinophils basophils[7]