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Anesthesia Review kat > Cardiac Pearls > Flashcards

Cardiac Pearls Flashcards

1
Q

Pulsus paradoxus

A

Cardiac tamponade

Constrictive pericarditis

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2
Q

Bisfiriens pulse

A

Aortic regurgitation

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3
Q

Pulsus parvus

Pulsus tardus

A

Aortic stenosis

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4
Q

Pulsus alterans

A

Severe left ventricular dysfunction

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5
Q

MC cognenital heart defect with R-L shunt

A

Tetralogy of Fallot

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6
Q

Components of tetralogy of Fallot

A

VSD
Overriding of the Aorta
RVH
Pulmonary Outflow Tract Obstruction

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7
Q

Treatment for increased PA pressure

A

Nitroglycerine

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8
Q

Treatment for wide complex tachycardia with stable VS

A

Amiodarone 150mg IV over 10mins

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9
Q

Normal resting myocardial O2 consumption

A

8ml/100g/min

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10
Q

Muscular changes noted in AORTIC STENOSIS

A

Concentric LVH

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11
Q

Resting coronary artery blood flow

A

225-250ml/min
Or
75ml/100g/min

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12
Q

Hallmark of PA rupture

A

Hemoptysis

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13
Q

Dose of protamine to reverse 20,000 units of heparin after CPB

A

1.3mg protamine : 1mg heparin

250mg

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14
Q

RV in perfused during

A

Systole and diastole

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15
Q

LV is perfused during

A

Diastole

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16
Q

Best TEE view to monitor ischemia

A

Transgastric mid papillary LV short axis view

17
Q

TEE view to monitor anterolateral LAD and Circumflex

A

Mid esophageal 4 chamber

18
Q

TEE view to monitor the anteroseptal (LAD) and inferolateral (CX or RCA)

A

Mid esophageal Long axis view

19
Q

Anterior and inferior wall

A

Mid esophageal 2 chamber view

20
Q

Reversal agent for Clopidogrel

A

Platelet transfusion

21
Q

Side effect of PDE3 inhibitor AMRINONE

A

Thrombocytopenia

22
Q

Normal MV orifice

A

4-6cm2

23
Q

Goals for MS

A
  • avoid tachycardia
  • avoid hypervolemia
  • avoid decrease SVR (hypotension, tachycardia)
  • avoid hypoxia and hypercarbia
24
Q

Goal for cardiac tamponade

A

Increased pre laod, fast heart rate, increased afterload

Anesthesia Review kat (4 decks)

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