↑Systemic Vascular Resistance↑LV contraction
↑Systemic Vascular Resistance↑LV contraction↑O
2
RequirementHypoxia of Cardiac tissue↑LV End Diastolic VolumeBlood back up in lungsPulmonary Edema↑ Pulm. Vascular resistance
Blood backs up to
Rt. Side of heart
↑RV preloadHeart Failure↓Oxygenation of alveoli↑CO
2
↓pHRespiratory AcidosisRespiratory Failure↓LV contraction force
SOB
Orthopnea
RR=30↑pCO
2
= 48↓pH=7.31↑Bacterial GrowthInflammatory responseVasodilatation, Immune response, and clottingPNAO
2
mask
Temp=101ƒ
Pain
↑WBC=17,000
CXR=Consolidation
↓Systemic BP↓Renal Blood flowRenin ReleaseAngiotesin1+2 releaseAldosterone release↑H
2
O and Na retentionFluid volume excess
Weight gain= 25 lbs
Pitting EdemaBounding Heart beatJVD↓Hgb=9.0↓Hct= 30.0
ADH release↓KLasix↓GFRRenal Failure↓Erythropoetin↓HCO
3
↓RBC synthesisMetabolic Acidosis↓pH=7.31↓Hgb=9.0↓Hct= 30.0↓Urine outputArthrosclerosis, DM II, race smoking, HTN, ageUO=15cc/hr
Arrhythmia
MI
↑Peripheral arteries constriction↑EpinephrineLisinoprilKClCeftriaxoneAzythromycinMorphine
Patho
S/SxLabs/diagRisk Meds/TxSequelae
Congestive Heart FailureKidneyHeartLungs
HA, weak
ConfusionRR=30
HA, Weakness, Confusion
Flushed
↑Afterload↓K= 3.3
EKG= Flat T
waves and ST depressionHD↑BUN= 150↑Crt= 118
BP=164/94
Metoprolol
↑Na=155
Increased Nicotine intakeRemodelingCXR= LV Hypertrophy
↑Systemic Vascular Resistance
↑LV contraction
↑O2 Requirement
Hypoxia of Cardiac tissue
↑LV End Diastolic Volume
Blood back up in lungs
Pulmonary Edema
↑ Pulm. Vascular resistance
Blood backs up to
Rt. Side of heart
↑RV preload
Heart Failure
↓Oxygenation of alveoli
↑CO2
↓pH
Respiratory Acidosis
Respiratory Failure
↓LV contraction force
SOB
Orthopnea
RR=30
↑pCO2= 48
↓pH=7.31
↑Bacterial Growth
Inflammatory response
Vasodilatation, Immune response, and clotting
PNA
O2 mask
Temp=101°
Pain
↑WBC=17,000
CXR=Consolidation
↓Systemic BP
↓Renal Blood flow
Renin Release
Angiotesin 1+2 release
Aldosterone release
↑H2O and Na retention
Fluid volume excess
Weight gain= 25 lbs
Pitting Edema
Bounding Heart beat
JVD
↓Hgb=9.0
↓Hct= 30.0
ADH release
↓K
Lasix
↓GFR
Renal Failure
↓Erythropoetin
↓HCO3
↓RBC synthesis
Metabolic Acidosis
↓pH=7.31
↓Hgb=9.0
↓Hct= 30.0
↓Urine output
Arthrosclerosis, DM II, race smoking, HTN, age
UO=15cc/hr
Arrhythmia
MI
↑Peripheral arteries constriction
↑Epinephrine
Lisinopril
KCl
Ceftriaxone
Azythromycin
Morphine
Patho
S/Sx
Labs/diag
Risk
Meds/Tx
Sequelae
Congestive Heart Failure
Kidney
Heart
Lungs
HA, weak
Confusion
RR=30
HA, Weakness, Confusion
Flushed
↑Afterload
↓K= 3.3
EKG= Flat T waves and ST depression
HD
↑BUN= 150
↑Crt= 118
BP=164/94
Metoprolol
↑Na=155
Increased Nicotine intake
Remodeling
CXR= LV Hypertrophy
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