CardioMyopathy Flashcards

0
Q

Cardiomyopathy

-Hypertrophic Cardiomyopathy

A
  1. Decreased compliance of left ventricle
  2. Thicker ventricular heart muscle mass
  3. Impaired ventricular filling
    - decreased CO
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1
Q

Cardiomyopathy

-Dilated Cardiomyopathy

A
  1. Most common type of cardiomyopathy (87% of all cases)
  2. Heart Chambers dilate
  3. Ventricular Contraction is impaired (decreased CO)
  4. Prognosis Grim
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2
Q

Cardiomyopathy

-Restrictive Cardiomyopathy

A
  1. Least common type of cardiomyopathy
  2. Rigid & hard ventricular walls and impair diastolic filling
  3. Decreased CO
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3
Q

Cardiomyopathy

-Preload or After-load affected?

A
  1. Afterload is affected

- preload can also be affected

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4
Q

Cardiomyopathy

-Dilated affects what group more?

A
  1. African Americans
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5
Q

Cardiomyopathy

-Dilated is R/T what?

A
  1. Alcoholism
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6
Q

Cardiomyopathy

-Hypertrophic is R/T?

A
  1. Familial Hx

2. Activity

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7
Q

Cardiomyopathy

-Risk Factors

A
  1. Hypertension
  2. Excessive alcohol consumption
  3. Valvular Heart disease
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8
Q

Cardiomyopathy

-Treatment for Dilated and Restrictive?

A
  1. Treat and manage HF
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9
Q

Cardiomyopathy

-Treatment for Hypertrophic **

A
  1. ICD

2. Limit strenuous exercise

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10
Q

Cardiomyopathy

-Diagnostic Testing

A
  1. Echo and Electrocardiogram
  2. Chest Xray
  3. Hemodynamic studies
  4. Cardiac cath and angiography
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11
Q

Cardiomyopathy

-Drug of choice for Hypertrophic?

A
  1. B-Blockers are drug of choice for hypertrophic cardiomyopathy

Use B-blockers with extreme caution for dilated and restrictive

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12
Q

Cardiomyopathy

-Restrictive + Surgery?

A
  1. Surgery is not an option for restrictive cardiomyopathy
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13
Q

Cardiomyopathy

-Nursing Diagnosis

A
  1. Decreased Cardiac Output
  2. Excessive Fluid Volume
  3. Activity Intolerance
  4. Deficient Knowledge: Low-Sodium Diet
  5. Anticipatory Greiving
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14
Q

Excessive Fluid Volume

-Nursing Intervention

A
  1. Assess Respiratory Status Q4
  2. Monitor I&O
  3. Daily weight and Abdominal Girth
  4. Restrict fluids as ordered
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15
Q

Decreased CO

-Nursing Intervention

A
  1. Monitor VS and O2 Sat
  2. Monitor BNP to note HF
  3. Auscultate Heart and breath sounds regularly
  4. Administer O2 as needed