1. S/S of ADHF: Answer Fluid overload, SOB, fatigue 2. What can rheumatic heart disease result in ?: Answer Mitral valve stenosis 3. What happens in mitral valve stenosis?: Answer Stiff valave is unable to open sufficiently during left atrial systole (ejection) 4. What is main symptom of mitral valve stenosis?: Answer Exertional dyspnea (short-ness of breath on exertion) 5. Why do you do prophylactic antibiotic therapy for mitral valve stenosis?: - Answer Prevent recurrent rheumatic fever and infective endocarditis 6. What drug do you teach benefits and side effectsfor in mitral valve stenosis ?: Answer ACE inhibitors 7. Surgical therapy for mitral valve stenosis: Answer Valve replacement or valvuloplasty 8. What do you need to tell patients about after getting a valve replacement?- Answer : Patient will need to be on lifelong anticoagulant therapy because clots form moreeasily in artificial replacement valves