Constrictive Pericarditis Flashcards Preview

Alterations Resulting in Decreased Cardiac Output > Constrictive Pericarditis > Flashcards

Flashcards in Constrictive Pericarditis Deck (22)
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1
Q

What is Constrictive Pericarditis?

A

loss of elasticity from chronic inflammation of the pericardium.

(pericardium becomes thick and fibrous, adheres to the heart)

2
Q

The manifestations of Constrictive Pericarditis?

A
  • pericardial friction rub (grating sound)
  • sharp, sudden, severe chest pain
  • dyspnea
  • tachycardia
  • palpitations
  • edema
  • flulike symptoms (fever, chills, and myalgia)
3
Q

With Constrictive Pericarditis, severe chest pain increases with?

A
Deep inspiration
(w/ constrictive pericarditis)
4
Q

With Constrictive Pericarditis, severe chest pain decreases when?

A

sitting up/leaning forward

w/ constrictive pericarditis

5
Q

Diagnosis (Constrictive Pericarditis)?

A
  • history
  • exam
  • complete blood count (CBC)
  • EKG
  • Chest X-ray
  • ESR, CRP,
  • EKG will show stemi
  • CT
  • Cardiac MRI
6
Q

Treatment (Constrictive Pericarditis)?

Colchicine, an anti-inflammatory drug, can help control the inflammation as well as prevent pericarditis from reoccurring for a few months

treat severe cases (diuretics, antiarrhythmic, and immunosuppressive drugs).

A
  • Resolve underlying cause (Antibiotics or infections)
  • NSAIDs/analgesics (manage pain)
  • Colchicine
  • glucocorticoids
  • rest
  • O2 therapy
  • pericardiocentesis
  • pericardectomy
  • nonsteroidal and steroidal anti-inflammatory (reduce inflammation)
7
Q

Due to the Chronic Inflammation in the Pericardium (from Constrictive pericarditis), the pericardium becomes?

A

Thick and Fibrous and adheres to the heart.

8
Q

Due to the loss of elasticity of the pericardium, what happens?

A
  • restricts cardiac filling
  • decreasing cardiac output
  • systemic congestion
9
Q

The loss of elasticity restricts (of the pericardium)?

A

Cardiac Filling

10
Q

The pericardium loss of elasticity restricts cardiac filling and it decreases?

A

Cardiac Output and causing systemic congestion

11
Q

Clinical manifestation (Constrictive Pericarditis): Pericardial friction rub is heard as a grating sound auscultating between?

A
  • lower left sternal border
  • cardiac apex (when the breath is held)
    (may be intermittent)
12
Q

During constrictive pericarditis where do you auscultate to hear the grating sound (pericardial friction)?

A
  • Lower left sternal border

- Cardiac Apex (when the breath is held)

13
Q

During diagnosis of constrictive pericarditis a CBC is an indication of?

A

Infection
or
Inflammation

14
Q

During diagnosis of constrictive pericarditis, C-reactive protein levels will be?

A

-Inflammation

C-reactive protein levels (elevated levels indicate inflammation)

15
Q

During diagnosis of constrictive pericarditis, ESR (erythrocyte sedimentation rate) would be?

A

ELEVATED

erythrocyte sedimentation rate (ESR; elevated levels indicate inflammation)

16
Q

During diagnosis of constrictive pericarditis, the ESR (erythrocyte sedimentation rate) will be elevated, indicating?

A

INFLAMMATION

erythrocyte sedimentation rate (ESR; elevated levels indicate inflammation)

17
Q

During diagnosis of constrictive pericarditis, the EKG will show?

A

EKG (ST-segment elevation)

18
Q

With the treatment of Constrictive pericarditis, bed rest is important?

A

Reduce metabolic needs and cardiac workload

19
Q

With the treatment of Constrictive pericarditis, Oxygen therapy is important?

A
  • increase available oxygen
20
Q

With the treatment of Constrictive pericarditis, a pericardiocentesis may be performed to?

A

withdraw excess fluid from the pericardium

21
Q

With the treatment of Constrictive pericarditis, a pericardiectomy is?

A

a surgical procedure in which a window is created in the pericardium

22
Q

With the treatment of Constrictive pericarditis, a pericardiectomy is performed to?

A
  • release constriction and allow excess fluid to drain into the pleural cavity