CV Games

FILL IN THE BLANKS GAME

The nurse is caring for a male patient 55 years old. He is a retired teacher who has been complaining of SOB at rest, fatigue, palpitations, and increased ankle edema. His examination is as follows: tachycardia, JVD, bilateral crackles, & bilateral pitting edema. What is the potenial diagnosis?

Dilated Cardiomyopathy

hypertrophic cardiomyopathy

Dilated Cardiomyopathy

restictive cardiomyopathy

The chest xray shows cardiomegaly with an enlarged left ventricle and bilateral effusions. What would you expect the physician to order next?

Heart catherization

Echocardiogram

Echocardiogram

endomyocardial biopsy

FILL IN THE BLANKS GAME

EF 20-25%

what are the potenial outcomes of that diagnostic study?

elevated BNP

EF 20-25%(why is this occuring?)

Pleural effusions

What medications will decrease the preload of the heart to help enhance heart contractility?

Anticoagulation

Nitrates, Diuretics

Nitrates & Diuretics (list them)

Ace Inhibitors

Morphine

What medication can potentially reduce afterload through increasing cardiac output and vasodialtion?

Ace Inhibitors

Ace Inhibitors(list them)

Loop diuretics

heart transplant

The prognosis can vary based on underlying causes and severity. As the nurse, what can improve the patients quality of life?

Lifestyle Modifications

Maintaining BP 160/80's

Lifestyle modifications (list them)

FILL IN THE BLANKS GAME

The nurse is caring for a 28 year male patient, who is a cross country runner. He complains of exertional dyspnea and syncopal episodes. What is occuring with this patient?

Hypertrophic Cardiomyopathy

Perpiheral Arterial Disease

Hypertrophic Cardiomyopathy

Pulmonary Embolism

The patient complains of three syncopal episodes on three seperate occasions when running. He is currently training for a marathon. What is happening to his heart when the syncopal episodes are occuring?

Unstable Angina

Obstructed aortic flow

bradycardia

Obstructed aortic flow(why is this occuring)

FILL IN THE BLANKS GAME

This patient has a echocardiogram ordered. What might you findings may be resulted for this patient?

right side thickening

left ventricular thickening

Left ventricular thickening( why is this happening?)

atrial enlargement

Thiazide Diuretic

How can the ventricular filling be improved? what medications may we see ordered for this patient?

Loop Diuretics

Beta Blockers

Beta Blockers

genetic testing

What would be the nurses primary concern for education for this patient?

nitroglycerin

reduce activity

reduce activity

"I will continue condition my heart through heavy weight lifting"

what patient statement would indicate that the patient understands the treatment plan?

" I should notify my provider of loose stools"

"I will report signs of weight gain, edema, SOB"

"I will report signs of weight gain, edema, SOB"

Focus on Relief Therapy

- avoid strenous activity - avoid dehydration - rest and elevation of feet- DO NOT take Nitroglycerin, it will worsen the symptoms and decreasing venous return and increasing obstructed blood flow.- avoid stimulants

The Goals of Care: Medications

DON'T FORGET YOUR DIGOXIN!

• Digoxin induces an increase in intracellular sodium that will drive an influx of calcium in the heart and cause an increase in contractility.
• increases the force of the heartbeat and decreases the heart rate