CardioMyopathy Flashcards
Cardiomyopathy
-Hypertrophic Cardiomyopathy
- Decreased compliance of left ventricle
- Thicker ventricular heart muscle mass
- Impaired ventricular filling
- decreased CO
Cardiomyopathy
-Dilated Cardiomyopathy
- Most common type of cardiomyopathy (87% of all cases)
- Heart Chambers dilate
- Ventricular Contraction is impaired (decreased CO)
- Prognosis Grim
Cardiomyopathy
-Restrictive Cardiomyopathy
- Least common type of cardiomyopathy
- Rigid & hard ventricular walls and impair diastolic filling
- Decreased CO
Cardiomyopathy
-Preload or After-load affected?
- Afterload is affected
- preload can also be affected
Cardiomyopathy
-Dilated affects what group more?
- African Americans
Cardiomyopathy
-Dilated is R/T what?
- Alcoholism
Cardiomyopathy
-Hypertrophic is R/T?
- Familial Hx
2. Activity
Cardiomyopathy
-Risk Factors
- Hypertension
- Excessive alcohol consumption
- Valvular Heart disease
Cardiomyopathy
-Treatment for Dilated and Restrictive?
- Treat and manage HF
Cardiomyopathy
-Treatment for Hypertrophic **
- ICD
2. Limit strenuous exercise
Cardiomyopathy
-Diagnostic Testing
- Echo and Electrocardiogram
- Chest Xray
- Hemodynamic studies
- Cardiac cath and angiography
Cardiomyopathy
-Drug of choice for Hypertrophic?
- B-Blockers are drug of choice for hypertrophic cardiomyopathy
Use B-blockers with extreme caution for dilated and restrictive
Cardiomyopathy
-Restrictive + Surgery?
- Surgery is not an option for restrictive cardiomyopathy
Cardiomyopathy
-Nursing Diagnosis
- Decreased Cardiac Output
- Excessive Fluid Volume
- Activity Intolerance
- Deficient Knowledge: Low-Sodium Diet
- Anticipatory Greiving
Excessive Fluid Volume
-Nursing Intervention
- Assess Respiratory Status Q4
- Monitor I&O
- Daily weight and Abdominal Girth
- Restrict fluids as ordered