Injury to heart tissue is caused by inflammatory or sensitivity reaction

Injury to heart tissue is caused by inflammatory or

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Injury to heart tissue is caused by inflammatory or sensitivity reaction Myocardial and pericardial tissue is also affected, but endocarditis results in permanent changes in the ______ Leaflets shorten and thicken preventing them from closing completely, blood flows backward through the valves
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Infective Endocarditis A microbial infection of the ___________ surface of the heart ___________ growths occur and may embolize to tissues throughout the body Usually develops in people with prosthetic heart valves or structural cardiac defects Also occurs in patients who are __ ____ _______ and in those with debilitating diseases, indwelling catheters, or prolonged IV therapy
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Infective Endocarditis S/S Fever Heart murmur Osler nodes Janeway lesions Roth spots Splinter hemorrhages HA
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Infective Endocarditis Prevention Antibiotic therapy before and sometimes after procedures Complications Heart failure, CVA Medical Management Antibiotics Surgery Nursing Management Fever Infection Monitor and manage complications
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Pericarditis Inflammation of the pericardium Common in ____ patients S/S Potential complications
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Pericarditis
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Pericarditis Medical Management Analgesics NSAIDs Pericardiocentesis Nursing Management Pain management Monitor and manage potential complications Pericardial effusion Cardiac tamponade
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Chapter 29 Management of Patients With Complications from Heart Disease
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Heart Failure CHF The inability of the heart to pump _______ ____ A syndrome characterized by fluid _______ or inadequate tissue perfusion Some cases are reversible Most HF is a progressive, lifelong disorder EF- reduced in systolic HF; normal in diastolic HF Current problem- most common reason for hospitalization in those over 65 and high readmission rates
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CHF S/S Right-sided failure ___ __________ edema Hepatomegaly and ______ Anorexia Nausea Weakness Weight gain
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CHF S/S Left-sided heart failure _________ ! Pulmonary congestion Cough Low O2 sats Paroxysmal noctural dypsnea (PND) S3 heart sound
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CHF Medical Management Eliminate or reduce etiologic or contributory factors Reduce the workload of the heart by reducing afterload and preload Optimize all therapeutic regimens Prevent exacerbations of HF Medications
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CHF Medications Angiotensin-converting enzyme inhibitors ACE Inhibitors Slow the progression of CHF Angiotensin II receptor blockers Decrease blood pressure Beta-blockers Relax blood vessels, lower BP, decrease afterload, decrease cardiac workload Many side effects: see p. 825 Diuretics Remove fluid Digitalis Increases the force of contractions
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CHF Potential Problems Cardiogenic shock Dysrhythmias Thromboembolism Pericardial effusion Cardiac tamponade
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CHF Nursing Management (Activity Intolerance) Bed rest for acute exacerbations Encourage regular physical activity
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