NURS 3102 Study Guide - Final Guide: Coronary Vasospasm, Valvular Heart Disease, Coronary Circulation
6 Feb 2017
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Document Summary
Etiology is important to understand s/s and manifestations: Chest pain or discomfort (angina, mi, valvular heart disease) Sob or dyspnea (mi, left ventricular failure, hf) Edema and weight gain (right ventricular failure, hf) Palpations (dysrhythmias resulting from mi, valvular disease, ventricular aneurysm, stress, electrolyte imbalance) fatigue (early symptom of cardiovascular disease) Dizziness and syncope (postural hypotension, vasovagal effect, cerebrovascular disorders. Cardiac assessment; chest pain, sob, fatigue, dizziness, edema, heart burn, skin color. Auscultation/palpation auscultate carotid arteries, rate, rhythm, Manage discomfort (decrease oxygen demand, increase oxygen. Coldspa (when does pain occur, describe pain, precipitating and relieving factors, oxygen (increase supply, reduce demand) Appearance and evaluate hemodynamic status (bp, pulse, rhythm) Risk factor analysis (diet, exercise, smoke, alcohol, drug use, health history, family history, medications, allergies) Mi: necrosis of myocardial tissue causing irreversible damage due to an occlusion with prolonged ischemia. Pain in shoulders and hands may be present.
