Cardiopulm disorders

Question 1

Pulm HTN- Eti

Answer 1

• PA systolic >30 mm Hg,
• Multiple eti- pulm & cardio- LVD, valves
• Idiopathic most common
• Self perpetuating

Question 2

Pulm HTN- Sx

Answer 2

Dyspnea w/ exertion->rest

• Dull, retrosternal chest pain
• malaise, fatigue
• Non-productive cough
• Splitting of S2

Question 3

Pulm HTN- Dx

Answer 3

• ECG changes
• CT, radiographs
• PFT

Question 4

Pulm HTN- Tx

Answer 4

• 1- CCB, vasodilators
• 2 Diuretics, O2
• 3 O2, Tx HF, volume
• 4 anticoag

Question 5

Cor Pulmonale- Eti

Answer 5

• RV systolic/ diastolic failure from lung disease, pulm vasc disease
• Pulm HTN, COPD, fibrosis

Question 6

Cor Pulmonale- Sx

Answer 6

• RV heart failure & underlying culm disorder
• dependent edema, cyanosis, clubbing, JVD, ascites
• O2 sat <85%

Question 7

Cor Pulmonale- Dx

Answer 7

• PFT
• CXR
• BNP
• ECG

Question 8

Cor Pulmonale- Tx

Answer 8

• O2, salt reduction, diuretics

- Tx underlying lung disease