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What is the assessment scale for Ao regurge?
- 1+ = Mild Regurg
- 2+ = Moderate
- 3+ = Moderately severe
- 4+ = Severe
List 3 problems that cause shock.
- Rate problems
- Pump Problems
- Volume Problems
What is the main cause for Cardiogenic Shock?
AMI is the most common cause
What is cardiogenic shock treated?
- IV Fluid (pulmonary edema not present)
- Diuretics (pulmonary edema if present)
- Medications (Dopamine, Dobutamine, Neosvnephrine)
What is the primary purpose of a balloon pump?
- Decrease afterload
- Increase coronary perfusion
What classification scale to determine the severity of CHF called?
Killip Clinical Classification
What is the classification for the Killip Clinical system?
- 1 = No CHF
- 2 = Presence of 3rd heard sound (Gallup)
- 3 = Pulmonary Edema
- 4 = Cardiogenic Shock
What is the primary tool used on patients with known or suspected masses?
Where are primary and secondary tumors found?
Primary - Formed atrial septum by stalk and most commonly found in LA
Secondary - Form in lungs and most commonly found in LA
What gives rise to the entire cardio vascular system?
Mesodermal Germ Layer
What are the 2nd and 3rd layers of endotheol Tubes known as?
What happens to the Ductus Atteriosus after birth?
It closes 1-2 after birth and become Ligamentum Arteriosum
What happens to Foramen Ovale after child birth?
Closes and becomes Fossa Ovales. If it does not close, it is called Patent Foramen Ovale (PFO) and may require repair.
What is the Tetrology of Fallot?
- 1) Pulmonic Stenosis, Large VSD, Enlarge of RV, Displacement of Aorta
- 2) Combination causes R to L Shunt
- 3) Immediate surgical repair in severe cases
- 4) Most require repair before school age to life long medical follow up
What happens to the inflation of the lungs after birth?
The inflation greatly reduces pulmonary vascular resistance causing blood flow to RV and PA
What are 5 types of shock?
What is Evstein's Anomally?
- 1) Septal and Posterior leaflets of TV downwardly placed into RV
- 2) Usually associated w/Atrial septal defect
- 3) Results in RH divided into RA, atrialized portion of RV and Diminished RV cavity
- 4) Abnormal RV function (Tricuspid Regurg)
- 5) Valve repair indicated w/severe CHF
What is Eisenmenger's Complex?
- 1) VSD w/pulmonary HTN
- 2) Right to Left Shunt
- 3) Enlarged RV
- 4) Cyanosis
- 5) May include overriding Ao.
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