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33 Cards in this Set

  • Front
  • Back
3 basic disease processes that lead to CV surgery
myocardial ischemia
CHF
Dysrhythmias
How long after a hepatic event should CV surgery be postponed
1 month
In a patient with autonomic instability who is refractory to catecholamines what do you give
give steroids
Liver dysfunction will alter which coagulation factors
2, 5, 7, 9, 10
What is the triad of aortic stenosis
DOE
Syncope
Angina
What is the measurement range for severe aortic stenosis
0.5 to 0.7 cm2
What are the anesthetic goals for aortic stenosis
increase SVR
HR 70-90
What is the best vassopressor for aortic stenosis
Neo
People with connective tissue disorders like scleroderma are susceptible to what kind of valve defect
Aortic regurgitation
What are anesthetic goals for Mitral regurg
Decrease SVR
HR 80-100
Euvolemia
What kind of vassopressor should be used for aortic regurgitation
levophed or ephedrine
Acute rheumatic fever can cause this valve defect
Mitral stenosis
What are the anesthetic goals for managing mitral stenosis
maintain SVR
HR 70-90
Avoid HPV
What is the target INR for prostehetic valves
2.5 to 3.0
What is the target INR for surgery in people with prosthetic valves
<1.5
Where does the outtake cannula go
right atrial appendage
Where does the outtake cannula go
right atrial appendage
Which patients are considered high risk for off pump procedures
Stoke
COPD
Renal impairment
Which patients are considered high risk for off pump procedures
Stoke
COPD
Renal impairment
TEE what is in your anterior view
right heart structures
TEE what is in your anterior view
right heart structures
TEE what is in your posterior view
Left heart structures
TEE what is in your posterior view
Left heart structures
Mercedes benz sign
Aortic valve
Mercedes benz sign
Aortic valve
Where is the artery of adamkevikz
T11-T12
Where is the artery of adamkevikz
T11-T12
With which heart valve defect do you see the most postop Afib
Aortic Stenosis
ACT on induction
300 +
ACT on pump
350 +
Protamine max
500mg
Why does heparin not work in some patients
Antithrombin 3 disorder
How do you treat antithrombin 3 insufficiency`
FFP