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