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CARDIOLOGY-IM 1 - Coggle Diagram

- - - - Amyloidosis: protien
        
        AL/ AA + da ton thuong--> chronic inflammatory( NT khớp)/ NT man ( bronchiectasis, TB, crohon)+ ac tnh1/ viem mạch máu
        
        Tissue biops: abdominal fat pad
      - Sarcoidosis:granulomatous
        
        myocardium and HF with both systolic and/or diastolic
        dysfunction
        
        young adults, involve lungs, skin, eyes
  - - - tiêng thồi murmur tăng lên : valsava/ dứng lên/ NItrogly...( bt thỉ giảm Preload) tuong tu sa van 2 lá
        
        tiêng thồi murmur giảm:
        nắm tay/ squating/ nâng chan
        
        ventricular fib: chét
        
        nhựng nguyen nhân gây đột tử:
        
        CAD
        
        Cardiomyopathy ( cơ tim phi dai)
        
        loạn nhịp: ( long Qt symdrom)
        -suy tim xung huey61t
      - ECG : R cao aVL+ deep S ( V3) + ST deepp ( I, AVL, s4,s5,s6)
- - - - Restrict water intake, ACEi and loop diuretics—initial therapy in hyponatremia in CHF pt
  - - - HA bt / tăng còn dáp ứng vơi cac co8 quan dích
        oxy/lợi tiều/ dan mạch( nitroglycerin)
        
        tuột HA/ sock
        oxy/ vạn mạch/ loi tiệu
        
        beta blockers contraindicated in acute case
- - - - ktra huyết học---> dtri thành stable
        
        dtri nguyên nhan gây nên ko ồn định
    - - ECG+ XQ
        
        Aspirin ( nếu nguy cô bóc tach thấp)
        
        ECG + : STEMI ( stent or thromblysis))
        NSTEMI ( anitcoagulation)
        
        ECG - + XQ +
        ---> tri nguyên nhân
        
        ECG - + XQ -
        --->PE/ Troponin/pericarditis/aortic dissection
        
        TREATMENT FOR STABLE CHRONIC ANGINA
        
        Antianginal( Beta, Ca, Nitri
        
        Preventrie
        Aspirin/ stain
        bỏ thuốc lá/TD/giảm cân
        HA/DTD
  - - - vần dau/HA tăng/suy tim---> Nitroghlycerin (( IV)
        ----> CCD HA tuo5t/ hep Aortic năng/nhòi máu thát p)
        
        đau++++: morphin
        
        BradycariaL atropin
        
        phù phổi: IV frurosemid ( CCD: tuột HA
        
        PTCA< 90p
        
        thrombolysis> 120 PTCA
      - Beta blockers should not be used in case of pulmonary edema i.e. acute decompensation
    - - cường Giao cảm ( do26ngt ử dan.....)/ Co thắt mạch vành
        
        A MI/ bóc tach2/ uát huey61 nội sọ
        
        benzodiazepine + dtri dau8 thắt ngực( CCD beta blocker )
- - - - atypical angina >2/3
        
        non anginal: 0-1
        
        ATYPICAL SYMPTOMS IN ACUTE CORONARY SYNDROME
        đau ngực> khó thở> nôn ói> đau kiểu dạ dày
    - - 48 h: nhóm thuốc giảm dau thắ ngực( Beta block, ca, nitrat)
        
        trước 48 h: vs test dãn mạch: dipyridaole
        
        trước 12 h: caffein
        
        thuo62c dc dùng tiếp: UCMC/UCTT, stain.lợi tiêu,digoxin
- - - - shock điện
        
        CPR x2 p
        3 IV access
    - - 1 CPR x2 p
        2 IV acess
        3 Epinepherin 3-5 p
        4 dường thở
        
        shock 1??
        
        yes: sock--> CRP x2 P/ Epiner/ SP thở
        
        no: CPR X2+ dtri nguyên nhan
        --> sock 1
        
        shock 2 mới dung amidarone
        
        nguen nhan cần dtri gây PEA :5Hs
        and Ts)
        
        5 H : hypovolemia/hypoxia/hydrogenions/ hypo/hyer k/ hypothermia
        -5T: Tension pneuothroax/tamponade/ toxic( Narcotics/ benzodiaepine)/thrombosis phổi tim/trauma
- - - - INDICATIONS FOR URGENT DIALYSIS
        
        AEIOU
        
        Acidosis
        
        electroly : tăng K ( ECG or >6,5)
        
        ingestion : alcohoh/ aspirin/ llithium/ carbamzinpe
        
        over load: đa dùng lợi tiểu
        
        Uremia: não/ viem tim/ chảy máu
- - - - Pt wiht PAD = start aspirin + lipid lowering therapy
        then control other risk factors + excercise
    - - 6Ps: pain, pallor, poikilothermia (cool extremity),
        paresthesia, pulselessness and paralysis
        
        echocardiogram