Exam (elaborations)
Exam 3-Nurs 3366:Patho; Questions and Answers 100% Solved
- Course
- Institution
Exam 3-Nurs 3366:Patho; Questions and Answers 100% Solved
[Show more]
Content preview
Exam 3-Nurs 3366:Patho; Questions and Answers 100%Solved
S&S & patho of LHF Correct Ans-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 Correct Ans-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 Correct Ans-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
, Exam 3-Nurs 3366:Patho; Questions and Answers 100%
Solved
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: Correct Ans-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 Correct Ans-positive inotropic drug - digoxin to ↑ Contraction
vasodilator - NTG, ACE Inhibitors to ↓Resistance
, Exam 3-Nurs 3366:Patho; Questions and Answers 100%
Solved
Diuretics to ↓Preload
S&S & Patho of CARDIOGENIC SHOCK Correct Ans-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 Correct Ans-Positive inotropic drug to ↑contraction -DIGOXIN
Peripheral vasodilator to ↓afterload to ↓resistance & vasodilate arteries.
S&S & patho of Coronary Arterial DZ Correct Ans-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
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 TheeGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
60904 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now