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Nurs 3366:Patho Questions and Correct Answers the Latest Update and Recommended Version
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Nurs 3366:Patho Questions and Correct Answers the Latest Update and Recommended Version
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TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!Nurs 3366:Patho Questions and Correct
Answers the Latest Update and
Recommended Version
S&S & patho of LHF
✓ Cardiogenic Pulmonary Edema: Crackles in the lungs, ↓SO2, Orthopnea, PND
(Paroxysmal Nocturnal Dyspnea) Hemoptysis, SOB.
✓
✓ ↓LV Contractility or MI of LV → weakens LV → ↑Afterload → ↑Preload → Preload
pushes back from LV to LA to PV to PC to fill Alveolar →Cardiogenic Pulmonary Edema
S&S & patho of RHF
✓ PVR: Liver Congestion, Ascites, Peripheral Edema, Low UO, Longer Capillary Refill,
Fatigue, JVD, Confusion
✓
✓ RV ↓ in Contractility or MI weakens RV ↑AFTERLOAD ↑ PRELOAD → RV to RA to SVC
JUGULAR VEINS → JUGULAR VEIN DISTENTION or to IVC to PERIPHERY to LIVER
CONGESTION & ASCITES & EDEMA OF LEGS & FEET
S&S of COR PULMONALE
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✓ Fatigue/ Weakness, SOB, Confusion, Hypotension, Low UO, Long Cap Refill. Peripheral
Edema
✓
✓ Chronic Bronchitis or Chronic Lung Disease that causes RHF Mucus & congestion fills the
lungs lungs become very stiff → ↑ pressure in pulmonary vasculature → congestion &
pressure makes it difficult for the RV to pump blood into PA and lungs so → fluid backs
up → RV to RA SVC & IVC to JVD, LIVER CONGESTION, ASCITIES, LEG EDEMA
peripheral edema
To DX CHF BY MEASURING:
VS
to dx mi by measuring:
✓ CHF:MEASUREMENT OF BNP
✓ NORMAL = 50 pg/ml
✓ MILD HF BNP = 130
✓ SEVERE HF BNP = 1000
✓
✓ mi: measurement of troponin (measures injured cells in the myocardium) (or ck which
measures injured cells all together)
✓
✓ ↑titer = ↑severity on both
TX CHF with
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✓ positive inotropic drug - digoxin to ↑ Contraction
✓ vasodilator - NTG, ACE Inhibitors to ↓Resistance
✓ Diuretics to ↓Preload
S&S & Patho of CARDIOGENIC SHOCK
✓ HEART RELATED ISSUES, VAVLE PROBLEMS, DYSRHYTHMIA, MI, HYPOTENSION, ETC
→ ↓ CONTRACTION → ↓ PERFUSION → IMPAIRS CELLULAR FXN → HYPOXIA OF
CELLS → HYPOTENSION
✓
✓ Hypotension, dyspnea ↓consciousness, ↓
✓ +++.UO, Long Cap Refill, pale cool skin.
TX of Cardiogenic Shock
✓ Positive inotropic drug to ↑contraction -DIGOXIN
✓ Peripheral vasodilator to ↓afterload to ↓resistance & vasodilate arteries.
S&S & patho of Coronary Arterial DZ
✓ Ischemic Pain in ♥ = painful constriction/tight Duration of tightness - 3-5 min. Needs
NTG
✓ Exacerbated w/ exercise. Lessens at Rest. Left arm pain, back pain and Jaw pain.
✓
✓ Plaque occludes artery narrows & irritates it → inflammation ↑ C-Reactive Protein →
↓CO ischemic pain → Necrosis of heart tissue and cells = MI → ♥ is O2 deprived
S&S of LCA
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