13) Effects of Cardiopulm Diseases Flashcards

(46 cards)

1
Q

What are all the categories of problems that can manifest from cardiopulm pathologies?

A
  • Musculoskel
  • Neuro
  • Renal
  • Endocrine
  • Hematologic
  • Nutritional
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2
Q

What needs to be done when tx’ing a cardiac pt?

A
  • ID if the dysfxn can limite the pt’s response to tx
  • Determine if tx should be modified
  • Determine if tx is contraindicated
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3
Q

2° msk effects of cardiopulm disease

A
  • Respiratory muscles

* Skeletal deformities–>scoliosis

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4
Q

Why do cardiac pathos have effects on the msk system?

A

Bc of inactivity

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5
Q

What problems can cardiac pathos cause to the chest wall?

A
  • Decr lung vol
  • Decr flow rates
  • Decr inspiratory & expiratory pressures
  • Incr atelectasis
  • Incr dynamic A/W compression
  • VQ mismatch
  • Inefficient breathing pattern
  • Incr risk of aspiration
  • Incr risk of obstruction bc of mucous
  • Restricted mobility
  • Mediastinal compression
  • Impaired cough & gag reflex
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6
Q

What CT problems can result from cardiac pathos?

A
  • Scleroderma
  • SLE
  • RA
  • Ankylosing Spondylitis
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7
Q

What can inflammation & tissue injury affect?

A
  • AW
  • Lungs
  • Pleura
  • Pulmonary vasculature
  • Respiratory muscles
  • Heart
  • Pericardium
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8
Q

What should you look for in a pt w/alveolar hemorrhage & pulmonary HTN?

A

SOB

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9
Q

True or false: The electrical conduction system & mechanical behavior of the heart can be affected w/cardiac pathos

A

True

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10
Q

How do problems 2° to cardiac pathos tend to manifest?

A

Like restrictive diseases

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11
Q

Marfan’s Syndrome

A

Abn CT of great arteries, cardiac valves, skeletal system, & skin

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12
Q

How does early renal failure often appear?

A

W/sx’s of malaise, upset stomach, & poor health

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13
Q

CV complications cause what percent of deaths in ESRD?

What are these deaths from?

A
  • 50%

* From MI or heart failure

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14
Q

What kind of HR/BP response to ESRD pt’s on dialysis have to exercise?

A

Hypotension

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15
Q

Why should ESRD pt’s be fed ice chips?

A

Bc their fluid vol needs to be incr but they can’t have too much fluids bc they can’t pee it out

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16
Q

What response to exercise do transplant pt’s have & why?

A

HTN bc of cyclosporine

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17
Q

Should you tx a pt after they get dialysis

A

Prob not bc they’ll be wiped out

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18
Q

What will decr RBC’s cause?

A

Fatigue & exertional dyspnea

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19
Q

What is the renal complication that can manifest w/CP pathos?

A

Early Renal Failure

20
Q

What are the hematologic sequelae of CP pathos?

A
  • RBC abn’s
  • Hgb abn’s
  • O2 transport abn’s
  • Sickle cell
  • CHF
21
Q

W/what Hgb range is exercise contraindicated?

22
Q

If exercise is contraindicated bc of high Hgb, are low level mobes safe?

23
Q

What can happen if PaO2 is <50torr?

24
Q

What endocrine problem can occur as a result of CP pathos?

25
What nutrition-related problem can occur as a result of CP pathos?
Obesity
26
What problems can arise when a pt is obese?
* Digestive disorders * ASHD * CVA * DM * CA * Death!
27
Pt's w/DM have decr sensitivity to what?
Inspiratory loading
28
Pt's w/DM have 2x greater risk for what?
V-Fib & HTN
29
Sx's of Autonomic Dysfxn
* Postural Hypotension * Blunt HR & BP response to exercise * Incr RHR * Incr SA node & AV conduction abn's * Altered ventilatory responses to hypoxia & hypercapnia * Altered respiratory patterns & apnea during sleep * Altered bronchial reactivity * Impaired cough
30
True or False: Pt's w/type 1 DM have blunted HR responses to exercise, post-exercise hypotension, & reach anaerobic metabolism at lower HR's.
True
31
What pulmonary problems can result from CP pathos?
Sleep apnea & Obesity hypoventilation syndrome
32
What percent of obese individuals have pulmonary HTN at rest or exercise?
>75%
33
What does nutritional depletion result in?
* Decr myocardial muscle mass * Ventricular dysfxn * Decr glycogen stores * Myofibril destruction
34
Sx's of Anorexia
* Bradycardia * Relative HTN * Blunt HR & BP * Abn exercise tol (50% of predicted norm) * ECG abn's
35
What accounts for most deaths associated w/nutritional disorders?
Cardiac complications
36
What are the 3 basic patterns of neuro problems from CP pathos?
* CNS * ANS * PNS
37
Where are the primary centers for breathing & heart control?
Midbrain
38
What is neurogenic pulmonary edema?
Systemic pulmonary + intracranial HTN & Bradycardia mediated by the medulla
39
Insult to the CNS can cause what, and then cause what else?
CV response-->Neurogenic Pulmonary Edema
40
What effects can a CVA have on the CP system?
* Respiratory muscle weakness * Pharyngeal muscle weakness * Abdominal muscle weakness * Central involvement that affects CP regulation/fxn
41
What can weak pharyngeal muscles cause?
* Loss of AW protection * Loss of cough reflex * Loss of gag reflex * Sleep apnea
42
True or False: Weak abdominals can contribute to an ineffective cough.
True
43
What are the general ways that a CVA can effect CP fxn?
* Impaired mucociliary transport * Impaired alveolar ventilation * Incr work of breathing * Decr aerobic capacity
44
What does PNS involvement effect?
* Motor neurons * Peripheral nerves * NMJ * Muscle
45
For a pt w/hemiparesis, what breathing pattern would you expect to see & how would you tx it?
* Asymmetrical Rib Movement | * Lateral Costal Breathing
46
What is aspiration common w/ & why?
Neuromuscular disorders of the larynx, pharynx, & tongue bc it can lead to upper AW obstruction & incr AW resistance