Unit 9 NUR 214 Practice Questions and Correct Answers
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Course
NUR 214
Institution
NUR 214
What is cardiomyopathy disease of the heart muscle Makes it difficult for the heart to deliver blood to the body
Dilated cariomyopathy distended/thin hearth muscle - like a blown up balloon Too much stretch on the heart causes it to be thin - causes regurgitation of blood into the heart
Assessmen...
Unit 9 NUR 214 Practice Questions and
Correct Answers
What is cardiomyopathy ✅disease of the heart muscle
Makes it difficult for the heart to deliver blood to the body
Dilated cariomyopathy ✅distended/thin hearth muscle - like a blown up balloon
Too much stretch on the heart causes it to be thin - causes regurgitation of blood into
the heart
Assessment signs of dilated cardiomyopathy ✅low BP
Low O2
Cardiomegaly
Decreased heart contractility
Decreased cardiac output
Risk for clots/dvt
Hypertrophic cardiomyopathy ✅thickened intraventricular septum - huge heart muscle
can lead to obstruction of left ventricular outflow
Aortic opening is blocked - no cardiac output can go through aorta
Assessment of hypertrophic cardiomyopathy ✅LOW O2
Asymptomatic - can lead to sudden death
Syncope
Angina
Dyspnea
Arrythmias
What meds do we not give with hypertrophic cardiomyopathy ✅dilators
Digoxin
Diuretics
Tx of hypertrophic cardiomyopathy ✅BB decrease HR and prevent arrythmias
Ccbs improve ventricular filling
Antiarrythmics may restore normal heart rythm and prevent SCD
Septal myectomy - removal of hypertrophied portion
Education for pt with hypertrophic cardiomyopathy ✅importance of hydration
Avoid nitroglycerin/vasodilators
Avoid sports/high intensity sustained activities
Restrictive cardiomyopathy ✅rock hard, rigid cardiac muscle
Cant get blood in, cant refill with blood, cant pump blood out
, Tx of restrictive cardiomyopathy ✅immunosuppressants
Antiarrythmics, CCB, BB
Icds
Arrhythmogenic right ventricular cardiomyopathy ✅RV is progressively infiltrated and
replaced with scar tissue - RV dilates and develops poor contractility and arrhythmias
occur
Collabortive management for cardiomyopathy ✅tx of underlying cause
Diuretics
Digoxin
Nitrates
ACE inhibitors for DCM NOT HCM
Anticoagulants
BB for HCM
Muscle resection
What is the criteria for dx of rheumatic heart disease ✅either 2 major criteria
Or
1 major criteria with 2 minor
Erythema marginatum ✅(RHD) margins are red, middle is pale
Aggravated by heat and hot water
Sydenham's chorea ✅Involuntary muscle twitching associated with rheumatic fever
Janeway lesion ✅flat, painless bloody spot on palms or soles - endocarditis
Osler's nodes ✅painful nodules on finger and toe pads....seen in endocarditis caused
by strep viridans
Roth spots ✅retinal hemorrhages - endocarditis
Rheumatic carditis ✅chronic valvular disease caused by RF following an untreated
strep infection
Endocarditis ✅inflammation of the inner lining of the heart
Causes of endocarditis ✅IV drug use
Infection
Valvular disease
Previous injury
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