Nursing NUR401 Lecture Notes - Lecture 4: Pericardial Effusion, Pleural Effusion, Cardiac Tamponade
Document Summary
Oncological emergencies & palliative care/end of life care. Oncologic emergencies: result, disease process, cancer treatment, onset of symptoms, vary with each patient"s underlying disease, functional status, and presence or absence of other complications or health conditions, prompt recognition with appropriate intervention(s) is critical. Cardiac tamponade: compression of heart muscle caused by pathologic fluid accumulation within the pericardial sac, and fibrosis of the pericardial sac related to radiation therapy. Interferes with dilation if heart chambers, which prevents adequate cardiac filling during diastole decreased heart output. What are the signs/symptoms: manifestations, heaving chest, retrosternal chest pain relived by leaning forward, worse when supine, sob, tachycardia, cough, muted heart sounds (muted or distant, weak/absent apical pulse, nursing management, hob, pain control. Disseminated intravascular coagulation (dic: not a disease; an abnormal response, presence of underlying condition, malignancy, obstetric emergencies, sepsis, severe infection, severe trauma, etc, clotting cascade is triggered, result: thrombosis and subsequently hemorrhage.
