Epi/Pericardial Disease (NUR406)

Question 1

myocarditis

Answer 1

Inflammation disease of myocardium – muscle layer

Degeneration in necrosis of cardiac myocytes

Question 2

causes of myocarditis

Answer 2

Viruses
coxsackie virus A&B

Question 3

Pericarditis

Answer 3

inflammation of pericardium

Question 4

what develops when fluids accumulate in pericardial sac?

Answer 4

Effusion

Question 5

what occurs when fluid in sac surrounds whole heart?

Answer 5

Fluid is greater than 200 ML, it will compress the heart leading to Tamponade

Question 6

Cardiac tamponade

Answer 6

heart chambers are restricted by surrounding Peri fluid, so they cannot stretch and fill with blood

Question 7

s/sx acute pericarditis

Answer 7

Chest pain– sharp and worsens with deep breath
fever, dyspnea – shallow
Pericardial friction rub
EKG – ST elevations

Question 8

s/sx Tamponade

Answer 8

Beck triad – hypotension, JVD, muffled heart sounds

Pulses paradoxus

Question 9

pulses paradoxus

Answer 9

SBP decreases by greater than 10 with inspiration

SBP increases by greater than 10 with expiration

Question 10

treatment for pericarditis

Answer 10

NSAID S
Aspirin
Corticosteroids
Colchicine
Aspirate fluid