Pericarditis & Cardiac Tamponade Flashcards

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1
Q

pericarditis is

A

inflammation of pericardium

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2
Q

pericardium is the

A

membrane around the heart

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3
Q

pericarditis is due to

A

infection or injury

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4
Q

_________ will accumulate between membrane & wall of heart

A

exudate

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5
Q

what type of exudate will accumulate

A
  • fibrinous exudate

- Fluid (serous) exudate

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6
Q

Inflammation causes _________

A

increased capillary permeability which causes exudate in pericardial space

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7
Q

which exudate accumulation is more problematic?

A
  • fibrinous because it is fixed, constrictive, restricts filling & restricts cardiac function
  • serous exudate can be displaced
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8
Q

constrictive pericarditis =

A

fibrinous scar tissue

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9
Q

Mnfts of pericarditis

A

(triad - 3 Specific)

  • Chest pain, exaggerated by respiration & movement
  • pericardial rub (friction rub) (audible)
  • serial ECG changes
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10
Q

Diagnosing pericarditis

A
  • Mnfts
  • ECG
  • x-ray
  • echo
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11
Q

treatment of pericarditis

A
  • based on cause (infection vs injury) (bacterial vs viral)
  • anti-inflammatory drugs
  • Antibiotics (if due to bacterial infection)
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12
Q

pericarditis may lead to

A

cardiac tamponade

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13
Q

cardiac tamponade is

A

external compression of the heart

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14
Q

cardiac tamponade is due to

A

accumulation of fluid, pus, air in pericardial space

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15
Q

cardiac tamponade can restrict

A

filling & emptying of the heart (Can be life threatening)

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16
Q

Manifestations of cardiac tamponade

A
  • heart not able to fill, not able to empty
  • decrease in cardiac output
  • decrease in arterial pressure
  • temporary tachycardia (whenever CO decreases, SNS kicks in increase HR) (compensation then de-compensation thats why temporary)
17
Q

Treatment of cardiac tamponade

A

STAT pericardiocentesis (removal of fluid)