Cardiomyopathies/Heart Failure Flashcards

1
Q

Goal in HF

A

avoid myocardial depression!

  1. HR normal to elevated
  2. Preload: normal to high
  3. Afterload: low
  4. Increase contractility
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2
Q

Things that help Hypertrophic Cardiomyopathy?

A

Decreased myocardial contractility, Beta Blockers, Volatiles Anesthetics, CCB, increased preload, HYPERvolemia, bradycardia, increased after load, HTN, aAdrenergic stimulation

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3
Q

Things to AVOID in hypertrophic cardiomyopathy

A

TPL, Propofol, ketamine, sympathomimetics, EPHEDRINE, opioids as sole anesthetic, NTP/NTG

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4
Q

Things to GIVE in hypertrophic cardiomyopathy

A

Fluids, BB, CCB, volatiles, HTN, alpha adrenergic stimulation, heavy premedication- Versed, LTA, opioids for DVL, Etomidate, Vec, Roc, Cis, Propranolol, esmolol, phenylephrine

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5
Q

Goals for Dilated cardiomyopathy

A

HR: normal to elevated
Preloard: normal to high
Afterload: low to normal
Contractility increased

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6
Q

things to avoid in cor pulmonale?

A

avoid histamine releasers, keep anesthetics deep

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