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19 Cards in this Set

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Congestive Heart Failure

The heart is unable to maintain adequate circulation of the blood to meet the needs of the body combined with edema present in the body

Stages of Congestive Heart Failure (CHF)

Stage A - High risk for developing heart failure. One or more risk factors



Stage B - Asymptomatic heart failure. Enlarged dysfunction LV



Stage C - Symptomatic Heart Failure. SOB, fatigue, inability to exercise



Stage D - end stage heart failure. Transplant or med device needed

Left Heart Failure (Forward heart failure)

Blood not pumped adequately. LV unable to pump

Causes of heart failure (etiology)

Coronary artery disease


Valvular disease


Congenital heart disease


Hypertension


Infection

Phlebitis

Inflammation of a vein, can occur in both superficial or deep veins.



Rarely serious, but can lead to other issues if not treated.



Affected area may feel hard, warm, tender. May throb or burn

Deep Vein Phlebitis is basically the same but occurs at a deeper level. Is more likely to affect the entire limb

Risk factors for phlebitis

Prolonged inactivity


Sedentary lifestyle


Obesity


Smoking

Thrombophlebitis

One or more blood clots in a vein that causes inflammation.


Thrombus in vein causes pain and irritation and may block blood flow

Deep Vein Thrombophlebitis (DVT)

DVT affects larger blood vessels deep in legs. Can lead to pulmonary embolism.

Homan's Sign

Used to detect DVT.


Pain in the calf when the foot is PASSIVELY dorsiflexed

Compartment Syndrome

Compression of nerves, blood vessels, and muscles in a closed space within the body.



Can be limb and life threatening



Most often seen in the forearm and lower leg

6 P's of Compartment Syndrome

Pain (aggravated by stretching)


Paresthesia (pins & needles)


Paralysis of limb


Pulse (lack of)


Pallor (shiny skin, noticeable bruises)


Poikilothermia (limb attempts to achieve room temperature)

Do not elevate limbs with compartment syndrome

Treatment of compression syndrome

Acute - surgery (fasciotomy)



Sub-acute - fasciotomy



Chronic - rest, anti-inflammatories, manual decompression

Coronary Artery Disease (CAD)

Atherosclerotic disease process that narrows the lumen of coronary arteries. Results in ischemia



Coronary arteries accumulate fat deposits (arteriosclerotic plaque)

Clinical Syndromes of CAD (and characteristics)

Angina Pectoris


Myocardial Infarction


HF or CHF














Arteriosclerosis obliterans

Type of Arterial Disease



Peripheral manifestation of generalized atherosclerosis

Thromboangitis Obliterans (Buerger's disease)

Chronic occlusive arterial disease.


Predominately in young male smokers

Boys like burgers

Diabetic Angiopathy

Type of arterial disease.



High levels of blood glucose leads to accelerated atherosclerosis which leads to ulcers, gangrene, and amputation

Chronic venous insufficiency

Blood accumulates in extremities due to veins inability to return blood to heart



Caused by degeneration of valve tissue, venous dilation, muscle pump dysfunction, etc

Coronary Artery Bypass Graft (CABG)

Surgical revascularization of the heart to improve blood supply.



If Sternotomy incision is present, avoid scapular retraction and UE exercises in early rehab