Scribd Logo
Upload

Welcome to Scribd!

  • 8 views

    Cardiomyopathy

    Uploaded by

    justnutella1991

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Cardiomyopathy

    Uploaded by

    justnutella1991
    8 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8 views1 page

    Cardiomyopathy

    Uploaded by

    justnutella1991

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    lOMoARcPSD|22650627

    Cardiomyopathy
    Med Surg: Cardiac

    Pathophysiology

    • Dilated Cardiomyopathy:
    Think “Distended heart muscles”,
    clients present with fibrosis (stiff DILATED RESTRICTIVE HYPERTROPHIC
    hard muscles) of the myocardium Distended heart muscle “Rock hard’’ heart muscle Huge trophy-like heart muscle
    and endocardium, dilated chambers,
    making it hard for the heart to pump
    out oxygen rich blood.

    • Restrictive Cardiomyopathy:
    Think “Rockhard heart muscles”, so
    the heart cannot RE-fill with REstric-
    tive cardiomyopathy, emboli (blood
    clots) are common.
    Pharmacology Labs & Diagnostics
    • Hypertrophic Cardiomyopathy:
    Think “Huge Trophy like heart
    muscles” in the middle septum • Chest X-ray & MRI
    which can obstruct the aorta block • Echocardiogram measures
    ing all oxygenated blood out to the Ejection Fraction (blood pumped out
    body - very deadly! of heart) 55 - 70% = normal 40% or
    Obstructive = blocks the Aortic valve LESS = BAD (heart failure)
    Non-obstructive = does not block • Angiography
    Highlights the coronary arteries to
    All problems lead to see blockages & rule out ischemic
    LESS cardiac output meaning heart disease (low oxygen to heart
    LESS oxygen rich blood OUT to the muscles)
    body.
    • BNP
    “B-type or Brain Natriuretic Peptides”
    Breaking & Stretching of ventricles
    Causes

    • Hypertrophic = genetics ONLY NCLEX


    NCLEX TIP
    TIP
    NCLEX TIP BNP ELEVATED
    • Dilated & Restrictive
    • Genetics
    • Damage to the heart = radiation 100 OR LESS - NORMAL

    101-299+ MILD ELEVATION

    Signs & Symptoms HOLD MED IF: 300+ MILD HF


    1. Apical Pulse 60
    • Low oxygen 600+ MODERATE HF
    2. Potassium (K+) 3.5
    • Restlessness, agitation, altered
    level of consciousness NCLEX TIP (Risk for Dig Toxicity)

    • syncope, dizzy + fatigue 3. Digoxin Toxicity OVER 2.0 900+ SEVERE HF


    • Heart failure signs Vision Changes, N/V, Fatigue ‘’dizzy’’
    • Left sided = lung fluid
    • Right sided = rocks the body with Education
    fluid (edema, ascites, JVD)

    Dilated cardiomyopathy
    • S3 murmur Side note:
    • Cardiomegaly (dilated heart) Hypertrophic Cardiomyopathy
    • B - Beta blockers
    Restrictive Cardiomyopathy • C - Calcium channel blockers
    • (same general low oxygen & HF) NO DDD
    • D - Dilators
    Hypertrophic Cardiomyopathy • D - Digoxin
    • Typically asymptomatic (no s/s) • D - Diuretics
    until heavy exercise & then the NO strenuous activity!
    child DIES!

    You might also like