/ 2027): Multidimensional Care III / MDC 3 -
Rasmussen | Verified
• Left sided heart failure S/S -✓✓weakness, fatigue, pulmonary edema, SOB, orthopnea
• Right sided heart failure S/S -✓✓peripheral edema, weight gain, enlarged liver, JVD,
increased thirst
• Diagnosis of heart failure -✓✓Echocardiogram
Labs: BNP, stress test, chest x-ray, BUN, CBC, creatinine
• Heart failure patient teaching -✓✓daily weight
low sodium
fluid restriction
diet and exercise
when to notify provider
• Medications for heart failure -✓✓ACE, ARBs, diuretics, aspirin, nitrates, beta blocker
• Risks of developing heart failure -✓✓hypertension, diabetes, CAD, drinking, smoking,
obesity, sedentary lifestyle, mitral regurgitation
• Valvular disease -✓✓Mitral stenosis
Mitral regurgitation
Mitral prolapse
Aortic stenosis
Aortic regurgitation
• Risk factors mitral injuries -✓✓rheumatic fever
infective endocarditis
• Valvular disease surgery -✓✓valve replacement
balloon vulvoplasty
• Valvular disease medications -✓✓antibiotics for infection
beta blockers
diuretics
• Valvular disease long term therapy -✓✓anticoagulant therapy
antibiotics
diet and exercise
, stay on meds
• Endocarditis -✓✓inflammation of the inner lining of the heart
• Endocarditis findings -✓✓abnormal heart sounds
• Pericarditis -✓✓inflammation of the sac surrounding the heart
• Pericarditis findings -✓✓**chest pain**
pleural friction rub
• Biggest risk of pericarditis -✓✓cardiac tampanode
• Coronary artery disease -✓✓build up of plaque in coronary arteries
• Acute coronary syndrome -✓✓progression of plaque build up (completely occludes or
breaks off)
• Ischemia -✓✓lack of oxygen to tissue
• Infarction -✓✓death of tissue
• Risk factors for CAD -✓✓smoking, obesity, hypertension, diet, sedentary lifestyle,
diabetes
• Angina -✓✓Pain in the heart region caused by lack of oxygen
(oxygen demand of coronary muscle is higher than can be delivered)
• Stable angina -✓✓chest pain that occurs when a person is active or under severe
stress
• Unstable angina -✓✓chest pain that occurs while a person is at rest and not exerting
himself
• Medication for angina -✓✓Nitroglycerin
• Nitroglycerin administration -✓✓- do they take erectile dysfunction meds? DO NOT
GIVE
- monitor BP, every 5 minutes
- 1 sublingual tab every 5 minutes, up to 3 doses
- if pain does not go away with 3 tabs, give morphine
• What does morphine do? -✓✓decreases oxygen demand and relieves pain