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COR PULMONALE (ETIOLOGY/PATHOPHYSIOLOGY (chronic pulmonary disease…
COR PULMONALE
ETIOLOGY/PATHOPHYSIOLOGY
pulmonary arterial hypertension
right ventricular hypertrophy
increased right ventricular work
right ventricular failure
chronic pulmonary disease
increased viscosity of blood associated with polycythemia
increased pulmonary vascular resistance caused by hypoxic vasoconstriction
obliteration of the pulmonary capillary bed
COPD
CAD
pulmonic stenosis
tricuspid stenosis
CLINICAL SIGNS AND SYMPTOMS
hepatomegaly
jugular venous distention
peripheral edema
ascites
chest pain
swelling of feet and legs
cyanosis
dyspnea
RESPIRATORY MANAGEMENT
CPAP/BiPap
aerosolized medications
mechanical ventilation
lung expansion therpay
bronchopulmonary therapy
O2 therapy
DIFFERENTIAL DIAGNOSIS
CHF
emphysema
kidney disease
pneumonia
pulmonary embolism
DIAGNOSTIC TESTS
echocardiogram
ECG
Chest x-ray
LISA STEVENSON