Valvular Heart Disease/Cardiac Surgery

Question 1

Pt showing signs and symptoms of heart failure, recommend..

Answer 1

Echocardiography
2D/Doppler echocardiogram if valve problem suspected

Question 2

Only way to fix valvular heart disease

Answer 2

Surgery

Question 3

Post-op assessment/IG

Answer 3

Pulse ox/capnography
ABG: P/F ratio, P(A-a)O2
5 lead ECG monitoring
Hemodynamic monitoring (radial artery pressures, CVP)
fluid output (chest tube, urinary cath, NG)
Post surg CXR
Antiembolism stockings

Question 4

Treatment/DM for post op cardiac surgery

Answer 4

Fast track extubation for weaning (2-6 hrs post op)
-HR <120 w no significant arrhythmias
-CI >2 L
-CVP <17