Test 2 Flashcards
Infective endocarditis manifestation’s
Clots - clots in the heart, L crackles in the lungs & enlarged spleen, O overheated fever, T too little oxygen (dyspnea),
Osiers nodes, Roth spots, Janeway Lesions, Splinter hemorrhages
Ineffective endocarditis causes
Needle use, dental visits, pacemakers (heart surgery)
And strep throat infection
Ineffective endocarditis client education
Very good oral hygiene 2x a day but no flossing, do not stop taking antibiotics, note the s/s of infection, prophylactic drugs before surgery and dentist visits and always let your provider know of your history.
Ineffective endocarditis diagnostic test
Blood cultures, echocardiogram, CBC, Sed rate (notes Any inflammation in the body)
Ineffective endocarditis complications
Congestive heart failure, stoke CVA
DVT Prevention
Compression stockings, pneumatic compression device, leg exercises active or passive, avoid crossing the legs, avoid prolonged periods of sitting
INCREASE fluids & ambulation
DVT complications
Pulmonary Embolism- call your provider if you see sudden SOB, chest pain/discomfort that worsens when you breathe or cough, feeling lightheaded, rapid pulse, rapid breathing, as well as coughing up blood.
Paradoxical BP expectations
A fall in the systolic pressure of >10mmHg during the inspiration phase.
Normal PT values
Normal levels are 1.5-2.5
Rheumatic fever and rheumatic carditis pt education
If they have a history of rheumatic fever to let their PCP know of it so they can take antibiotics Prophylactic, good oral hygiene, when any procedure involving blood we must decrease the risk of bacteria as well as good sterile technique
Pericarditis Manifestations
F-friction rub/fever, R- radiating pain to L shoulder & neck , back, I-increased pain in supine position, C-chest pain “stabbing” T-trouble breathing lying down I-inspiration/ coughing causes pain, O-overall sickness and weak N- noticeable ST elevation ekg
Cardiac catheter
Rest for the next 3 days and avoid heavy lifting, strenuous activity, or sports during this time.
Do not drive or climb stairs for the next 24 hours.
Do not take a tub bath until the puncture site is healed.
Change the bandage in 24 hours; continue changing the bandage until a crust or scab forms over the puncture site.
You may experience some soreness at the puncture site; however, if it becomes worse, notify your primary provider.
If pain or swelling of the puncture site occurs, notify your primary provider.
If the puncture site begins to bleed, hold pressure over the site and call 911 or another emergency services number.
Cardiomyopathy nursing interventions, client education, and assessment
Nursing interventions: monitor for edema & abdominal enlargement, especially for an irregular pulse, administer oxygen when dyspnea or arrythmias develop
Client education: stop tabaccco products, achieve a healthy weight following dietary instructions, limiting sodium & caffeinated beverages, keep a record of symptoms.
Buerger’s disease nursing interventions, client education
- smoking cessation * and must perform prescribed exercises consistently, assess their extremities and their peripheral pulses, advise client to avoid cold weathers clean arms and legs daily.
Clients at risk for effusion
If you have effusion it could lead to cardiac tamponade all the extra fluid around the heart.
Those who have had trauma, pneumonia, lung cancer, tb, pe and CHF
Cardiac tamponade manifestations
Beck’s triad - low BP, Jugular vein distention, muffled heart sounds due to fluid around the heart, SOB, tachycardia, restlessness, fatigue.
Pulses Paradoxus, JVD jugular venous distention, Heart muffled sounds, tachycardia & hypo
