Cardiomyopathy- Med Surg Questions with Correct Answers

Cardiomyopathy- Med Surg Questions with Correct
Answers
Cardiomyopathy Correct Answer--disease of the heart muscle
-3 types:
-primary:
-secondary


Dilated Cardiomyopathy Correct Answer--another term for congestive
cardiomyopathy
-most common
-often follows infectious myocarditis
-distended ventricle, thinned heart walls; body thinks BP is low
-ventricles aren't able to refill as they should
-s/s may develop acutely after an infection ,or over time
-can develop heart failure w/ this
-causes: alcohol, cocaine, pregnancy, valve disease
-EF = 40%


normal ejection fraction Correct Answer-55-70%


Dilated Cardiomyopathy S/S Correct Answer--dyspnea at rest
-paroxysmal nocturnal dyspnea
-fatigue

, -orthopnea


Dilated Cardiomyopathy DRESS Correct Answer-D- Diet
R- Rest Periods
E- Exercise
S- Stop smoking
S- Stress reduction


Dilated Cardiomyopathy Interventions Correct Answer--check apical
pulse for 60 seconds
-Monitor digoxin levels - above 2.0 = high
-monitor for hypokalemia
-meds: nitro/ates, diuretics (lasix), ACE inhibitors, anti dysrhythemics
(amiodarone)


Right heart failure s/s Correct Answer-Blood backs into systemic
circulation
Pressure rises in systemic venous circulation, resulting in peripheral
edema and hepatosplenomegaly (ascites)
Jugular venous distension
Pitting edema


Left heart failure s/s Correct Answer-Fatigue and activity intolerance
Cough (often dry initially)