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AA/Cardiomyopathy

QuestionAnswer
Abdominal aortic aneurysm manifestations Low back pain, HTN, bruit over site, pulsating abd mass, palpable abd mass. Gnawing feeling
Thoracic aortic aneurysm manifestations Dyspnea, cough, dysphagia, hoarseness, stridor or vocal weakness. Nagging pain (supine)
Aortic aneurysm treatments Supervised exercise, respiratory therapy, smoking cessation, surgical repair (EVAR, open aneurysm repair)
EVAR (endovascular aneurysm repair) A stent-graft expands and covers the aneurysm, reinforcing the weakened artery wall.
EVAR management Lie supine for 6 hours, HOB elevated after 2 hours, temp Q 4 hours. Peripheral pulse assessment every 15 minutes
Ruptured aneurysm manifestations Sudden back and abdominal pain, abdominal distention, Cullen's sign, Turner's sign
Dissected aneurysm manifestations Sudden tearing, ripping and stabbing abdominal or back pain.
Cullen's sign hemorrhagic discoloration of the umbilical area (bruise)
Turner's sign discoloration of the flank (bruise)
Ruptured and dissected management V/S every 15 mins until stable. monitor ABGs, SaO2, electrolytes, CBC. Monitor output. Admin antihypertensives and analgesics. Prep for surgery
Cardiomyopathy manifestations Chest discomfort, peripheral edema, fatigue, exertional dyspnea, lightheadedness, syncope, palpitations, ascites and JVD
CM medications Metoprolol, furosemide, nitroglycerin, dobutamine, dopamine, digoxin
CM surgical interventions Heart transplant, LVAD, septal myectomy, alcohol septal ablation, ICD
CM interventions Observe for HF (JVD, pulmonary congestion, lower extremity edema). Low Na diet
Cardiomyopathy A series of progressive events that culminate in impaired cardiac output. Can lead to heart failure
Created by: Haydenmeh
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