Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 28 views

    Medurg Midterm

    Uploaded by

    mark Orpilla
    This document discusses the care of clients with three types of inflammatory heart disease: pericarditis, endocarditis, and myocarditis. It outlines the etiology, signs and symptoms, diagnostic tests, and care for each. It also discusses the care of clients with myocardial perfusion disorders including atherosclerosis, angina pectoris, and myocardial infarction. Interventions focus on monitoring medications, lifestyle modifications, managing symptoms during attacks, resuming activity gradually, and addressing fears. Surgical and medical interventions are also outlined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Medurg Midterm

    Uploaded by

    mark Orpilla
    28 views4 pages
    This document discusses the care of clients with three types of inflammatory heart disease: pericarditis, endocarditis, and myocarditis. It outlines the etiology, signs and symptoms, diagnostic tests, and care for each. It also discusses the care of clients with myocardial perfusion disorders including atherosclerosis, angina pectoris, and myocardial infarction. Interventions focus on monitoring medications, lifestyle modifications, managing symptoms during attacks, resuming activity gradually, and addressing fears. Surgical and medical interventions are also outlined.

    Original Title

    medurg midterm

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses the care of clients with three types of inflammatory heart disease: pericarditis, endocarditis, and myocarditis. It outlines the etiology, signs and symptoms, diagnostic tests, and care for each. It also discusses the care of clients with myocardial perfusion disorders including atherosclerosis, angina pectoris, and myocardial infarction. Interventions focus on monitoring medications, lifestyle modifications, managing symptoms during attacks, resuming activity gradually, and addressing fears. Surgical and medical interventions are also outlined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    28 views4 pages

    Medurg Midterm

    Uploaded by

    mark Orpilla
    This document discusses the care of clients with three types of inflammatory heart disease: pericarditis, endocarditis, and myocarditis. It outlines the etiology, signs and symptoms, diagnostic tests, and care for each. It also discusses the care of clients with myocardial perfusion disorders including atherosclerosis, angina pectoris, and myocardial infarction. Interventions focus on monitoring medications, lifestyle modifications, managing symptoms during attacks, resuming activity gradually, and addressing fears. Surgical and medical interventions are also outlined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 4

    CARE OF CLIENTS WITH INFLAMMATORY HEART DISEASE

      PERICARDITIS ENDOCARDITIS MYOCARDITIS


    Etiology Viral, Bacterial Drug use; CHD, RF,Viral infection,
    infection and trauma poliomyelitis,
    influenza and rubella
    Signs and symptoms Chest pain, DOB Fatigue, weakness, Fever, chest pain,
    when lying down, dry fever, chills, night joint pain, abnormal
    cough, fever, fatigue sweats, weight loss, heart beat, fatigue,
    muscle ache, SOB SOB, inability to lie
    with activity, swelling, flat; fainting, oliguria
    blood in urine

    Janeway Lesions

    Osler’s Nodes

    Splinter Hemorrhage
    Dx Test CXR, 2D-echo, ECG, Blood culture, ESR, ECG, CXR, 2D-echo,
    CK-MB, CBC, anemia, 2D- leucocytosis, blood
    Pericardiocentesis echo, CXR culture
    with culture
    Care Treat underlying IV antibiotics for 6 Treat underlying
    cause weeks cause

    Meds: Analgesics, Bed rest Antibiotics


    NSAIDS, steroids,
    diuretics, antibiotics, WOF: CHF, Stroke Rest
    pericardiectomy
      Low salt diet

    Possible heart Cardiac glycosides


    transplant
    WOF: heart failure,
    cardiomyopathy
     

    CARE OF CLIENTS WITH MYOCARDIAL PERFUSION DISORDERS


    (CORONARY ARTERY DISEASE)

    ATHEROSCLEROSIS ANGINA PECTORIS MYOCARDIAL


    INFARCTION
    Fatty streaks deposited Myocardial ischemia Ischemia – injury –
    infarct; blockage
    Caused by hyperlipidemia Eating a large meal Thrombus, Embolus

    Extreme Exercise

    Extreme Emotions

    Extreme Cold or temperature


    Diagnostics: Lipid Profile; ECG Cardiac markers; ECG;
    C-Reactive Protein 2D-echo
    Stress Test
    Signs and symptoms: Levine’s Sign: hand clutching the Chest heaviness’ pain not
    Asymptomatic; same with chest relieved by rest, NTG;
    HPN impending doom
    Pain radiates to left shoulder or
    lower jaw
    Nursing Diagnosis: Pain Alteration in tissue
    perfusion
    Knowledge deficit Anxiety
    Decreased cardiac
    Potential Non-compliance output

    Altered Tissue perfusion Activity intolerance

    Alteration in comfort
    Interventions: 1.    Monitor medications and MONA-TASS
    instruct client in proper
    1.    Provide interventions administration  
    about disease process
    2.    Determine factors that may Morphine
    2.    Reinforce treatment precipitate pain
    plan (how to take BP, Oxygen
    Reasons for medications 3.    Teach lifestyle modification
      4.    During the attack: Nitrogen

      ·         Provide immediate rest Aspirin

      ·         Take VS  

      ·         Record ECG Thrombolytic

      ·         Administer NTG (maximum Anticoagulant


    of 3 tablets with 5 minutes
    ·         Diuretics interval Stool Softeners

    ·         Alpha adrenergic ·         Seek medical advice if no Sedatives


    Blockers relief
     
    ·         Beta Blockers 5.    Physical Activity
    Oxygen – 2-6 LPM via
    ·         Central acting -       Avoid isometric activity nasal cannula
    inhibitors
    -       Exercise program  
    ·         Vasodilators
    -       Sexual activity resumed after Provide a restful and
    ·         Angiotensin II exercise is tolerated, when able to quiet environment
    Receptor climb 2 flights of stairs without
    exertion; NTG taken  
    ·         Antagonists prophylactically before
    intercourse Assess breath sounds
    ·         ACE Inhibitors (pulmonary edema)
    6.    Nutrition (LSLF)
    ·         Calcium Channel  
    Blockers 7.    Medical Interventions:
    Maintain patent IV line
    -       PTCA; Arthrectomy
     
    -       CABG
    Monitor fluid balance
    -       Coronary Laser Therapy
     
    -       Coronary Artery Stent
    Keep in semi-fowler’s
    position
     

    Bed rest for 24 hours

    Encourage to gradually
    resume activity

    Encourage verbalization
    of fears

    You might also like