cor pulmonaly

2. Cor pulmonaly is also known as right side heart
failure, is an enlargement of right ventricle due to high
blood pressure in the lungs usually caused by chronic
lungs disease.
Hear enlargement of right ventricle occur due to long
term increase in pressure.

3. Cor pulmonale is defind as an alternation in the
structure & function of the right ventricle of the heart
caused by primary disorder of the respiratory system.(
(wikipedia)

5. Blood clot in the lungs or in the pulmonary artery
COPD
Lungs tissue damage
Cystic fibrosis
Sickle cell anemia
ARDS

6. CHRONIC LUNGS DISEASE
REDUCTION IN PULMONARY VASCULAR BED
INCREASE PULMONARY VASCULATURE
RESISTANCE
PULMONARY HYPERTENSION
INCREASE AFTER LOAD IN RIGHT VENTRICLE
HYPERTROPHY & DIALATION OF THE RIGHT
VENTRICLE
HEART FAILURE

8. Dyspnea
Chronic
productive cough
Wheezing
respiration
Retro sternal
pain
Fatigue
Polycythemia
Peripheral
edema
Weight loss
Distended neck vein
Full bounding pulse
Enlarge liver
Palpitation
Atypical chest pain
Swelling of lower
extremities
Ascitis
cyanosis

9. History collection
Physical examination:- increase chest diameter,
distended neck vein, cyanosis may be seen, wheezing,
crackel sound with auscultation,on percussion hyper
resonance of lungs due to under lying COPD.
Pulmonary function test
ABG analysis
Haemotocrit count
Serum alpha antitrypsin if deficiency suspect

10. Brain nitriuretic peptide:- Brain nitruretic is
a hormone that release in response to volume
expansion.
ECG changes
2D & Doppler echocardiography
MRI
Cardiac cath
Lungs biopsy
Lungs Scan:- To detect blood clot in the
lungs

11. Medical management:-
Pharmacological management:-
Diuretics
Calcium channel blocker
Vasodilator
Bronchodilator
Warfarin:- To avoid the risk of thrombophlabitis
O2 therapy.
Surgical management:-
Phlebotomy
Lungs transplant

12. Assessment:-
Assess the patient complication like cough, fatigue,
Epigastric distress, anorexia & weight gain
Ask the patient about history of smoke Cigarate.
Ask about colour, quantity of mucous
Assess the rate, type & quality of respiration
Observe the patient for edema in abdomen,
buttock & both leg.
Inspect the patient chest & anterior & posterior
diameter.
Look the use of accessory muscle.s

13. Impaired gas exchange related to excess fluid in lungs
as evidenced by patient is having hyperventilation.
Decreases cardiac output related to cardiac muscle
contractility as evidenced by echocardiography findings.
Activity intolerance related to decreased cardiac
activit & laboured respirationas evidenced by difficulty
in performing ADL.
Imbalanced nutrition less then body requirement as
evidenced by weight loss.
Disturb sleeping pattern related to shortness of breath
as evidenced by dark circles around the eye.
Anxiety related to breathlessness as evidenced by
verbalization.