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15 Cards in this Set

  • Front
  • Back

What is cardiomyopathy

To describe a group of heart muscle diseases that primarily affect the structural or functional ability of The myocardium

Dilated cardiomyopathy

Characterized by ventricular dilation, dilated cardiomyopathy is the most common type of primary cardiomyopathy

Hypertrophic cardiomyopathy

Results in increased size and mass of the heart because of increased muscle thickness especially the set the wall and increase ventricular size

Restrictive cardiomyopathy

Ventricular walls are rigid, limiting the ventricles ability to expand and resulting in impaired diastolic filling

PATCHES

Pulses


Appearance


Temperature


Capillary refill


Hardness


Edems


Sensation

Compare pain symptom in arterial & venous disorders

Arterial = aching to Sharp cramping, brought on by exercise, relieved by rest



Venous = aching to cramping pain, relief activity or elevating extremity

Compare Pulse signs in arterial and venous disorders

Arterial = diminished or absent



Venous = usually present

Compare edema symptom in arterial & venous disorders

Arterial = usually absent



Venous = usually present, increases at the end of the day and when extremity is in a dependent position

Compare skin changes sign (symptom) in arterial & venous disorders

Arterial = cool or cold, dry shiny, hairless, pallor develops with elevation, becomes erythematous with dangling



Venous = warm thick and toughened, darkened pigmentation, statis ulcers

What is the majority of all diagnose hypertension

Essential (primary) hypertension

Essential hypertension

No General agreement on the cause


Theories to explain mechanisms involved include arteriolar changes, sympathetic nervous system activation, hormonally influence, genetic factors, greater than ideal body weight,sedentary lifestyle, increase sodium intake and excessive alcohol intake

Modifiable risk factors for essential hypertension

Smoking constrict blood vessels


Obesity increase blood volume


High sodium. Increases water retention


Elevated serum cholesterol Narrows blood vessels


Oral contraceptives / estrogen May contribute to elevated blood pressure


Alcohol increases plasma catecholamines


Emotional stress stimulate sympathetic nervous system which leads to blood vessel constriction


Sedentary lifestyle regular exercise helps lower blood pressure overtime

Causes of secondary hypertension

Renal vascular disease, Cushing syndrome and diseases of the adrenal cortex, coarctation (narrowing) of the aorta, head trauma or cranial tumor, pregnancy induced hypertension

What are some drug therapies for stage 1 or 2 hypertension

Diuretics, beta adrenergic blockers, ACE inhibitors, Angiotensin II receptor blockers, calcium channel blockers, Alpha-agonists,


aliskiren hemifumarate (tekturna) = 1st direct renin inhibitor

name some nonpharmacologic therapy

lose excess weight, exercise regularly, consume enough potassium, calcium & magnesium; limit alcohol intake; reduce sodium intake; stop smoking; relaxation techniques & stress management