Valvular Heart Disease: Tricuspid Stenosis

Etiology
1. CHD
2. Tumor
3. Infection
  1. Strep
    1. Rheumatic Fever
      1. Vallvular infection
4. congenital
5. Atherosclerosis
6. Age
  1. Valve degeneration
What procedures would the nurse predict to be ordered?
1. Blood Culture
2. Chest X-ray
3. MRI
4. 12 Lead EGC
5. Ultra sound
6. Echocardiogram
7. Stress Test
8. Valve replacement
9. Percutaneous balloon valvuloplasty
10. Annuplasty
11. Open commissurotomy
Nursing Intervention
1. Patient Teaching
  1. Avoid caffeine and smoking
  2. Avoid steneous activities
    1. Rest periods
  3. Complete antibiotic
  4. Sodium restriction
  5. Decreased anxiety
    1. Breathing Techniques
2. Monitor cardiac rhythm
3. Medication
  1. Pain management
    1. Pain scale
  2. Prophylactic antibiotics
  3. Diuretic
  4. antiarrathymic
  5. Rights
  6. Glycodiac digosin
  7. Anticoagulant
4. Monitor weight
5. Monitor oxygen therapy & ABG
6. Monitor in and out
7. Therapeutic relationship
Pathophysiology
1. Valves Insufficiency
  1. Obstruction of blood flow
    1. Atrium Enlargement
      1. Low cardiac output
        Clinical manifestation
        Jugular vein diatension
        Fatigue
        Peripheral edema
        Pulsatile liver
        Dypnea
        Hypotension
        Palpitation
        Complication
        Hepatomegaly
        Acites
        Chronic Heart Disease
        Liver Cirrhosis
        Murmur
Assessment
1. History
2. Vital Signs
3. Head to Toe Assesment
Evaluate Outcome
1. Cardiac tolerance
2. Increased activity
3. No peripharal eddema
4. Understand and adhered to therapeutic regimen
5. normal vital signs
Nursing Diagnosis
1. Excess fuid
2. Decreased cardiac output
3. Activity intolerance
4. Ineffective self-health management
Planning
1. Improve cardiac function
2. Improve activity tolerance
3. Improve self-care

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Valvular Heart Disease: Tricuspid Stenosis

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	Criado por Shemika Bell quase 7 anos atrás