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NURS 2003 Exam Questions And Answers Well Illustrated.
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NURS 2003 Exam Questions And Answers Well Illustrated.
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NURS 2003 Exam Questions And Answers Well Illustrated. 80% sof sheart sfailure scases sare scaused sby swhat sthree sthings? s- s scorrect sanswer. s s s-ischemic sheart sdisease -chronic shypertension -myocardial sinfarction Select sall sthat sapply: Heart sfailure sis smost scommon sin: a) smen b) swomen c) syoung sadults d) sold sadults s- s scorrect sanswer. s s sa s& sd What sis sejection sfraction? s- s scorrect sanswer. s s sThe spercentage sof stotal samount sof send-
diastolic sblood svolume sejected sduring seach ssystole. What sis sa snormal sejection sfraction? s- s scorrect sanswer. s s smore sthan s55% sof sventricular svolume Heart sfailure swith sreduced sejection sfraction scan salso sbe sreferred sto sas swhat? s- s scorrect sanswer. s s sSystolic sheart sfailure Heart sfailure swith spreserved sejection sfraction scan salso sbe sreferred sto sas swhat? s- s scorrect sanswer. s s sDiastolic sheart sfailure Starling's sLaw s- s scorrect sanswer. s s sThe smore sthe sheart sis sfilled sduring sdiastole sthe smore sforcefully sit scontracts Problems swith sthe sleft sventricle sindicate swhat? s- s scorrect sanswer. s s sIssues srelating sto sthe slungs s(pulmonary) Problems swith sthe sright sventricle sindicate swhat? s- s scorrect sanswer. s s sPeripheral sand ssystemic sissues s(ie., senlarged sliver) Cor spulmonare s- s scorrect sanswer. s s sRight ssided sheart sfailure sspecifically sfrom sCOPD Symptoms sof sleft-sided sheart sfailure s- s scorrect sanswer. s s s-paroxsymal snocturnal sdyspnea -elevated spulmonary scapillary swedge spressure -pulmonary scongestion s(cough, scrackles, swheezes, sblood -tinted ssputum sor shemoptysis, stachypnea) -restlessness -confusion -orthopnea -tachycardia s -fatigue -pallor sor scyanosis -exertional sdyspnea -elevated sHR, sBP -excessory smuscles sin suse sfor sbreathing -clammy scool sskin s(vasoconstriction) -decreased sPaO2 -decreased scardiac soutput -decreased stissue sperfusion -impaired sgas sexchange -oliguria Symptoms sof sright-sided sheart sfailure s- s scorrect sanswer. s s s-distended sjugular sveins -anorexia s -GI sdistress/congestion -weight sgain -edema -fatigue -elevated svenous spressure -ascites -enlarged sliver sand sspleen s(splenomegaly sand shepatomegaly) -exercise sintolerance -chest spain What sis sthe sprimary scause sof sright-sided sheart sfailure? s- s scorrect sanswer. s s sLeft-sided sheart sfailure What sare sthe s4 scompensatory smechanisms sfor sheart sfailure? s- s scorrect sanswer. s s s1.Dilation sof sventricles 2.Hypertrophy sof sthe sventricles 3.Activation sof sSNS 4.Neurohormonal sresponses Explain sdilation sof sventricles sas sa scompensatory smechanism s- s scorrect sanswer. s s sStarling's sLaw sexplains sthat sventricular smuscle sfibers swill sstretch sto sincrease sforce sof scontraction sand scardiac soutput, salthough selasticity smay sdecrease sover stime. Explain shypertrophy sas sa scompensatory smechanism s- s scorrect sanswer. s s sOverworked sand soverstrained smyocardial smuscles swill srespond sby sincreasing smuscle smass sand sthickness sto srestore scardiac soutput. Explain sSNS sactivation sas sa scompensator y smechanism s- s scorrect sanswer. s s sLow scardiac soutput sand sstroke svolume striggers srelease sof sepi sand snorepi sto sincrease sHR, scontractility, sand svasocontriction. Explain sneurohormonal sresponse sas sa scompensatory smechanism s- s scorrect sanswer. s s s-
RAAS: sstimulates srelease sof sADH sfrom sposterior spituitary, sANG -II sand saldosterone sfrom sadrenal sglands -Endothelin: spotent svasoconstrictor -HPA saxis: scortisol s -ANP sand sBNP: snatriuric speptides sincrease svasodilation sand sdiuresis swhilst spreventing shypertrophy List sthe sroles sof sANP sand sBNP snatriuric speptides s- s scorrect sanswer. s s s-natriuresis -diuresis -high sGFR -inhibits srenin srelease s(lowers sANG senzyme sproduction sand svasoconstriction) -vasodilation -arterial shypotension -reduce svenous spressure -reduce scapillary spulmonary swedge spressure Management sfor schronic sheart sfailure s- s scorrect sanswer. s s s1.Identify stype sof sheart sfailure 2.Sodium sand sfluid srestrictions 3.Mild sexercise sfor stolerance 4.Small smeals 5.Medication sadherence 6.Oxygen suse What sare sthe s4 smain streatments sfor sheart sfailure? s- s scorrect sanswer. s s s1.ARB/ACE sor sARNI s(angiotensin sreceptor sneprilysin sinhibitor) sto sinhibit svasoconstriction 2.Beta -blocker s(-olol) sto sblock seffects sof sepinephrine sand sslow sHR
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