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NUR 213 Exam 2
- Cardiomyopathy
Answer Definition
Disease of the heart muscle associated with car- diac dysfunction -acquired -hereditary
- Primary cardiomyopathy
Answer Genetic Nongenetic Acquired "heart muscle"
- Secondary cardiomyopathy
Answer Amyloidosis sarcoidosis scleroderma "myocardial involvement related to a disease"
- Cardiomyopathy
Answer Patho A series of events = decreased CO Decreased stroke volume = sympathetic nervous system and renin-angiotensin- aldosterone stimulation increase in vascular resistance increase in sodium = fluid retention
= WORKLOAD ON HEART
"Decreased ejection fraction on echo"
- Dilated Cardiomyopathy
Answer "TOO BIG" most common 1 / 4
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enlarged of ventricles, weakens heart diastolic murmur Causes
Answer
HTN heavy alcohol infection genetics
- Hypertrophic Cardiomyopathy
Answer "TOO THICK" autosomal genetic disorder thickening of heart muscle sudden death in teens and young adults, ATHLETES ***IF GENETIC... AND ASYMPTOMATIC... annual screening DXECG, physical, echo
- Restrictive Cardiomyopathy
Answer "TOO STIFF" least common rigid ventricles SX
Answer
ARRHYTHMIA
dyspnea, non productie cough, chest pain CauSE disease DXbiopsy
- Arrhythmogenic right ventricular cardiomyopathy
Answer Uncommon progressive scaring and adipose buildup
- Unclassified Cardiomyopathy
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Answer Different form or have more than one type TX
Answer underlying cause
- Ischemic Cardiomyopathy
Answer enlarged heart related CAD and heart failure
- Cardiomyopathy
Answer SX
Answer asymptomatic for years chest pain palpitations dizzy nausea syncope extra heart sounds (S3 and S4) Heart failure sx
- JVD
- peripheral edema
- crackles
- Cardiomyopathy
Answer SX (Memory Trick)
Answer "ABCCDEF... JNS" Asymptomatic beats extra (S3 and S4) Chest pain Crackles Dizzy Edema Failure of heart JVD Nausea Syncope
- Cardiomyopathy
Answer DXPatient history Family history Echo Cardiac MRI ECG Chest xray Endometrial biopsy
- Cardiomyopathy 3 / 4
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Answer TX
Answer DIET (low sodium) EXCERCISE
FLUID INTAKE (LIMITED 2L/ DAY (CONGESTION) GENETIC TESTING
correct hf with meds antiarrhythmics icd devices avoid dehydration beta blockers pacing heart transplant vad
- Cardiomyopathy
Answer What to report?
Answer weight gain 2 to 3 lbs in one day 5 lbs in one week unusal shortness of breath increased swelling persistent cough loss of appetite restless sleep
increased number of pillows needed to sleep profound fatigue
- Cardiomyopathy
Answer Surgeries
Answer Myectomy Heart transplant Mechanical assist devices (VAD)
- Cardiomyopathy
Answer Surgery
Answer Heart Transplant
Answer Immunosuppressants= de- crease rejection UNOS (United Network for Organ Sharing) UNOS Candidates
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