Sandbox:Mitra3: Difference between revisions

Revision as of 18:14, 3 August 2020

Therapuetic Considerations in RVMI

Reperfusion

Maintenance of RV preload

Decreased RV afterload

Restoring Rate/Rhythm and AV synchrony

Inotropic support

Mechanical Circulatory Support

•Thrmobolytics
•Percutaneous coronary intervention (PCI)

• Avoidance of preload reducing agents, such as:

❑Nitrates

❑Diuretics

❑Morphin

• In patients with hypotension (without pulmonary congestion):

❑ Intravenous administration of Fluids (N/S 0.9% at 40mL for 2L, to maintain CVP <15mmHg and PCWP between 18-24 mmHg)

• Systemic or pulmonary vasodilators:

❑Nitrosrusside

❑Inhaled nitric oxide<be>

• In patients with bradyarrhthmias:

❑Atropine

❑Pacemaker

• In patients with atrioventricular block:

❑Temporary dual-chamber pacemaker

• In patients with refractory hypotension:

❑Dobutamine (along with fluids)

❑Other inotropes:

May be needed in patients with cardiogenic shock secondary to RVMI:

❑Direct RV support

❑Indirect RV support

❑Biventricular support

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@@ Line 8: / Line 8: @@
 {{familytree | | | C01 | | | C02 | | | C03 | | C04 | | C05 | | C06 | | |
 |C01=<div style="float: Center; text-align: left;"> •'''Thrmobolytics''' <br> •'''Percutaneous coronary intervention (PCI)''' <br>
-|C02= • '''Avoidance of preload reducing agents''', such as:<br>
+|C02= <div style="float: Center; text-align: left;"> • '''Avoidance of preload reducing agents''', such as:<br>
 :❑Nitrates
 :❑Diuretics
@@ Line 30: / Line 30: @@
 :❑Direct RV support
 :❑Indirect RV support
-:❑Biventricular support
+:❑Biventricular support}}
-}}
 {{familytree/end}}