Summary

This is a review for a unit 3 exam covering cardiovascular topics: valvular heart, cardiomyopathy, pericarditis, endocarditis, and Kawasaki disease. The document includes definitions, characteristics and criteria important for this exam

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Valvular Heart Cardiomyopathy Pericarditis Endocarditis Kawasaki 100 100 100 100 100 Name the 4 main Type of Acute pericarditis is Anti...

Valvular Heart Cardiomyopathy Pericarditis Endocarditis Kawasaki 100 100 100 100 100 Name the 4 main Type of Acute pericarditis is Antibiotics used for Criteria to diagnose heart valves and cardiomyopathy with most commonly endocarditis- Name 4 Kawasaki where they are high incidence of associated with which located. sudden cardiac death. 4 things? Name at Penicillin Fever for 5+ days, Explain why. least 3/4. Tricuspid- between Ampicillin Plus 4/5 of the the right atria and Hypertrophic Infective organisms following: right ventricle cardiomyopathy. It Vancomycin can cause sudden Post-Myocardial -cervical Pulmonic-Between the infarction syndrome Gentamycin lymphadenopathy cardiac death when right ventricle and the the septal wall aka Dresssler Ceftriaxone -rash w/ diffuse pulmonary artery becomes so thick it Syndrome erythroderma obstructs the Cefazolin Mitral/bicuspid- aorta/aortic valve so Postpericardiotomy between the left syndrome -Changes in oral no output is going out Rifampin mucosa- erythema, atrium and left to the body. May ventricle Acute exacerbation of cracking, happen quickly with oropharyngeal systemic connective overexertion. reddening, strawberry Aortic - between the tissue disorders left ventricle and the tongue aorta -Bilateral conjunctival injection w/o exudate -Changes in the extremities- edema/erythema on palms and soles, periungual desquamation o the hands and feet CRASH and Burn 200 200 200 200 200 Describe the Medications used for Pneumonic to Complications of Long-term difference between Dilated remember symptoms endocarditis (name 3) complication of stenosis, prolapse, cardiomyopathy- with the symptoms Kawasaki Disease and name the class and Valvular dysfunction insufficiency/regurgita give an example of FRICTION Development of tion. them. Embolism coronary artery Friction rub, fever aneurysms. Stenosis is the ABCDD- meds Heart Failure stiffening/thickening/f Radiating substernal Ace inhibitors- pain to left shoulder, Systemic using of the valve to lisinopril neck, back Complications ie renal reduce its ability to failure, neurological open all the way Beta-blockers - Increased pain in defects, etc which reduces flow atenolol, metoprolol, supine through it. carvedilol Chest pain, stabbing Prolapse is when the valve falls back into Calcium channel blockers- nifedipine, Trouble breathing the atrium or prior when lying down cavity. verapimil, diltiazem Diuretics- Inspiration or Insufficiency/regurgit coughing causes pain ation is when the furosemidee vales do not close all Overall feeling sick Digoxin- the way causing a back flow of blood. Statins- simvastatin Noticeable ST- segment elevation Aldosterone antagonists- spironolactone 300 300 300 300 300 Post-op education for NEVER give these Medications used to How to diagnose Treatment for valve replacement medications for treat Pericarditis and Endocarditis (name Kawasaki Disease (name 5 separate hypertrophic what they are used 3) things) cardiomyopathy. for. IVIG w/ salicylate Positive blood cultures therapy low H&H Aspirin Prophylactic The 3 D's- Digoxin, Aspirin or NSAIDs- antibiotics diuretics, dilators help with pain and Echocardiography- Antithrombotic meds- (vasodilators) inflammation shows evidence of for children with Warfarin for endocardial aneurysms mechanical valves- Colchicine- help involvement many associated reduce inflammation, education points here and reduce risk of Transesophageal recurrence (what to echocardiography return to normal remember about (TEE)- Allows activity after 6 weeks, this?) visualization of no heavy physical cardiac structures activity for 3-6 Corticosteroids like that are difficult to months. prednisone, reduce see with the TTE inflammation and No invasive dental immunosuppress New Murmur procedures for 6 months No using MRI Medical alert bracelet/ card for valve info When to call the provider 400 400 400 400 400 Procedural and The 3 main types of Signs of cardiac Describe symptoms Nursing scope of surgical treatments cardiomyopathy and tamponade (5) when emboli travels practice interventions for Valvular Heart basic description of to 3/6 of these to assist with disease: Name 2 of each. JVD locations: Spleen, symptom relief of each. Kidneys, MEsenteric, Kawasaki Disease Dilated- the heart is Paradocical pulse aka Central Nervous (Name 5) Procedural: stretched pulsus paradoxus System, Lungs, Valvuloplasty, out/distended. systemic/extremities Cool cloths Transcatheter aortic Tachycardia valve replacement Hypertrophic- left Spleen: sudden unscented lotions ventricular Muffled Heart Sounds (TAVR), Transcatheter abdominal pain and radiation to left soft, loose clothing Hypotension Mitral Valve Repair- hypertrophy shoulder w/ mouth care Mitra clip. obstructing output abdominal rebound Treatment: tendarness lubricating ointment Surgical: Valve Restricted- ventricular Pericardiocentesis for lips replacement, Valve walls are stiff, Kidneys:flank pain Annuloplasty, restricting output radiating to groin, Clear liquids/soft Commisurotomy, hematuria, pyuria foods Valve-sparing aortic root replacement, Mesenteric: diffuse Quiet environment Ross procedure abdominal pain, esp. after eating, abdominal distention CNS: TIA/Stroke symptoms, confusion, reduced concentration, aphasia, dysphasia etc Lungs: Pleuritic chest pain, dyspnea, cough, anxiety, agitation, restlessness, Rapid HR Systemic/Extremities: petechiae, Janeway lesions, Osler's nodes, splinter hemorrhages, roth spots 500 500 500 500 500 What are the 4 types What are 4 relative Treatments for Pneumonic to Discharge Education of valves that can be contraindications for a chronic/recurring remember for Kawasaki Disease used for replacement- heart transplant? pericardial effusion Endocarditis (list 4) explain what they are, symptoms. Give the which lasts the Severe obesity Pericardial window actual symptoms Irritability may last 2 longest and why? creation- small months portion of pericardium PATHOGENS Psychological is removed to permit Periungual Xenograft- another impairment excess fluid to drain desquamation begins species (ie bovine etc) Petechiae into the pleural space 2nd or 3rd week, Hx of non-adherence painless peeling but Allograft- Cadaver to medications Pericardectomy - Anorexia new skin may be Autograph-Self removal of the tender Active substance toughened encasing Tired/weak Mechanical- Man- abuse of the pericardium Temporary arthritis High fever, heart made failure Irreversible liver or No live immunizations kidney disease for 11 months Osler's nodes Uncontrolled diabetes Daily temps for 1-2 FinGer nail changes weeks Lack of social support (splinter hemorrages) Heart-healthy Unrealistic Embolic events + lifestyle expectations Janeway lesions Night sweats , New More specific Murmur education for children Splenomegaly, Roth with aneurysms Spots

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