Cardiovascular System (Part-12) PDF

Summary

This document provides notes on the cardiovascular system, focusing on congestive heart failure and its causes in infants and children. It includes features of right and left heart failure, and treatment options.

Full Transcript

1 sharing by any means electronic like emailing, WhatsApp, Telegram, Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. An...

1 sharing by any means electronic like emailing, WhatsApp, Telegram, Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. Any person involved directly & indirectly will be punishable & fined. All rights are reserved. These notes are the copyright of Nursing Next Live. Reproduction of these notes by any form or by any means electronic or mechanical including, screenshot, photocopying, printout, scanning, or circulating and CARDIOVASCULAR SYSTEM (PART-12) Congestive Cardiac Failure (00:02:00) Please Note All rights are reserved. These notes are the copyright of Nursing →→ Inability of the heart to maintain an output, at rest or Next Live. Reproduction of these notes by any form or by during stress any means electronic or mechanical including, screenshot, photocopying, printout, scanning, or circulating and sharing by any means electronic like emailing, WhatsApp, Telegram, Causes (00:02:55) Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. Any person involved directly & indirectly will be punishable & fined. Infant:- →→ Congenital heart disease →→ Myocarditis Student’s Space →→ Kawasaki disease with coronary occlusion →→ Persistent Pulmonary Hypertension of Newborn (PPHN) →→ Miscellaneous: anemia/hypoglycemia →→ Infections/Hypocalcemia Children:- →→ Rheumatic fever (beyond 5 years) →→ Rheumatic heart disease →→ Systemic hypertension →→ Myocarditis Features of Right Heart Failure (00:10:00) 1. Periorbital swelling 2. Facial puffiness 3. Raised JVP 4. Tender Hepatomegaly 5. Ascites 6. Effusion 7. Scrotal Edema 8. B/L pitting pedal edema Features of Left Heart Failure →→ Cough →→ Wheezing 2 →→ Tachycardia Please Note sharing by any means electronic like emailing, WhatsApp, Telegram, Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. Any person involved directly & indirectly will be punishable & fined. All rights are reserved. These notes are the copyright of Nursing Next Live. Reproduction of these notes by any form or by any means electronic or mechanical including, screenshot, photocopying, printout, scanning, or circulating and →→ Tachypnea All rights are reserved. These notes are the copyright of Nursing →→ Rales in chest Next Live. Reproduction of these notes by any form or by any means electronic or mechanical including, screenshot, photocopying, printout, scanning, or circulating and sharing by any means electronic like emailing, WhatsApp, Telegram, Features of Either side (00:15:00) Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. Any person involved →→ Cardiac enlargement directly & indirectly will be punishable & fined. →→ Peripheral cyanosis →→ Not gaining weight →→ Small volume pulse Student’s Space Treatment (00:15:45) →→ Airway (30° propped up) →→ Breathing →→ Circulation 1. Reducing the cardiac work 2. Increasing myocardial contractility 3. Improving cardiac performance 4. Correcting the underlying cause 1. Reducing the cardiac work 1. Restricting patient activities 2. Sedatives 3. Treat fever/anemia/obesity 4. Mechanical ventilation 5. Propped upto 30 degrees: the pooling of edema fluid in the dependent areas reduces the collection of fluid in lungs, thus reducing the work of breathing. Reducing cardiac work:- →→ ACE inhibitors - Captopril/enalapril →→ They reduce the renin angiotensin aldosterone system. Reducing vasoconstriction + salt and water retention →→ β-blocker to reduce the tachycardia (Metoprolol/ carvedilol) 3 Increasing myocardial contractility:- Please Note sharing by any means electronic like emailing, WhatsApp, Telegram, Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. Any person involved directly & indirectly will be punishable & fined. All rights are reserved. These notes are the copyright of Nursing Next Live. Reproduction of these notes by any form or by any means electronic or mechanical including, screenshot, photocopying, printout, scanning, or circulating and All rights are reserved. These notes are the copyright of Nursing Next Live. Reproduction of these notes by any form or by any means electronic or mechanical including, screenshot, photocopying, printout, scanning, or circulating and sharing by any means electronic like emailing, WhatsApp, Telegram, Facebook, Instagram and by any mechanical means will be treated as violation of Copyright Act. Any person involved directly & indirectly will be punishable & fined. Student’s Space

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