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Medical-Surgical Management for RHD

Medical-Surgical Management for RHD

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Medical-Surgical Nursing Management for Patients with Rheumatic Heart Disease (Valvular Prolapse)
Medical-Surgical Nursing Management for Patients with Rheumatic Heart Disease (Valvular Prolapse)

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Published by: Jansen Arquilita Rivera on Sep 11, 2013
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Medical-Surgical Management

Ideal DIAGNOSTICS/ LABORATORY PROCEDURES Complete Blood Count (CBC)-This can detect Leukocytosis(WBC Count of 10, 000 to 20, 000) which usually appears, on the second day after Acute MI due to inflammatory process Chemistry-the basic metabolic panel (BMP) is a group of tests that measures different chemicals in the blood. These tests usually are done on the fluid (plasma) part of blood. The tests can give doctors information about your muscles (including the heart), bones, and organs, such as the kidneys and liver Troponin I- is a muscle protein that helps your muscles contract. When muscle or heart cells are injured, troponin leaks out, and its levels in your blood rise. Troponin are measured to differentiate between Unstable Angina Pectoris and Myocardial Infarction in patients with chest pain Electrocardiogram (ECG)-records the electrical activity of the heart. The heart produces tiny electrical impulses which spread through the heart muscle to make the heart contract. These can be used to detect various kinds of heart disorders Chest X-Ray-evaluates the organs and structure with the chest. May be used to detect enlarged cardiac shadow, suggestive heart failure, or show ventricular aneurysm, affecting ventricular wall motion Actual DIAGNOSTICS/ LABORATORY PROCEDURES DONE()

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A cardiac catheterization and a coronary angiogram are done to study the structure of the arteries that bring blood to the heart muscle and to evaluate the function of the main pumping chamber of the heart. Myocardial Perfusion Imaging (MPI) “Stress Testing” (Persantine Thallium)These tests help identify blood flow problems to your heart.Cardiac catheterization is an invasive. and blood flow through the heart. Cardiac Catheterization & Coronary Angiogram. A coronary angiogram is a specialized xray procedure that is done as part of a cardiac catheterization. During a cardiac catheterization. non-surgical procedure. the cardiologist inserts a small hollow tube (catheter) into an artery or vein and then advances it into the heart. The cardiologist injects contrast (x-ray dye) through the catheter to outline the arteries to show any blockages or narrowings that may exist within them. Small amounts of a radioactive material are injected into your bloodstream through your IV. heart valves. - NOT DONE - NOT DONE - NOT DONE . Special cameras can detect the radioactive material as it flows through your heart. This test identifies whether an area of your heart has been damaged by a heart attack. Echocardiogram uses ultrasound (highfrequency sound waves) to create an image of your heart on a television screen (monitor).Echocardiogram-A non-invasive test to evaluate the structure and motion of heart function.

Angiotensin Converting Enzyme Inhibitor. Atorvastatin is also used to decrease the amount of cholesterol (a fat-like substance) and other fatty substances in the blood Hyperosmotic agent-Produces increased Lactulose 30cc q HS PO(GIVEN) osmotic pressure within colon and acidifies its contents. and Atrovastatin 80mg 1tab q HS(GIVEN) weight loss to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. where it is converted to ammonium ion and expelled through laxative action. Causes migration of ammonia from blood into colon. .6cc sq q 12H(GIVEN) Enapril 10mg 1tab OD(GIVEN) Hydrocortisone 200mg IVTT(GIVEN) Aspirin 80mg 1 tab PO(GIVEN) Clopidogrel 75mg 1tab PO(GIVEN) Statins-used along with diet. which helps to prevent blood clots forming MEDICATION Carvedilol 125 mg 1 tab BID(GIVEN) Enoxparin 0.MEDICATION BETA-Adrenergic Blocking Agent-to slow the heart rate and to reduce the chance of abnormal heart rhythms developing Anticoagulant-helps prevent the formation of blood clots. exercise.decreasing inflammation and reducing the activity of the immune system Platelet Aggregation Inhibitors-to reduce the stickiness of platelets in the blood. resulting in increased stool water content and stool softening.is also used to treat a disorder of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart) Corticosteroid.

shrimp. called atherosclerosis. pasta rice potatoes.Limiting how much saturated and trans fats you eat is an important step to reduce your blood cholesterol and lower your risk of coronary artery disease. worsening the fluid build-up associated with heart failure Low Fat Diet. dried peas and beans. tuna. which can increase your risk of heart attack and stroke DIET Low Salt Diet includes bread. meats and protein. crab. Eating too much salt causes the body to keep or retain too much water. fruits and vegetables Low Fat Diet includes whole wheat pasta.DIET Low Salt Diet. Sodium is a mineral found in many foods.People with heart failure can improve their symptoms by reducing the amount of salt (sodium) in their diet. cereals. egg whites. A high blood cholesterol level can lead to a buildup of plaques in your arteries. fruits and vegetables .

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