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Therapeutics: VHD
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Is mild to moderate aortic stenosis what is the main treatment?
Aggressive HTN treatments
In Severe aortic stenosis, what drugs should be used with great caution?
Diuretics (could decrease preload)
BBs (don’t want to reduce efficacy of heart’s pumping)
Vasodilators, specifically direct
: hydralazine, minoxidil or nifedipine (reduce blood return rate to heart)
What would be your number one vasodilator to use in Aortic regurgitation?
ACEIs
Can also use Nifedipine
What drugs should be avoided in aortic regurgitation?
BB’s and non DHP CCBs – They slow the HR and prolong diastole allowing for greater filling time
Thus, more blood has time to flow backwards
What are the treatment options for Mitral stenosis?
Gentle dieresis
: HCTZ or low dose furosemide
Slow the HR
: BB or Non-DHP CCB
What is the treatment for Mitral regurgitation due to prolapsed?
No pharmacological treatment
What is the treatment for Mitral regurgitation with ischemic or functional MR?
Reduce preload
If LV dysfunction
: Standard HF treatment
What antithrombotic treatment is required for a patient with a Bioprostheic valve in the aortic position?
ASA 81 mg QD, lifelong
What antithrombotic treatment is required for a patient with a Bioprostheic valve in the mitral position?
Warfarin to INR 2-3 for 3 months
ASA 81 mg for life
What antithrombotic treatment is required for a patient with a Bileaflet tilting disc or Medtronic-Hall monoleaflet valve in the mitral position?
Warfarin 2.5-3.5 lifelong
What antithrombotic treatment is required for a patient with a Bileaflet tilting disc or Medtronic-Hall monoleaflet valve in the aortic position?
Warfarin 2-3 lifelong
What antithrombotic treatment is required for a patient with a Ball and Cage in the aortic position?
Warfarin 2.5-3.5 lifelong
What antithrombotic treatment is required for a patient with a Ball and Cage in the mitral position?
Warfarin 2.5-3.5 lifelong
How should you prophylactically treat Valve replacement patients undergoing dental procedures?
1st line
: Amoxicillin 2gm - 1 hr prior to treatment
2nd line
: Clindamycin 600mg - 1 hr prior to treatment
Author
kyleannkelsey
ID
267537
Card Set
Therapeutics: VHD
Description
Therapeutics: VHD
Updated
3/23/2014, 7:08:55 AM
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