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Cardiac

Cardiac

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Published by Isabel Garcia
cardiac
cardiac

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Categories:Types, School Work
Published by: Isabel Garcia on Jul 02, 2013
Copyright:Attribution Non-commercial

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12/07/2013

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Ch. 51, 52, 53, 54 Immunodeficiency-
 
For HIV, nursing management-
 
schleradermaCh. 29 Infection and inflammatory Cardiac DisorderCardiomyopathy-
 
Dilated (large)
 
Most common
 
Stasis of blood in LV = cardiomegaly without hypertrophy
 
More in African American men
 
About 40% goes into heart failureAt risk:-alcoholic- preganancyFamily historyS/S-
 
Palpitation-
 
Pulses weak-
 
Pallor-
 
JVD: possible clot formation in the heart-
 
Extra Heart sounds-
 
MurmursRespiratory-
 
PND-
 
Fatigue-
 
Orthopnea-
 
Crackles-
 
Dyspnea at restOthers-
 
Hepatomegaly-
 
PMI: if the heart is enlarged, the PMI will be shifted to the LEFT-
 
Edema: how severe?
 
Questions to ask: how many pillows do you need to sleep on? Any weight loss or gain? ADL’s? Sodium
consumption?DX:-
 
Chest X-ray-
 
MRI =Hypertrophic CM-
 
Echo: most helpful structure & function-
 
Output is low pg. 808-
 
Decreased Cardiac Output especially during exertion, common cause of SCD in athletesdiagnosed in young adulthood!!!-
 
Restrictive (stiffened)
 
Less common
 
Rigid ventricular walls
 
Problems with diastoleS/S-
 
Fatigue-
 
Angina is a late sign-
 
Exercise intolerance-
 
Dyspnea-
 
Orthopnea-
 
Syncope-
 
JVD-
 
Peripheral edema-
 
Ascites-
 
hepatomegaly-
 
Hypertrophic ( thickened)
 
Most effective DX is MRI
 
Often asymptomatic
 
Exertional dyspnea (most common)
 
Fatigue
 
Decreased angina, syncope
 
Dysrhythmia leading unconsciousness and deathNursing & collab. Pg. 809 (meds that should be avoided)The goal is to improve ventricular filling!!-
 
Beta Blockers
 
-
 
Anticoagulants-
 
AcetaminophenDigitalis is contraindicated because it is a positive inotropeManagement for all-
 
Anticoagulants-
 
Pacemaker (AICD)-
 
Prevent orthostatic hypotension (sitting on side of bed with legs over more comfortable-
 
Restrict to 2 L of water per day-
 
Meds on pg. 809Low Cardiac Ouput-
 
Dilated pupils-
 
Gray cyanotic skin-
 
SOB on exertion-
 
Dyspnea-
 
Orthopnea-
 
Crackles, wheezing-
 
Cough, pink frothy sputum-
 
Decreased blood pressure-
 
N&V-
 
Ascites-
 
Dependent, pitting edema-
 
Anxiety-
 
Falling O2 saturation-
 
Confusion-
 
JVD-
 
Infarct-
 
Fatigue-
 
S2 gallop-
 
Enlarged spleen and livePg 813 Low COWhat will we do to improve?-
 
Legs down when pt. stiiting-
 
O2 through NC-
 
Medications-
 
Avoid verapamil if 

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