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20 Cards in this Set
- Front
- Back
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Mitral Stenosis - pathphys
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the mitral valve narrows obstructing blood flow from the left atrium into the left ventricle during diastole
fibrous tissue replaces normal valve tissue causeing valve to stiffen and fuse |
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Cause of Mitral Stenosis
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generally caused by rheumatic heart disease or bacterial endocarditis - it is chronic and progressive
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Left Heart Failure - pathphys
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decreased contractility
pulmonary congestion poor pulses |
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Left Heart Failure - Med goals
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Restore O2 balance
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Left Heart Failure - Nursing Priorities
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Activity tolerance
Fluid balance |
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Right Heart Failure - path phys
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decreased contractility
peripheral edema JVD |
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Right Heart Failure - Med goals
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Improve RV function
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Right Heart Failure - Nursing Priorities
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Oxygenation
Fluid balance |
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Hypertension - path phys
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Increased afterload
BP > 139/89 |
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Hypertension - Med goal
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Decrease BP
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Hypertension - Nursing Priorities
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Education - meds, diet, exercise
Smoking Monitor BP |
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Arterial Insufficiency - path phys
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Inadequate perfusion to tissues - pallor, pain, no pulse, trophic changes
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Arterial Insufficiency - Med goal
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Restore perfusion
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Arterial Insufficiency - Nursing Priorities
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Education - meds, exercise, smoking
Monitor perfusion |
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Venous Insufficiency - path phys
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Reflux blood through vein valves, edema, aching discomfort
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Venous Insufficiency - Med goals
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relieve venous congestion
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Venous Insufficiency - Nursing Priorities
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Education - clothing, elevate legs, exercise, compression
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DVT
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Path phys - obstruction in large vein swelling, pain, warmth
Med goals - relieve obstruction Nursing Priorities - decrease edema, prevent embolus |
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Buerger's disease
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path phys - inflammation of arteries, decreased arterial perfusion
Med goals - restore perfusion, treat gangrene Nursing Priorities - Education smoking, exercise, meds |
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Reynaud's Disease
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pathphys - spasm arteries with intermittent ischemia, color changes with ischemia
Med goals - prevent spasms Education - triggers, prevent complications |
