Nursing 4440A/B Lecture Notes - Lecture 11: Heart Failure, Myocardial Scarring, Pulmonary Circulation
Document Summary
Thinking like a nurse: you have to be a nurse to do it. Management of patients with complications from heart disease. In r. a. day, p. paul, b, williams, s. smeltzer, & b. g. Suddarth"s textbook of canadian medical-surgical nursing. (3rd ed. , pp. Clinical manifestations: decreased cerebral oxygenetation, restless, anxious, sudden onset of sov and sense of suffocation, hands are cold and moist, nail beds are cyanotic, skin turns greay, pulse is weak and rapid. Incessatn cough with mucoid sputum: breathing is rapid, noisy, and moist sounding. Prevention: dry, hacking cough, weight gain, development or worsening of edema, and decreased activity tolerance may be early indicators of developing pulmonary edema. In early stage, condition may be alleviated by placing the patient in an upright position with the feet and legs dependent, eliminating overexertion and minimizing emotional stress to reduce the left ventricle load.