Presented by: John Chisvher Mangulabnan

NCMB 312

Week 1: MS1
COURSE TASK
CU1

BSN 3 Y1 28
 Mr. Nathaniel is a 46 year-old man who has
developed symptoms of acute pericarditis secondary
to viral infection. Diagnosis was based on
characteristic sign of a friction rub and pain over the
pericardium.

1. The patient is experiencing pericardial pain. To

alleviate this discomfort, what position could the
nurse assist the patient with maintaining?

2. When planning Mr. Nathaniel’s care, what should

the nurse understand are the objectives of
pericarditis management?

3. The nurse is auscultating Mr. Nathaniel’s chest for

a pericardial friction rub. Where will the nurse
auscultate in order to locate the rub?
 The patient is experiencing pericardial pain. To
alleviate this discomfort, what position could the
nurse assist the patient with maintaining?
For a patient like Mr. Nathaniel, the nurse
should help the patient maintain a semi-
Fowler's or high-Fowler's position in order to
reduce pericardial pain. By relieving
pressure on the pericardium and decreasing
friction between the inflamed layers of the
pericardium, elevating the head of the bed
to an angle of 45–90 degrees can help
ease the discomfort brought on by
pericarditis.

When planning Mr. Nathaniel’s care,
what should the nurse understand are
the objectives of pericarditis
management?
When planning Mr. Nathaniel's care for acute
pericarditis, the nurseshould understand the
following objectives of management:
a. Relieve the pericardial pain, which is frequently
described as being throbbing and pleuritic in
character. According to the healthcare provider's
prescription, nonsteroidal anti-inflammatory
medications (NSAIDs), colchicine, or analgesics
may be used for pain treatment.
b. Treat the Underlying Cause:
Recognize and treat the pericarditis's underlying
cause. In Mr.Nathaniel's instance, the infection is
viral. Antiviral drugs could be taken into
consideration depending on the particular viral
etiology.

When planning Mr. Nathaniel’s care,
what should the nurse understand are
the objectives of pericarditis
management?
c. Reducing Inflammation:
The pericardium should be less inflammatory. Colchicine
and NSAIDs can typically aid in reducing inflammation. The
usage of corticosteroids will rely on the reason and clinical
judgment in specific circumstances.
d. Monitor for Complications:
Keep an eye out for issues including cardiac tamponade,
which occurs when fluid builds up inside the heart, and
pericardial effusion, which causes fluid to accumulate in
the pericardial sac. Early detection of these issues might
need routine evaluations and diagnostic procedures like
echocardiograms.
 e. Manage any additional symptoms or consequences
that may develop, such as fever, dyspnea (a feeling
ofbeing out of breath), and arrhythmias.

When planning Mr. Nathaniel’s care, f. Encourage rest in order to ease the strain on the
heart and pericardium during the acute period. As
what should the nurse understand are soon as the inflammation has subsided, gradually
the objectives of pericarditis resume activity.

management? g. Follow-up Care:

Ensure that the patient receives the necessary follow-
up care and monitoring to evaluate the remission of
symptoms and to identify any recurring episodes.
The nurse is auscultating Mr.
Nathaniel’s chest for a pericardial
friction rub. Where will the nurse
auscultate in order to locate the rub?
To auscultate for a pericardial friction rub, the nurse
should use a stethoscope and listen at specific locations
on the chest where the pericardial layers may rub
together. The typical areas to auscultate for a pericardial
friction rub include:

The left sternal border (at the third and fourth

intercostal spaces).
The apex of the heart (fifth intercostal space,
midclavicular line).
The lower left sternal border (at the xiphoid process).
Voice Management
Use of tone, volume, and pauses
to enhance delivery
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Use of Technology
Integration of technological tools
to enhance the presentation
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Rehearsals and Simulations
The importance of practicing the
presentation multiple times
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 95%
Success Stories
Real-life examples of successful project presentations
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Presented by Sandra Haro

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