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Exam 3-Nurs 3366:Patho; Questions and Answers 100% Solved
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Exam 3-Nurs 3366:Patho; Questions and Answers 100% Solved
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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
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