Unit 9 NUR 214 Practice Questions and Correct Answers
5 views 0 purchase
Course
NUR 214
Institution
NUR 214
What is cardiomyopathy disease of the heart muscle Makes it difficult for the heart to deliver blood to the body
Dilated cariomyopathy distended/thin hearth muscle - like a blown up balloon Too much stretch on the heart causes it to be thin - causes regurgitation of blood into the heart
Assessmen...
Unit 9 NUR 214 Practice Questions and
Correct Answers
What is cardiomyopathy ✅disease of the heart muscle
Makes it difficult for the heart to deliver blood to the body
Dilated cariomyopathy ✅distended/thin hearth muscle - like a blown up balloon
Too much stretch on the heart causes it to be thin - causes regurgitation of blood into
the heart
Assessment signs of dilated cardiomyopathy ✅low BP
Low O2
Cardiomegaly
Decreased heart contractility
Decreased cardiac output
Risk for clots/dvt
Hypertrophic cardiomyopathy ✅thickened intraventricular septum - huge heart muscle
can lead to obstruction of left ventricular outflow
Aortic opening is blocked - no cardiac output can go through aorta
Assessment of hypertrophic cardiomyopathy ✅LOW O2
Asymptomatic - can lead to sudden death
Syncope
Angina
Dyspnea
Arrythmias
What meds do we not give with hypertrophic cardiomyopathy ✅dilators
Digoxin
Diuretics
Tx of hypertrophic cardiomyopathy ✅BB decrease HR and prevent arrythmias
Ccbs improve ventricular filling
Antiarrythmics may restore normal heart rythm and prevent SCD
Septal myectomy - removal of hypertrophied portion
Education for pt with hypertrophic cardiomyopathy ✅importance of hydration
Avoid nitroglycerin/vasodilators
Avoid sports/high intensity sustained activities
Restrictive cardiomyopathy ✅rock hard, rigid cardiac muscle
Cant get blood in, cant refill with blood, cant pump blood out
, Tx of restrictive cardiomyopathy ✅immunosuppressants
Antiarrythmics, CCB, BB
Icds
Arrhythmogenic right ventricular cardiomyopathy ✅RV is progressively infiltrated and
replaced with scar tissue - RV dilates and develops poor contractility and arrhythmias
occur
Collabortive management for cardiomyopathy ✅tx of underlying cause
Diuretics
Digoxin
Nitrates
ACE inhibitors for DCM NOT HCM
Anticoagulants
BB for HCM
Muscle resection
What is the criteria for dx of rheumatic heart disease ✅either 2 major criteria
Or
1 major criteria with 2 minor
Erythema marginatum ✅(RHD) margins are red, middle is pale
Aggravated by heat and hot water
Sydenham's chorea ✅Involuntary muscle twitching associated with rheumatic fever
Janeway lesion ✅flat, painless bloody spot on palms or soles - endocarditis
Osler's nodes ✅painful nodules on finger and toe pads....seen in endocarditis caused
by strep viridans
Roth spots ✅retinal hemorrhages - endocarditis
Rheumatic carditis ✅chronic valvular disease caused by RF following an untreated
strep infection
Endocarditis ✅inflammation of the inner lining of the heart
Causes of endocarditis ✅IV drug use
Infection
Valvular disease
Previous injury
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.