valvular disorders Flashcards
1
Q
whats happening with valvular disorders
A
- valve balloons into the left atria (MVP)
- valve no longer seals properly (MVR/RVR)
2
Q
how will a client present in the beginning of valvular disorders
A
- asymptomatic
- arrhythmia
- dizzy/lightheaded
3
Q
as valvular disorders worsen, how will a client present
A
- SOB/dyspnea
- fatigue
- hemoptysis
same progression of CHF, heart murmur
4
Q
what are some causes of valvular disorders
A
- weakened papillary muscles and/or chordae tendinea
- viral/bacterial infection
- CAD
- autoimmune disorders (RA)
- congential malformations
- age related changes
5
Q
what are some labs/diagnostics for valvular disorders
A
- BNP
- CBC,BMP
- echo
- EKG
- stress test
- coronary angiogram
- strep culture
6
Q
what meds may be used for valvular disorders
A
- beta blockers(metoprolol)
- diuretics (furosemide)
- ACE-I(lisionpril)
- blood thinners (ASA, warfarin)
- antiarrhythmics (sotalol, amiodarone, flecainide)
7
Q
what are some surgical interventions for valvular disorders
A
- valve replacement (mechanical vs bioprosthetic)
- valve repair (ross procedure)
8
Q
what are some complications of valvular disorders
A
- arrhythmias
- CHF
9
Q
describe a mechanical valve
A
- used for younger patients
- lasts longer
- requires warfarin therpay (repeat checks of INR)
- clicking sound
10
Q
describe bioprosthetic valves
A
- older patients
- shorter span
- possible daily 81mg ASA
