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Emma Holliday Ramahi - Internal Medicine

5.0 (5 reviews)

Get a hint

Risks for PE?

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1 / 556

Terms in this set (556)

after surgery
long car ride
hyper coagulable state (cancer, nephrotic)

STEMI on ECG? (2)
when does T wave invert?
what lasts forever?

2mm ST elevation
- ST elevation immediately
- then T wave inversion 6hrs-yrs
- Q waves last forever
new LBBB (wide, flat QRS)

Localized infarcts on ECG? what leads and what artery?
[Anterior, Lateral, Inferior, RV]

Anterior: LAD - V1-4
Lateral: Circumflex - I, aVL, V4-6
Inferior: RCA - II, III, aVF
RV: RCA - V4 on R side ECG!

Emergency reperfusion options (2)?
Contraindications (2)?

*Cath lab*
*Thrombolytics* w/ in 6hrs
Contra: bleeding, hx hemorrhagic stroke, recent closed head trauma

RV infarct BP, pulse, Sx (2) no what? Tx?

Low BP, tachycardia
clear lungs, JVD
No pulsus paradoxus

Txt: vigorous fluid resuscitation, increase preload. DON'T give nitro, will worsen sx