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Cardiothoracic Surgery

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Question:

How is management of aortic aneurysms?

Author: H K



Answer:

• Blood pressure Control: - measure BP in 4 limbs and consider the highest. - if high, administer IV anti-hypertensive drugs (Loxen, Isoket, Ebrantyl, etc…). - if low, administer IV fluids. • Pain Control: - administer IV morphine, to lower pain, and secondarily to lower BP Imaging (CXR [if stable pt, see wide mediastinum sometimes], Angioscanner of thorax, abdopelvis, cardiac US if stable pt to see intimal flap/ AR/ pericardial effusion/tamponade, MRI can be performed but time consuming, arteriography not to be done when doubtful dx due to risk of rupture


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H K
H K