Valvular Symptoms/Management Flashcards
tricuspid stenosis S+S
Right atrial dilation
tricuspid stenosis management
high preload
good contractility
tricuspid regurge S+S
RHF
fatigue
edema
ascites
tricuspid regurge management
normal HR
decr PHTN
decr RHF
decr fluids/salts
how do you decr PHTN
avoid hypoxia
avoid fluid overload
avoid hypercarbia
drugs to decr PHTN
PDE inhibitors
endothelin receptor antagonists
how do you decr RHF
milrinone
dobutamine
when is neuraxial CI for tricuspid regurge
tricuspid regurge with RHF
pulm stenosis S+S
asymptomatic
pulm stenosis management
preserve RV preload
preserve contractility
avoid PVR incr
pulm regurge management
decr PHTN
mx RV function
mitral stenosis S+S
PHTN
AFib
PHF
ortner syndrome
thromboembolism
rales
edema
ascites
mitral facies
mitral stenosis management
optimze HR
mx CO
decr pulm edema
treat afib/arrythmias
what drug is CI in mitral stenosis
ketamine
mitral regurge S+S
DOE
fatigue HF
pulm edema
LV hypertrophy
myoxma
decr CO
mitral prolapse
mitral regurge management
fast HR
full CO
forward SV
decr SVR
vasodilator
inotropes
mitral regurge CI
sympathetics
hypoxia
hypercarbia
aortic stenosis S+S
syncope
DoE
angina
aortic stenosis managment
TAVR (65+)
normovolemia
normal HR
avoid hypotension
avoid SVR decr
aortic stenosis CI
neuraxial
aortic regurge S+S
incr LVEDV
incr LVEDP
aortic regurge management
forward SV
avoid brady
avoid SVR incr
slow wakeup
low VA
IE S+S
similar to regurge
HOCM S+S
death
DOE
palpitations
tachydysrhythmmias
HF
HOCM is similar to
mitral regurge
aortic stenosis
HOCM management
deep extubation
decr outflow obstruction
how do you decr outflow obstruction
decr contractility
incr preload
incr afterload
HOCM CI
ephedrine
dopa
dobutamine
heart transplant is indicated when
EF < 20%
how many p waves in transplanted heart
2
1st: pt
2nd: new heart
transplanted heart is _____ dependent
preload dependent
HR in transplanted heart
elevated
transplanted heart CI
glyco
atropine
transplanted heart no…
no sympa
no para
no sensory
silent MI
