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Valve disorder

Med Surg: Cardiac

Pathophysiology
Mitral valve The heart is like a 4 bedroom suite.
The valves are like doors & the
chambers are like rooms. If valves
have trouble closing it can result in
black flow of blood & insufficient
blood flow to the body.
Aortic valve Stenosis: stiff, narrowed, hard valves
Regurgitation: Return of blood or
backflow of blood as the valve does
not completely close.

Main Types
Mechanical
valves • Aortic Stenosis
• Aortic Regurgitation
• Mitral Stenosis
• Mitral Regurgitation

Causes Pharmacology

Anything that can damage the heart! • Anticoagulants: Heparin & Warfarin
• Congenital heart disease (pre-term babies) • Antiplatelet: Aspirin & Clopidogrel
• Cardiomyopathy - a disease of the heart • Nitroglycerin for chest pain
muscle
• Heart Attack - damaged heart muscles
• Infection: Surgeries
• Rheumatic fever - ruins the heart
• Valve replacement - Warfarin therapy life long
• Endocarditis - infection in the heart
• Balloon valvuloplasty - Stenosis
Signs & Symptoms
Patient Education
Think LOW oxygen from LOW heart pumps.
• AVOID dental procedures for 6 months after
Regurgitation
• Aortic
surgery & take antibiotics before dental exams.
Tachycardia, dyspnea, fatigue • Warfarin (anticoagulant)
• Mitral • Life long drug with “routine blood tests”
Edema, pleural effusion, enlarged organs
& ascites
• 2.5 - 3.5 INR (for valve replacements)
• Even intake of Green leafy veggies (vitamin K)
Stenosis
• Aortic
NOT increased & NOT decreased intake
Angina, sys. murmur, syncope, fatigue, - nice & even
orthopnea • Bleeding precautions
• Mitral
Cyanosis, activity intolerance, diastolic
• NO brushing teeth too hard
murmur, s/s of right ventricular failure, • NO shaving - only electric shaver
clear lung sounds • NO throw rugs & always well lit halls

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