Rise: 1056 LVC & Pericarditis

Question 1

Recall manifestations of CKD related to left ventricular hypertrophy:

Answer 1

-Intradialytic hypotension ( PT BP drops significantly during treatment
-Ischemic heart disease (blood flow drops significantly during treatment.
-Sudden death

Question 2

Recall manifestations of CKD related to pericarditis:

Answer 2

-Constance pain in the center of chest
-Fever & low blood pressure
-Irregular heartbeat and other symptoms

Question 3

Arrythmias:

Answer 3

Abnormal heart rate or rhythm

Question 4

Myocardial Infraction:

Answer 4

or heart attack, occurs when blood flow decreases or stops in one arteries of the heart causing infarction (tissue death) in the heart muscle.

Question 5

Identify the overall treatment goals for a patient with LHV:

Answer 5

-Life style changes like: diet, exercise, and smoking cessation
-Take BP medications as prescribed to prevent hypertension
-Take diuretics medications as prescribed to prevent fluid overload
-Surgery to repair/replace damaged valve if necessary

Question 6

Identify the overall treatment goals for a patient with pericarditis:

Answer 6

-Get adequate dialysis
-Get the appropriate amount of fluid
-Take anti-inflammatory drugs if needed
-Take all prescribed antibiotics
-In some cases, surgery may be required

Question 7

LVH- Left Ventricular Hypertrophy:

Answer 7

is the enlargement and thinking of the walls of your hearts main pluming chamber.

Question 8

Some symptoms of LVH- Left Ventricular Hypertrophy are:

Answer 8

shortness of breath, fatigue, chest pain (often after exercising), dizziness/fainting, and sensations or rapid fluttering/pounding heartbeats (palpitations)

Question 9

Pericarditis is:

Answer 9

the inflammation of the membrane or sac sound the heart.

Question 10

Pericarditis Friction Rub:

Answer 10

is often described as the sound of a heart beat being a scratching sounding.

Question 11

What are some symptoms of dialysis patient with LVH?

Answer 11

Hypotension, irregular heartbeat, sudden cardiac arrest and heart attack

Question 12

When the ventricular muscle walls enlarges, it loses elasticity and becomes stiff. How dose this negatively impact the body?

Answer 12

It prevents the chambers from filling completely and pumping effectively which decreases the amount of blood that can flow through the ventricle.

Question 13

What are some symptoms a dialysis patient with Pericarditis could experience?

Answer 13

Hypotension irregular heartbeats, chest pain and/or pericardial friction rub

Question 14

Which of the following is NOT a treatment for Pericarditis: chest tubes, adequate dialysis, surgery, and anti-inflammatory drugs.

Answer 14

Chest Tube

Question 15

What medication should be help is patient has suspected or diagnosed Pericarditis?

Answer 15

Heparin

Question 16

What complication of dialysis patient make them as risk for developing LVH?

Answer 16

Chronic hypertension (pressure overload), volume overload (hypervolemia/fluid retention), and anemia

Question 17

What is a consequence of prolonged fluid overload & hypertension:

Answer 17

Left Ventricular Hypertrophy

Question 18

What is pericarditis?

Answer 18

Inflammation of the membrane (pericarditis sac) surrounding the heart.

Question 19

What is the treatment for pericarditis?

Answer 19

Decrease or stopping heparin and more frequent dialysis.

Question 20

What is a common cause of hypertension in dialysis patients?

Answer 20

Flid overload

Question 21

Left ventricular hypertrophy leads to:

Answer 21

Ischemic heart disease, arrythmia, myocardial inflammation and sudden death.