NURS 472 Lecture Notes - Lecture 10: Heart Murmur, Coronary Vasospasm, Jugular Vein

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2/5/18 nursing management during pci monitor anticoagulant status measure cat and bolus heparin as needed. Asa and cp iib/iiia antagonist may be given as well. Monitor ecg--- look for dysrhythmias always a risk when you mess with the heart. Dual anti-platelet therapy with aspirin and p2y12 inhibitor. Other meds may be added to regimen including. Abrupt closure of dilated segment dilations, pharm (nitro, anticoagulants), cabg. Rapid, thready pulse; a narrow pulse pressure; dyspnea; tachypnea; inspiratory crackles; distended neck veins; chest pain; cool, moist skin; oliguria(low co causes poor perfusion) ; and decreased mentation. Sbp < 85 mm hg, map < 65 mm hg, ci < 2. 2 l/min/m2, paop > 18 mm hg. Goal of treatment is to minimize myocardial workload and maximize myocardial oxygen delivery. A post-mi patient with progressive dyspnea, tachycardia, and pulmonary congestion accompanied by a new holosystolic murmur most likely has which of the following? ventricular septal wall rupture.

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