Nrnp 6550 Midterm |162 Questions| With Correct Answers.

Pericarditis treatment {Ans: - Colchicine 0.6mg PO BID - NSAIDS (Ibu/ aspirin/ naproxen/ Toradol) - Corticosteroids (if NSAIDS contraindicated) - Antibiotics - for bacterial - Norco for pain - Monitor for tamponade}Antidepressants and Bipolar {Ans: Antidepressants and bipolar may cause mania}ECG change hypomagnesemia {Ans: - u wave - prolonged PR/ QT interval - widened QRS - flattened T wave - SVT - Torsades de pointes}Management of asymptomatic pt's with LVEF {Ans: - control risk by lifestyle changes: exercise, smoking cessation, sodium restriction, fluid restriction, pneumococcal and annual flu vaccine - aggressive BP control (less than 130/80) - ACE inhibitors ("pril) for reduced EF <40%, without RF - ARB inhibitors ("tan") for those who do not tolerate ACE (cough/ angioedema) - Calcium channel blockers CONTRAINDICATED - Hydralazine and nitrate if both not tolerated (RF) and standard for African Americans - B-blocker for EF <40%, not with asthma, caution with DM - loop diuretics if fluid retention (not thiazides) - Digoxin for symptomatic LV systolic dysfunction with afib despite treatment (level below 1 nanogram/ ml) - Anticoagulation for EF <35% or previous MI or stroke: warfarin (INR 2-3) - ICD for LVEF<35%, post MI/ cardiac arrest - Biventricular