VALVULAR DISORDERS

Question 1

what circulation - heart to the body system

Answer 1

systemic

Question 2

what circulation - heart to lungs

Answer 2

pulmonic

Question 3

fibrous tissue, anchors heart valves

Answer 3

annulus

Question 4

decreased CO = increased PR = muscle ___

Answer 4

hypertrophy

Question 5

stenosis means
regurgitation means

Answer 5

narrowing
back flow / incompetent / insufficient

Question 6

• valves are overly stretched
• uneven closure
• no backflow

Answer 6

prolapse

Question 7

• signs of valvular disorder
• whooshing sound
• disturbance sa blood flow

Answer 7

heart murmurs

Question 8

• gush of blood that is palpable (heart murmurs pero palpate)

Answer 8

palpable thrill

Question 9

mitral and aortic what SIDED heart failure

Answer 9

left sided

Question 10

mitral valve stenosis > increased ___ on left atrium > poor left ventricle ___ > decreased CO

Answer 10

increased pressure on LA
poor LV filling

Question 11

aortic valve stenosis > ___, ___, ___, ___ > increased LV pressure > decreased CO

Answer 11

CHI-H ! (chee)

calcification
hypercholesteremia
inflammatory
HTN

Question 12

left sided heart failure leads to backflow of blood in _____

Answer 12

pulmonary circulation

Question 13

mitral valve regurgitation > weakened ___ ___ > incompetent ___ > blood regurgitate to LA > increased pressure > decreased CO

Answer 13

weakened chordae tendineae
incompetent valve

Question 14

aortic valve regurgitation > ___, ___ > incompetent valve > blood regurgitate to LV > increased pressure > decreased CO

Answer 14

inflammatory response
congenital abnormalities

Question 15

aortic valve regurgitation manifestations at later stage:

Answer 15

De Musset’s
Quincke’s
Muller’s

Question 16

uncontrolled nodding

Answer 16

De musset’s

Question 17

pulsation on nail beds

Answer 17

quincke’s

Question 18

pulsation on uvula

Answer 18

muller’s

Question 19

respiratory manifestations of left sided heart failure

Answer 19

COPD !

cough
orthopnea
pink frothy sputum
dyspnea
(PULMO EDEMA)

Question 20

tricuspid and pulmonic what SIDED heart failure

Answer 20

right sided

Question 21

tricuspid valve stenosis > ___, ___ > increased pressure in RA > decreased CO

Answer 21

rheumatic fever
vegetation

Question 22

pulmonic valve stenosis > ___ > increased pressure in RV > decreased CO

Answer 22

congenital

Question 23

right sided heart failure > backflow of blood in ___

Answer 23

systemic circulation

Question 24

tricuspid and pulmonic valve regurgitation > ___ > backflow of blood > increased pressure > decreased CO

Answer 24

incompetent valve

Question 25

heart complications of valvular disorders

Answer 25

Some Cute Little Friends Play Happy Jingles And Parties SOB Chest pain Loss of consciousness Fatigue Palpitation Hepatomegaly / Splenomegaly JVD, increased CVP Ascites Peripheral edema

Question 26

medical surgical management (3)

Answer 26

- focus on dysrhythmias - valvuloplasty - valve replacement

Question 27

medications:

Answer 27

diuretics ace inhibitors vasodilators antiarrhythmics anticoagulants antibiotics

Question 28

creation of opening in the valve

Answer 28

commissurotomy

Question 29

repair of annulus

Answer 29

annuloplasty

Question 30

repair of chordae tendineae

Answer 30

chordoplasty

Question 31

2 types of valve replacement

Answer 31

mechanical tissue valves

Question 32

valve replacement is prone to (3)

Answer 32

rejection infection thrombus / clot formation

Question 33

one nursing management is to WOF the signs and sx of (3)

Answer 33

heart failure dysrhythmias angina pectoris