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NUR 213 ( LATEST 2024 / 2025 ) EXAM 2 | A++ EXAM WITH ALL NEW QS & AS - GUARANTEED PASS!
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NUR 213 ( LATEST 2024 / 2025 ) EXAM 2 | A++ EXAM WITH ALL NEW QS & AS - GUARANTEED PASS!
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NUR 213 Exam 21. Cardiomyopathy
Answer
Definition
Disease of the heart muscle associated with car- diac dysfunction
-acquired
-hereditary
2. Primary cardiomyopathy
Answer
Genetic Nongenetic
Acquired
"heart muscle"
3. Secondary cardiomyopathy
Answer
Amyloidosis sarcoidosis
scleroderma
"myocardial involvement related to a disease"
4. Cardiomyopathy
Answer
Patho A series of events = decreased CO
Decreased stroke volume = sympathetic nervous system and renin-angiotensin- aldosterone
stimulation
increase in vascular resistance increase in sodium = fluid retention
= WORKLOAD ON HEART
"Decreased ejection fraction on echo"
5. Dilated Cardiomyopathy
Answer
"TOO BIG" most common
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,enlarged of ventricles, weakens heart diastolic murmur
Causes
Answer
HTN
heavy alcohol infection genetics
6. Hypertrophic Cardiomyopathy
Answer
"TOO THICK" autosomal genetic disorder
thickening of heart muscle
sudden death in teens and young adults, ATHLETES
***IF GENETIC... AND ASYMPTOMATIC... annual screening DXECG, physical, echo
7. Restrictive Cardiomyopathy
Answer
"TOO STIFF" least common
rigid ventricles SX
Answer
ARRHYTHMIA
dyspnea, non productie cough, chest pain CauSE disease
DXbiopsy
8. Arrhythmogenic right ventricular cardiomyopathy
Answer
Uncommon
progressive scaring and adipose buildup
9. Unclassified Cardiomyopathy
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,Answer
Different form or have more than one type
TX
Answer
underlying cause
10. Ischemic Cardiomyopathy
Answer
enlarged heart related CAD and heart failure
11. Cardiomyopathy
Answer
SX
Answer
asymptomatic for years chest pain
palpitations dizzy nausea syncope
extra heart sounds (S3 and S4) Heart failure sx
- JVD
- peripheral edema
- crackles
12. Cardiomyopathy
Answer
SX (Memory Trick)
Answer
"ABCCDEF... JNS"
Asymptomatic
beats extra (S3 and S4) Chest pain
Crackles Dizzy Edema
Failure of heart JVD
Nausea Syncope
13. Cardiomyopathy
Answer
DXPatient history Family history
Echo Cardiac MRI ECG
Chest xray Endometrial biopsy
14. Cardiomyopathy
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, Answer
TX
Answer
DIET (low sodium) EXCERCISE
FLUID INTAKE (LIMITED 2L/ DAY (CONGESTION) GENETIC TESTING
correct hf with meds antiarrhythmics
icd devices
avoid dehydration beta blockers pacing
heart transplant vad
15. Cardiomyopathy
Answer
What to report?
Answer
weight gain 2 to 3 lbs in one day 5 lbs in one week
unusal shortness of breath increased swelling persistent cough
loss of appetite restless sleep
increased number of pillows needed to sleep profound fatigue
16. Cardiomyopathy
Answer
Surgeries
Answer
Myectomy Heart transplant
Mechanical assist devices (VAD)
17. Cardiomyopathy
Answer
Surgery
Answer
Heart Transplant
Answer
Immunosuppressants= de- crease rejection
UNOS (United Network for Organ Sharing) UNOS Candidates
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