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Therapeutics: VHD

The flashcards below were created by user kyleannkelsey on FreezingBlue Flashcards.

  1. Is mild to moderate aortic stenosis what is the main treatment?
    Aggressive HTN treatments
  2. 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)
  3. What would be your number one vasodilator to use in Aortic regurgitation?
    • ACEIs
    • Can also use Nifedipine
  4. 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
  5. What are the treatment options for Mitral stenosis?
    • Gentle dieresis: HCTZ or low dose furosemide
    • Slow the HR: BB or Non-DHP CCB
  6. What is the treatment for Mitral regurgitation due to prolapsed?
    No pharmacological treatment
  7. What is the treatment for Mitral regurgitation with ischemic or functional MR?
    • Reduce preload
    • If LV dysfunction: Standard HF treatment
  8. What antithrombotic treatment is required for a patient with a Bioprostheic valve in the aortic position?
    ASA 81 mg QD, lifelong
  9. 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
  10. 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
  11. 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
  12. What antithrombotic treatment is required for a patient with a Ball and Cage in the aortic position?
    Warfarin 2.5-3.5 lifelong
  13. What antithrombotic treatment is required for a patient with a Ball and Cage in the mitral position?
    Warfarin 2.5-3.5 lifelong
  14. 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
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Therapeutics: VHD
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