General Discussion

Myocardial infarction

Myocardium-Heart muscle

Infarction-muscle death

Serous Drainage

• Normal clear/yellow drainage

Purulent

• Pus drainage, indicates an infection

Sanguinous

• Bloody drainage

Congestive Heart Failure (CHF)

• Ventricular Failure

• May have left sided HF or Right sided HF or Biventricular failure

• Causes-#1 common cause-past MI, enlarged heart

• Most often, they will have A-fib

LEFT is for LUNGS

• Crackles=Pulmonary edema

• SOB

• Dyspnea

• Low Spo2

• Cyanosis

RIGHT is for BODY

• #1 cause of right sided HF is LEFT sided HF!!!

• JVD

• Ascites

• Pedal edema

• Weight gain

• Weak

• S3

Fluid overload=Hyponatremia (The fluid is diluting the sodium)

BNP (B-naturietic peptide)

• Only used to detect CHF

• 0-100 normal

• The higher the number is, the worse the CHF is

S1 & S2=Lub & Dub=Normal

S3-Abnormal, heart murmur=CHF

• It is normal in children and pregnancy

Empyema

• Lung abscess (Pus)

Albuterol

• Bronchodilator

• Wheezing & Rhonchi

-lol (Beta Blocker)-Atenolol, carvedilol

MOA-Block the Beta-1 response of the heart, lowering the HR, and in turn lowers the BP

• Used for HTN & Fast heart rhythms

Receptors

Alpha-1-Blood Vessels

• Excitability

• Causes Vasoconstriction

• Increases BP

Alpha-2-Blood Vessels

• Relaxation

• Vasodilation

• Lowers BP

Beta-1-Heart

• Excitability

• Increases the HR

Beta-2-Lungs

• Relaxation

• Bronchodilation

ACE Inhibitors (Work in the kidneys)

• Block the ACE enzyme, to prevent Vasoconstriction

• Lowers BP

Corticosteroids (Glucocorticoids)

• To decrease inflammation

• Inflammatory response=Immune system (WBCs)

• Increases the risk of infection

• It will INCREASE BGL, especially in diabetics

• COPD

• Asthma

• Pneumonia

• Spinal cord injuries

We inhale Oxygen & exhale CO2 (Carbon Dioxide=Carbonic ACID!!!!!)

• Respiratory acidosis