CV Games

Echocardiogram

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

Dilated Cardiomyopathy

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?

FILL IN THE BLANKS GAME

endomyocardial biopsy

restictive cardiomyopathy

hypertrophic cardiomyopathy

Echocardiogram

Heart catherization

Dilated Cardiomyopathy

Lifestyle modifications (list them)

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

Ace Inhibitors(list them)

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

Nitrates & Diuretics (list them)

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

FILL IN THE BLANKS GAME

Pleural effusions

Ace Inhibitors

Ace Inhibitors

Maintaining BP 160/80's

Lifestyle Modifications

Nitrates, Diuretics

Loop diuretics

elevated BNP

Anticoagulation

heart transplant

EF 20-25%

Morphine

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

what are the potenial outcomes of that diagnostic study?

Obstructed aortic flow(why is this occuring)

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?

Hypertrophic Cardiomyopathy

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?

FILL IN THE BLANKS GAME

bradycardia

Pulmonary Embolism

Perpiheral Arterial Disease

Obstructed aortic flow

Unstable Angina

Hypertrophic Cardiomyopathy

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

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

reduce activity

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

Beta Blockers

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

FILL IN THE BLANKS GAME

atrial enlargement

reduce activity

Loop Diuretics

" I should notify my provider of loose stools"

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

Beta Blockers

nitroglycerin

right side thickening

Thiazide Diuretic

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

left ventricular thickening

genetic testing

Left ventricular thickening( why is this happening?)

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

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