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51 Cards in this Set
- Front
- Back
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WHAT IS ORTHOPNEA
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SHORTNESS OF BREATH WHEN LYING FLAT
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WHAT IS PROXIMAL NOCTURNAL DYSPNEA
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It is defined as sudden, severe shortness of breath at night that awakens a person from sleep, often with coughing and wheezing. It is most closely associated with congestive heart failure. PND commonly occurs several hours after a person with heart failure has fallen asleep. PND is often relieved by sitting upright, but not as quickly as simple orthopnea. Also unlike orthopnea, it does not develop immediately upon lying down.
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VALVE REPAIR
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A:
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VAVLVE REPLACEMENT:
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A:
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IF ONE HAS VALVULAR DISEASE WHAT IS IMPORTANT
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TAKE PROPHYLACTIC ANTIBIOTICS TO PREVENT ENDOCARDITIS
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WHAT IS A NURSING DISORDER FOR VALVULAR DISORDER
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FLUID EXCESS
RISK FOR INJURY(CLOTS) |
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WHAT IS THE DIAGNOSTIC TEST FOR VAVLVE PROBLEMS AND TO SEE PROGRESSION
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ECHOCARDIOGRAPHY
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MECAHNICAL VALVE
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A
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TISSUE VALVE
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A
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IF ONE HAS VALVULAR DISEASE WHAT WILL YOU FIND ON ASSESSMENT
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MURMUR, DYSPNEA, FATIGUE, WEAKNESS, DECREASE CO
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WITH VALVE PROBLEMS WHAT IS A RISK OF HAPPENING?
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DYSRHYMMIAS BC OF ARTIAL DILATATION
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WHAT HAPPENS WITH CARDIAC MYOPATHY
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THE MUSCLE THINS, LEFT VENTRICLE DILATED, AND MOST COMMON
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WHAT IS HYPERTROPHIC CARDIOMYOPAHTY
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a genetic disorder caused by various mutations in genes encoding sarcomeric proteins. In HCM the heart muscle is thickened, which can obstruct blood flow and prevent the heart from functioning properly.
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WHAT IS RESTRICTIVE CARDIOMYOPATHY
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is an uncommon cardiomyopathy. The walls of the ventricles are stiff, but may not be thickened, and resist the normal filling of the heart with blood
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HOW TO TREAT HYPERTROPHIC CARDIOMYOPAHTHY
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KEEP WELL HYDRATED AND AVOID DIURETICS
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WHERE DOES THE BLOOD GO WITHAORTIC REGURGITATION
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FALLS INTO THE LEFT VENTRICLE
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WHAT ARE THE SYMPTOMS WITH AORTIC STENOSIS
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SYNSCOPE, ANGINA, HEART FAILURE
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WHAT ARE THE SYMPTOMS OF RESTRICTIVE CARDIOMYOPATHY
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SHORTNESS OF AIR AND FATIGUE
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WHAT ARE THE RISK FACTORS OF ENDOCARDITIS
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is an inflammation of the inner layer of the heart, the endocardium. It usually involves the heart valves (native or prosthetic valves). VALVES, RHUEMATIC FEVER, IV DRUG USERS
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IF ONE HAS ENDOCARDITIS, HOW LONG ARE THEY TREATED
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6-8 WEEKS IV AND NURSING DIAGNOSIS IS NONCOMPLIANCE BECAUSE OF LENGTH
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WHAT WOULD ASSESSMENT FIND WITH ENDOCARDITIS
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SPLINTER HEMMORAGES AND PETICHHIA Definition
Bleeding under the skin can occur from broken blood vessels that form tiny pinpoint red dots (called petechiae). |
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WHAT IS PRESNT WITH DILATED CARDIOMYOPATHY
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Dilated cardiomyopathy or DCM is a condition in which the heart becomes weakened and enlarged, and cannot pump blood efficiently. The decreased heart function can affect the lungs, liver, and other body systems.
DCM is one of the cardiomyopathies, a group of diseases that primarily affect the myocardium (the muscle of the heart The patient may present variable degrees of cardiac enlargement, and findings of congestive heart failure |
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WHAT IS THE HX WITH ONE WITH MYOCARDITIS
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myocarditis is inflammation of heart muscle (myocardium). It resembles a heart attack but coronary arteries are not blocked.
Myocarditis is most often due to infection by common viruses |
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WHAT IS PLEURAL RUB VS PERICARDIAL FRICTION RUB
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WHEN PT HOLDS BREATH, PLURAL RUB GOES AWAY AND THE PERICARDIAL RUB STAYS
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WHAT IS DRUG TREATMENT FOR PERICARDITIS
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pericardiocentesis
antibiotics steroids |
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WHAT ARE SIGNS AND SYMPTOMS OF CARDIAC TAMPONADE
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If the fluid significantly elevates the pressure on the heart it will prevent the heart's ventricles from filling properly. This in turn leads to a low stroke volume. The end result is ineffective pumping of blood, shock, and often death.
MUFFLED SOUNDS, SOA,WIDE MEDIUMSTENIUM, NARROW PULSE PRESSURE, JVD, |
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WHAT TO DO FOR PT WITH PERICARDITIS
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BED REST UNTIL NO PAIN OR FRICTION RUB
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HOW TO PREVENT RHUEMATIC HEART DISEASE
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TREAT THE STREP EARLY
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WHAT CAN PERICARDITIS LEAD TO
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PERICARIDAL EFFUSION WHICH IS FLUID
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CENTRAL LINE BUNDLE
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LOOK AT POWERPOINT!!!!!!!!!!!
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HOW TO TREAT SOMEONE AFTER ANGIOGRAM(FEMORAL)
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LAY FLAT, LEG EXTENDED, LOOK FOR BLEEDING
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WHAT TO ASSESS AFTER PT COMES BACK AFTER AAA SURGERY
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RENAL STATUS, VITALS,PULSES,CAP REFILL,MOVEMENT,SENSATION, AND BOWEL SOUNDS!!!!!!!!
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WHAT TO WATCH FOR IN A AAA REPAIR
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HYPOVOLEMIA, LOW BP, TACHY,PALLOR, COOL, LOW UO, RISK OF BLEEDING
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WHAT ARE S/S OF LEAKY AORTIC AUNYRYISM(RAPID)
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BAD ABDOMINAL PAIN, BACK PAIN. HYPOVOLEMIC SHOCK
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WHAT ORGANS DOES HYPERTENSION EFFECT
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EYES,HEART,KIDNEYS,BRAIN
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HYPERTENSIVE EMERGENCY
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TREAT ASAP TO STOP ORGAN DAMAGE ANDSHOWS S/S
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HYPERTENSIVE URGENCY
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NO SIGNS OF END ORGAN DAMAGE
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WHAT IS THE NURSING RESPONSIBILTY WITH HYPERTENSIVE EMERGENCY
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MONITOR CONTINUOSLY WITH ALINE OR NONINVASIVE CUFF Q5MIN
IV AND VASODILATION |
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WHAT IS IMPORTANT ABOUT VASOACTIVE DRUGS
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MUSET WENE OFF IF PRESSOR OR DILATOR
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Endovascular Aneurysm Repair
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DYE IS USED SO WATCH FOR RENAL FUNCTION BC OF DYE
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WHEN THERE IS LACTIC ACID BUILD UP
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ANEROBIC METABOLISM AND INCREASED CAP PERMEABILTY
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WHY IS ONE GIVEN BLOOD IN HYPOVOLEMIC SHOCK
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TO INCREASE OXYGEN CARRYING CAPACITY
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WHAT IS OUR BIGGEST ROLE WITH MODS
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HELP FAMILY UNDERSTAND THEY WONT SURVIVE
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CEREBRAL HYPOXIA
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RESULTS FROM POOR PERFUSION AND HAS RESTLESSNESS
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WHAT ARE THE PAREMETERS OF SIRS
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TEMP- LESS THAN 36/GREATER 38
PULSE- GREATER THAN 90 WBC- LESS 4/GREAT 12 RR- GREATER THAN 20 PCO2- LESS THAN 32 |
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JOE HAS A BLEEDING IN GI, HX OF 2 MI, AND IS GETTING FLUIDS AND BLOOD
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RISK FOR FLUID OVERLOAD AND PUL EDEMA
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NUERO SHOCK IS DIFF THAN OTHERS IN THAT PT HAS
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BRADYCARDIA BC SNS IS NOT WORKING AND FLACID EXTREMITYS
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HEART FAILURE =
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LOW CONTRACILITY AND DYSRHYMMIAS
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S/S OF ANAPHYLACTIC SHOCK
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WHEEZING, HIVES, DYSPNEA
IF TAKING DRUG STOP ASAP |
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IF ONE IS TAKING A ANTIHYPERSTENSIVE MAKE SURE TO
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GET UP SLOW, DANGLE FEET, MAYBE A CANE
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WHAT CAN MAKE HYPERTENSION WORSE
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ALCOHOL AND AND HIGH FAT
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