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