Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/23

Click to flip

23 Cards in this Set

  • Front
  • Back
THE HEART DEVICES ARE FOR __ UNTIL A DONOR HEART BECOMES AVAILABLE FOR TRANSPLANTATION
SHORT TERM USE AND TEMPORARY
COMPLICATIONS OF ARTIFICIAL
DEVICES
1.BLEEDING D/O'S
2.HEMORRHAGE
3.THROMBUS
4.EMBOLI
5.HEMOLYSIS
6.INFECTION
7.MECHANICAL FAILURE
TOTAL ARTIFICIAL HEART
USED TO REPLACE BOTH VENTRICLES AND REQUIRES THE PT'S HEART TO BE REMOVED TO IMPLANT THE ARTIFICAL HEART
-IS STILL CONSIDERED EXPERIMENTAL
-THE DEVICE IN USE IS CALLED THE *JARVIK-7*
POST OPERATIVE CONCERNS
1.RISK OF REJECTION
2.RISK OF INFECTION
3.COMPLIANCE W/ COMPLEX MEDICAL REGIME OF DIET,MEDICATIONS,FOLLOW UP LAB STUDIES AND BIOPSIES
VENTRICULAR ASSIST DEVICE
CAN PERFORM SOME OR ALL OF THE PUMPING FCN OF THE HEART AND CIRCULATES AS MUCH BLOOD PER MINUTE
-**CENTRIFUGAL PUMP**MOST COMMON
-1 DEVICE IS NEEDED FOR EACH VENTRICLE
HETEROTOPIC TRANSPLANT
LESS COMMON PROCEDURE
-DONOR HEART IS PLACED TO THE RIGHT AND SLIGHTLY ANTERIOR TO THE RECIPIENT'S HEART AND THE RECIPIENT HEART IS NOT REMOVED
-PROCEDURE USED IN EMERGENCY SITUATIONS,WHEN THERE IS ISCHEMIA OR SOME OTHER COMPROMISE TO THE DONOR HEART
ORTHOTOPIC TRANSPLANT
*MOST COMMON PROCEDURE*
-RECIPIENTS HEART REMOVED LEAVING A PORTION OF THE ATRIA
-DONOR HEART IMPLANTED AT VENA CAVA AND PULMONARY VEINS BY SUTURING THE DONOR ATRIA TO THE RESIDUAL TISSUE TO RECIPIENT'S HEART
-RECIPIENT'S PULMONARY ARTERY AND AORTA ARE CONNECTED TO THOSE OF DONOR HEART
SURGICAL MANAGEMENT
HEART TRANSPLANTATION
USED WHEN MEDICAL TXT IS INEFFECTIVE AND THE PROGNOSIS IS LESS THAN 1 YR
REDUCING ANXIETY
1.OFFER EMOTIONAL AND SPIRITUAL SUPPORT
2.ASSIST TO DECREASE PERCIEVED STRESSORS
3.SET AND ACCOMPLISH REALISTIC GOALS NO MATTER HOW SMALL,FOR WELL-BEING
4.ALLOW OPEN COMMUNICATION
INCREASING ANXIETY TOLERANCE
1.PACE ACTIVITIES IN CYCLES THAT ALTERNATE WITH REST PERIODS
2.DETERMINE WHICH ACTIVITIES THE CLT CAN DO INDEPENDENTLY THAN ALLOW REST BEFORE COMPLETING OTHER ACTIVITIES
3.REINFORCE SYMPTOMS THAT INDICATE THE NEED FOR REST AND WHAT ACTION THE CLT CAN THEN TAKE
NURSING INTERVENTIONS
(IMPROVING CARDIAC OUTPUT0
1.REST BY RECLINING CHAIR
(HELPS POOL VENOUS BLD IN THE PERIPHERY AND REDUCE PRELOAD)
2.MONITORING BY WEIGHT DAILY
(DETERMINES RESPONSE TO TXT..ASSESSING
SOB AND ACTIVITY INTOLERANCE)
3.MONITORING O2 SATURATING AT REST AND W/ACTIVITY-DELIVER O2 AS NEEDED
MEDICAL MANAGEMENT
1.DIGOXIN LASIX
2.DIET-LOW SODIUM,HIGH POTASSIUM
BALANCE OF EXERCISE AND REST
3.CONTROLLING DYSRYTHMIAS BY ANTIARRHYTHMIC MEDS OR PACEMAKER
4.IMPLANTABLE CARDIOVERTER DEFRIBILLATOR
ECHOCARDIOGRAM
TO DETERMINE THE STRUCTURE AND FUNCTIONA OF THE VENTRICLES
CHEST X-RAY
CONFIRMS HEART ENLARGEMENT AND PULMONARY CONGESTION
EKG
CONFIRMS DYSRHYTHMIAS AND LEFT VENTRICULAR HYPERTROPHY
WHICH TESTS ARE DONE FOR DIAGNOSIS
1.EKG
2.CHEST X-RAY
3.ECHOCARDIOGRAM
4.BASED ON HISTORY AND PHYSICAL EXAMINATION
PHYSICAL FINDINGS OF CARDIOMYOPATHY
1.TACHYCARDIA
2.EXTRA HEART SOUNDS
3.DYSRHYTHMIAS AND CONDUCTION ABNORMALITIES
4.PULMONARY CRACKLES
5.JUGULAR VEIN DISTENTION
6.PITTING EDEMA OF DEPENDENT BODY PARTS
7.ENLARGED LIVER
S/S OF CARDIOMYOPATHY
1.MAY BE ASYMPTOMATIC FOR YRS
2.SOB ON EXERTION
3.PAROXYSMAL NOCTURNAL DYSPNEA
4.COUGH
5.CHEST PAIN
6.PALPITATIONS
7.FATIGUE***MOST COMMON
8.DIZZINESS AND SYNCOPE
PATHOLOGY OF CARDIOMYOPATHY
ALL FORMS ARE PROGRESSIVE AND LEAD TO IMPAIRED PUMPING OF HEART
-RESULTS IN GRADUAL DECREASE IN STROKE VOLUME
-RESULTS IN INCREASED SYSTEMIC VASCULAR RESISTANCE
-VENTRICLE ENLARGES TO COMPENSATE AND THEN EVENTUALLY FAILS(RT VENTRICULAR FAILURE)
RESTRICTIVE CARDIOMYOPATHY
RAREST TYPE
-IMPAIRED VENTRICULAR STRETCH AND VOLUME
HYPERTROPIC CARDIOMYOPATHY
LESS COMMON
-INCREASES SIZE IN HEART MUSCLE ALONG SEPTUM
-LEADS TO MISALIGNMENT OF PAPILLARY MUSCLE
-MITRAL VALVE OBSTRUCTS BLD FLOW
FROM LEFT VENTRICLE TO AORTA
-A REDUCED SIZE OF VENTRICULAR CAVITIES AND INCREASES TIME TO RELAX
CAUSES DIFFICULTY FOR VENTRICLES TO FILL
-CLASSIFIED AS:OBSTRUCTIVE/NON OBSTRUCTIVE
DILATED CARDIOMYOPATHY
OR
CONGESTIVE HEART FAILURE
MOST COMMON TYPE
-SIGNIFICANT DILATION OF VENTRICLES W/O SIGNIFICANT INCREASE IN MUSCLE WALL THICKNESS
RESULTS IN:POOR SYSTOLIC FUNCTIONING,GREATER AMT OF BLD REMAINING IN VENTRICLES AFTER CONTRACTION,STASIS OF BLD, AND A DECREASED CONTRACTION OF MUSCLE FIBERS OF HEART
CARDIOMYOPATHY
A DISEASE OF THE HEART MUSCLE THAT LEADS TO SEVERE HEART FAILURE