cor pulmonale
hypertrophy of the right side of the heart, with or without HF
results from pulmonary HTN
atelectasis
collapse of the alveoli that prevents normal exchange of oxygen and carbon dioxide
diffusion
exchange of respiratory gases
clubbing
caused by chronic lack of oxygen
causes of barrel chest
overuse of accessory muscles to breathe and air trapping in emphysema
hypoxia
inadequate tissue oxygenation at the cellular level
S/Sx of hypoxia
decreased LOC restless confusion dizzy behavioral changes central cyanosis increased pulse and RR
Interventions to reduce atelectasis or pneumonia post-op/immobile
incentive spirometer deep breathing/coughing exercises postural drainage chest percussion noninvasive positive pressure ventilation NPPV early ambulation sitting upright
recommended INR level
2.0-3.0
S/SX of right sided heart failure
"AW HEAD" A- Anorexia and nausea W- Weight gain H- Hepatomegaly E- Edema (bipedal) A- Ascites D- Distended neck vein (JVD)
S/SX of left sided heart failure
"DO CHAP" D- Dyspnea O- Orthopnea C- Cough, Crackles H- Hemoptysis A- Adventitious breath sounds P- Pulmonary congestion