Inflammatory Diseases Affecting the Heart (cmj) by VlFb8K9

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									                                                       Inflammatory Diseases Affecting the Heart (cmj)

                  1. What are key features of these types of inflammatory heart diseases (do after completing other questions)

                  Disease                         Etiology            *Priority Nursing              Usual Treatment/Medications
                                                                          Concern
                  Endocarditis




                  Myocarditis




                  Pericarditis
RNSG 2432  151




                  2. Explain “why” how and inflammation of the infective endocarditis affects cardiac valves. (865)
                  3. Give a rationale for IV drug abuse as a primary cause for right-sided endocarditis. (p. 866)


                  4. Why are “emboli” a significant complication for clients with endocarditis: where do they potentially lodge and why? (p. 866,
                     867)




                  5. Explain the rationale for instructing a client with valvular disease, valve replacement and/or a murmur to notify a health
                     care provider of that information prior to undergoing any invasive procedure, including dental cleaning.



                  6. What major criteria are used to diagnose endocarditis? (p. 867-868)



                  7. Why are bedrest and activity restrictions required for the client with myocarditis during the acute inflammatory stage of the
                     disease? (p. 875)


                  8. What is rationally for use of IV immunoglobulins (IVIG) in the patient with myocarditis? How is histologic confirmation of
                     myocarditis obtained? (p. 875)



                  9. Explain the difference between pericarditis and a pericardial effusion. (p. 871-872)
RNSG 2432  152




                  10. Explain how positioning, such as sitting up and leaning forward can reduce the amount of pain associated with pericarditis?
                      (Notes, p. 873-874) What medications are typically most effective in managing pericarditis? (p. 873)
                  8. Describe how cardiac tamponade can result from a pericardial effusion? (p. 872)




                  9. What are the manifestations of cardiac tamponade and what causes them? (p. 872, 873)




                  10. Explain how a percardiocenthesis is performed and the rationale for its use. What are the nursing responsibilities during
                      this procedure (p. 873-874).
RNSG 2432  153

								
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