Cardiac Tamponade

Question 1

What is this?

Answer 1

Blood, fluid, or exudates have leaked into the pericardial sac resulting in compression of the heart

Question 2

This can happen if the client has had what?

Answer 2

MVA, right ventricular biopsy, MI, pericarditis, hemorrhage post CABBAG

Question 3

S/s

CO

Answer 3

Decrease

Question 4

S/s

CVP

Answer 4

Increase

Question 5

S/s

BP

Answer 5

Decrease

Question 6

S/s

Hallmark signs

Answer 6

Increase CVP

Decrease BP

Question 7

S/s

Heart sounds

Answer 7

Muffled or distant

Question 8

S/s

Neck veins

Answer 8

Distended

Question 9

S/s

Pressures in all 4 chambers are

Answer 9

The same

Question 10

S/s

Why shock?

Answer 10

From decrease CO

Question 11

S/s

Narrowed what?

Answer 11

Pulse pressure

Question 12

What is pulse pressure?

Answer 12

Difference between systolic and diastolic pressure

Question 13

Narrow pulse pressure think?

Answer 13

Cardiac tamponade

Question 14

Wide pulse pressure think?

Answer 14

Increased intracranial pressure

Question 15

Tx?

Answer 15

Pericardiocentesis to remove the fluid from around heart

Surgery