Peri/Myo/Rheumatic/Endo Flashcards
1
Q
Acute Pericarditis
A
- within 48-72 hrs of MI
- progressive chest pain (sharp & pleuritis)
- worsens with inspiration & when supine
- D: pleural friction rub
- T: NSAIDs and Corticosteroids
2
Q
Acute Pericarditis Signs
A
- Severe chest pain
- Dyspnea
- Pericardial friction rub
- Tachycardia
- Distant heart sounds
3
Q
AP Complications
A
- pericardial effusion
- cardia tamponade
4
Q
Pericardial Effusion
A
- Accumulation of excess fluid in the pericardium
- can induce hiccups/hoarseness
- muffled heart sounds
5
Q
Cardia Tamponade
A
- compression of heart
- tachycardia/pnea & hypotension
- pulsus paradoxus decrease in systolic BP
- jugular venous distetnion
6
Q
PC Care
A
- treatment of underlying prob
- bedrest
- oxygen therapy
- nonsteroidal antinflammatory meds
- corticosteroids
7
Q
Chronic Constrictive PC
A
- scarring with lost of elasticity
- mimics HF
- ECG, CXR
- T: pericardiectomy
8
Q
Myocarditis
A
- cause: viruses (B strain)
- results: cardiac dysfunction and dilated cardiomyopathy
- early systemic: fever, fatigue, malaise, dyspnea
- early cardiac: 7-10 days chest pain with friction rub/effusion
- late: HF
9
Q
MC Labs
A
-ESR, CRP, tropinin, viral titers
10
Q
MC Care
A
- digoxin
- ACE & beta
- diuretics
- nitropress, -none
11
Q
Rheumatic Fever
A
acute, inflammatory disease of the heart.
- leads to rheumatic HD
- delayed sequela
- treated with antibiotics
12
Q
Rheumatic Endocarditis
A
-mitral & aortic valves affected
13
Q
RF Manifestations
A
- carditis
- mono/polyarthritis
- sydenham’s chorea
- erythema marginatum
14
Q
Infective Endocarditis
A
infection of inner layer
- blood flow carries infective organisms
- 3 stages: bacteremia, adhesion, vegetation
15
Q
RF for IE
A
- cardia conditions
- noncardiac conditions
- procedure associated risk
- staphylococcus
