Management Of Pa�ents With Heart Failure & Heart Valvular Disease In Dental Clinic
What is
Students: •Fadhel Al-Ahmed • Hussin Al-Omran • Saeed Al-Mousa •Hayder Al-Haddad • Mohammed Al-Juraysh
Occurs When The Heart Is Unable To Pump Sufficient Blood To Satisfy The Metabolic Needs Of The Body.
HEART FAILURE ?
Heart Valvular Disease ?
An Acquired Or Congenital Disorder Of A Cardiac Valve. It Is Characterized By Stenosis And Obstructed Blood Flow.
The Normal Heart
Heart Failure
has strong muscular walls which contract to pump blood out to all parts of the body.
is a condition that causes the muscle in the heart wall to slowly weaken and enlarge, preventing the heart from pumping enough blood.
Heart muscle pumps blood out of the left ventricle.
SYMPTOMS ?
Weakened muscle prevents left ventricle from pumping enough blood.
CAUSES ?
• Heart Attack eg.MI • Bacterial Endocarditis
Heavy Alcohol Or Drug Abuse
Heavy Smoking High Blood Pressure
Digitalis Toxicity
,
MANAGEMENT :
Consult The Physician About The Cardiac Condition. Functional Capacity, Echo, Ecg Functional Capacity Refers To The Capability Of Performing Tasks And Activities That People Find Necessary Or Desirable In Their Lives.
Stress Reduction Protocol Anticoagulant :
• INR: Measure On The Day Of The Procedure Less Than 3.5 . • Be Prepared With Hemostasis Local Factors (Gelfoam, Surgicel, Bovine Thrombin, Avitene ).
References:
Antibiotic And Prophylaxis:
• Prosthetic Heart Valve , Give Amoxicillin 2g One Hour Before The Procedure .
Hypertension :
Analgesic
Drugs
• Give Good Pain Control
Anesthesia:
• Epinephrine 1:100,000 Limit To 2 Carpules (40ug) • Avoid Gingival Cords With Epi • Avoid GA (Must Consult With Anesthesiologist)
Diabetes
In Case Of An Emergency • • • •
• Blood Pressure Should Be Controlled. Do Not Treat The Patient If BP is > 180 /110 .
Kidney Problem
Stop The Procedure &call For Help Seat The Patient Comfort Check Vital Signs Check ABC
• Administrate 0.5mg Of Sublingual Nitroglycerine 3 Doses 5 Minute Apart . • Give Oxygen At Flow Rate Of 5 6L/MIN • If Chest Pain Is Not Relived, Suspect MI Give 325 Mg Of Aspirin Activate EMS
Stanley Malamed: Medical Emergencies in the Dental Office. 6 th Ed. 2007/ Prevention of infective endocarditis: Guidelines from the American Heart Association
Designed by: Ahmed Al-Draisi
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Aaldraisi@gmail.com