Shared Flashcard Set

Details

Pulmonary Cor Pulmonale Exam 1
Cor Pulmonale Pulm Exam 1
35
Anatomy
Graduate
11/15/2011

Additional Anatomy Flashcards

 


 

Cards

Term
Cor pulmonale is __ heart failure that has nothing to do with __ _ __
Definition
- right heart failure that has nothing to do with left heart failure
Term
Cor pulmonale is right sided heart disease, secondarily caused by abnormalities of the __ __, __, __, or __ __ __. There is no evidence of other __ __ with cor pulmonale
Definition
- lung parenchyma
- airways
- thorax
- respiratory control mechanisms
- no evidence of other heart conditions
Term
Primary cause of cor pulmonale:
Definition
hypoxemia
Term
With cor pulmonale __ therapy and treating underlying diseases are key
Definition
oxygen
Term
are pulmonary vasodilators good for cor pulmonale?
Definition
No, may worsen hypoxemia
Term
Pulmonary vasodilators (PDE-5 inhibitors) are indicated for __ __, but NOT for __ __.
Definition
- for pulmonary HTN
- NOT for cor pulmonale
Term
__ may improve ventricular function with cor pumonale.
Definition
Diuretics
Term
__ is contraindicated for Cor Pulmonale unless there is also left-sided congestive heart failure present.
Definition
Digoxin
Term
Diuretics are used in cor pulmonale to increase __ ___ __ __. These meds improve the function of both __, but watch for __ __ which could suppress __.
Definition
- right ventricular filling volume
- ventricles
- metabolic alkalosis which could suppress ventilation
Term
side effect of diuretics:
Definition
metabolic alkalosis
Term
When on diuretics, monitor for excessive volume depletion by monitoring:
Definition
- BUN "prerenal"
- Cr "renal"
- estimated GFR
Term
Etiologies of Cor Pulmonale I include __ and __ __ and __ __.
Definition
- Lung and Airway Problems
- Vascular Occlusion
Term
Examples of lung/airway problems that may lead to Cor Pulmonale:
Definition
- COPD
- Asthma
- Bronchiectasis
- DILD
- TB
Term
Examples of vascular occlusions that could cause cor pulmonale:
Definition
- Multiple emboli
- Schistosomiasis
- Filarisis
- Sickle cell
- Primary pulmonary HTN
Term
Lung/airway problems and vascular occlusions are the causes for __ __ _
Definition
Cor Pulmonale I
Term
Etiologies of Cor Pulmonale II include __ __ __ and __ __ __.
Definition
- thoracic cage abnormalities
- neuromuscular disease
Term
Examples of thoracic cage abnormalities that may cause cor pulmonale II:
Definition
- Kyphosis greater than 100 degrees
- Scoliois greater than 120 degrees
- Thoracoplasty
- Pleural fibrosis
Term
Neuromuscular diseases that could cause Cor Pulmonale II:
Definition
- Polio Myelitis
- Myasthenia Gravis
- Amyotrophic Lateral Sclerosis
- Muscular Dystrophy
Term
Cor Pulmonale III is caused by __ __ __. Give examples.
Definition
abnormal respiratory control
- Idiopathic hypoventilation syndrome
- Obesity hypoventilation syndrome (Pick-Wickian syndrome)
- Cerebrovascular disease
Term
Obesity hypoventilation syndrome is aka:
Definition
Pick-Wickian Syndrome
Term
Pleural fibrosis would cause Cor Pulmonale __.
Definition
II
Term
Common features of cor pulmonale:
Definition
- hypertrophy of microvasculature
- RIGHT VENTRICULAR HYPERTROPHY
Term
Hallmark sign of Cor Pulmonale:
Definition
HYPERTROPHY OF RIGHT VENTRICLE
Term
Natural history of Cor Pulmonale:
Definition
- several months to years to develop
- from children to old pple
- repeated infections aggravate RV strain> RV failure
- initially responds well to therapy but progressively becomes refractory
Term
Is emphysema or chronic bronchitis more common with cor pulmonale?
Definition
chronic bronchitis
Term
Autopsy in Chronic Bronchitis : 50%
More prevalent in pollution area or smokers
Definition
cor pulmonale
Term
X-ray findings suggestive of cor pulmonale:
Definition
- prominent pulmonary hilum
- pulmonary artery dilation
- Rt MPA > 20 mm
Term
EKG findings of cor pulmonale:
Definition
- P-pulmonale (peaked p waves)
- RAD
- RVH
Term
Echo findings with cor pulmonale:
Definition
- RVH
- Tricuspid regurg
- Pulmonary HTN
Term
Right sided heart failure, not due to left sided heart failure, but rather due to messed up pulmonary circulation (vasoconstriction):
Definition
Cor Pulmonale
Term
ABG of Cor Pulmonale:
Definition
- Hypoxemia
- Hypercapnea
- Respiratory Acidosis
Term
CBC of pt with Cor Pulmonale may show ___.
Definition
polycythemia
Term
Cor Pulmonale tmt:
Definition
- treat underlying cause
- steroids
- continuous O2 <2-3L
- theyophylline
- medroxyprogesterone
- diuretics
- phlebotomy
- reduce ventilation/profusion imbalance with Amitrine Bimesylate
Term
__ __ can be used to reduce the ventilation/profusion imbalance with Cor Pulmonale.
Definition
Amitrine bemesylate
Term
Cor Pulmonale prognosis:
Definition
5-10 years or more
Supporting users have an ad free experience!