Valvular Symptoms/Management

Question 1

tricuspid stenosis S+S

Answer 1

Right atrial dilation

Question 2

tricuspid stenosis management

Answer 2

high preload
good contractility

Question 3

tricuspid regurge S+S

Answer 3

RHF
fatigue
edema
ascites

Question 4

tricuspid regurge management

Answer 4

normal HR
decr PHTN
decr RHF
decr fluids/salts

Question 5

how do you decr PHTN

Answer 5

avoid hypoxia
avoid fluid overload
avoid hypercarbia

Question 6

drugs to decr PHTN

Answer 6

PDE inhibitors
endothelin receptor antagonists

Question 7

how do you decr RHF

Answer 7

milrinone
dobutamine

Question 8

when is neuraxial CI for tricuspid regurge

Answer 8

tricuspid regurge with RHF

Question 9

pulm stenosis S+S

Answer 9

asymptomatic

Question 10

pulm stenosis management

Answer 10

preserve RV preload
preserve contractility
avoid PVR incr

Question 11

pulm regurge management

Answer 11

decr PHTN
mx RV function

Question 12

mitral stenosis S+S

Answer 12

PHTN
AFib
PHF
ortner syndrome
thromboembolism
rales
edema
ascites
mitral facies

Question 13

mitral stenosis management

Answer 13

optimze HR
mx CO
decr pulm edema
treat afib/arrythmias

Question 14

what drug is CI in mitral stenosis

Answer 14

ketamine

Question 15

mitral regurge S+S

Answer 15

DOE
fatigue HF
pulm edema
LV hypertrophy
myoxma
decr CO
mitral prolapse

Question 16

mitral regurge management

Answer 16

fast HR
full CO
forward SV
decr SVR
vasodilator
inotropes

Question 17

mitral regurge CI

Answer 17

sympathetics
hypoxia
hypercarbia

Question 18

aortic stenosis S+S

Answer 18

syncope
DoE
angina

Question 19

aortic stenosis managment

Answer 19

TAVR (65+)
normovolemia
normal HR
avoid hypotension
avoid SVR decr

Question 20

aortic stenosis CI

Answer 20

neuraxial

Question 21

aortic regurge S+S

Answer 21

incr LVEDV
incr LVEDP

Question 22

aortic regurge management

Answer 22

forward SV
avoid brady
avoid SVR incr
slow wakeup
low VA

Question 23

IE S+S

Answer 23

similar to regurge

Question 24

HOCM S+S

Answer 24

death
DOE
palpitations
tachydysrhythmmias
HF

Question 25

HOCM is similar to

Answer 25

mitral regurge
aortic stenosis

Question 26

HOCM management

Answer 26

deep extubation
decr outflow obstruction

Question 27

how do you decr outflow obstruction

Answer 27

decr contractility
incr preload
incr afterload

Question 28

HOCM CI

Answer 28

ephedrine
dopa
dobutamine

Question 29

heart transplant is indicated when

Answer 29

EF < 20%

Question 30

how many p waves in transplanted heart

Answer 30

2

1st: pt
2nd: new heart

Question 31

transplanted heart is _____ dependent

Answer 31

preload dependent

Question 32

HR in transplanted heart

Answer 32

elevated

Question 33

transplanted heart CI

Answer 33

glyco
atropine

Question 34

transplanted heart no…

Answer 34

no sympa
no para
no sensory
silent MI