Hamad At the Cooperative

ECG
1. 12 leads
  1. 3 limb leads
  2. 3 precordial
  3. 6 augmented
2. Normal ECG
3. Cardiac cycle
Sick Sinus Sydrome
1. Types
  1. • sinus bradycardia
  2. • Sinus arrest
  3. • Sinoatrial block
  4. arrhythmia
2. Signs and symptoms
  1. HR<60 BpM
  2. Fatigue
  3. arrhythmia
  4. Sleep disturbance
  5. confusion
3. Causes
  1. • Drugs
    1. Beta blockers
    2. Digoxin
  2. Radiation therapy
  3. Carditis
Causes of syncope
1. Hyperventilating
2. Dehydration
3. TIA
4. Straining
5. neurologic
First Aid
1. What to do if someone collapses?
  1. Check for danger
    1. call help
      1. Head tilt chin lift if no breathing
        Call help & CPR if no breathing
        Defibrillator
2. When to do CPR
  1. unconscious+NO breathing
  2. unconscious + breathing abnormal
  3. Unconscious but breathing normal
    1. recovery position
3. CPR physiology
Lab investigations
1. BMI
2. Glucose Range
Treatment
1. Drugs
2. surgery
  1. pacemaker
    1. mechanism
    2. Benefits
      1. Regulates heart rhythm
      2. Eliminates symptoms of Bradycardia
    3. Risks
      1. Infection
      2. Sensitivity
How to convince patients
1. provide
  1. Knowledge
  2. Isight
  3. Skills
  4. Hard time
History taking
1. opening
  1. Presenting complain
    1. History of presenting complain
      1. ICE
        Past medical history
        Drug history
        Social history
        Summary
        Closing the consultation
        Thank the patient
        Check understanding
        Correct inaccurate info
        Smoking and alcohol
        Diet
        CVS medication
        CVS diseases
        Ideas, concerns, expectations
    2. Open question

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Hamad At the Cooperative

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	Created by Dua Ga about 6 years ago