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MS CV IV

AB
These things are built into our system to help the body compensate for changes and maintain cardiac outputCompensatory mechanisms
Compensatory mechanisms, designed to help maintain cardiac output, can also lead to this, creating a cycle that leads to more problemsHeart Failure
Because of increased blood flow to the heart to increase cardiac output, blood flow is decreased to what organKidneys
What causes compensatory mechanisms to begin (associate this wth cardiac patients)?CAD, MI, Cardiomyopathy, valve problems, HTN, Ischemia, etc
This is the major cause of LSHFHTN because of peripheral vascular resistance (pressure in the aorta and arteries that tells the LV how much force is needed to eject blood)
Signs of LSHF are of this nature.Pulmonary
The major cause of RSHF is thisLSHF
Signs of RSHF are of this natureSystemic (like edema of extremities and organs)
Hemodynamic monitoring with a Swanz-Ganz cath measures thisRight-sided heart pressures directly and left-sided heart pressures indirectly
Why is a pacemaker put in a client with severe heart failure?With ventricular failure, one ventricle falls behind slightly in contractions - pacing them will ensure they beat together
What is the purpose of an intra-aortic balloon pump (IABP)?To increase blood flow to the coronary arteries during ventricular diastole to ensure the myocardium is oxygenated
Why is a pacer needed after a cardiomyoplasty?Skeletal muscle is used as the transplanted muscle and it has no ability to create its own impulse.


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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