Symptoms
Where do you see JVD
in the neck
What will their HR be? (name of symptom)
Tachycardic
What do we do to their legs while in bed
elevate
What will we do before surgery (has to do with IV)
Volume resuscitation
Due to complications what should we monitor frequently (hint: an assessment of 3 letters)
ABC's
We may see signs associated with this condition (hint: signs like dyspnea, edema, crackles)
Heart failure
About how much fluid can be in the pericardial sac
200-300 mL
Is a pericardiocentesis in the nurses scope of practice?
NO
Due to anxiety, what should we do for the patient
Provide emotional support and education
A pericardiocentesis may cause what complications? (only has to be one)
infection, pneumothorax, dysrhythmia, puncture of the vessels, hepatic injury
Muffled heart sounds
What is cardiac tamponade
Fluid builds up in the pericardial sac which compresses the heart
What is 1 of the 3 medications we can give for this patient?
Dopamine, norepinephrine, and dobutamine
How do we keep an eye on the patients cardiac rhythm
EKG or telemetry
What can happen if we dont give the 3 meds through a central line?
Tissue necrosis
Where can the client feel their chest pain (only have to name one spot)
Abdomen, neck, back, or shoulders
What is one lab we may get for this patient
What do we do before surgery?
Position the client with their feed elevated and provide volume resuscitation.
If the patient is SOB, what is a priority
Provide oxygen
If this is not treated promptly, what can happen?
Shock or death
What is Becks Triad?
3 symptoms: Hypotension, Muffles heart sounds, and JVD
What is the best method to diagnose cardiac tamponade?
An echocardiogram
What surgery does the provider perform?
Pericardiocentesis
What do we need to get the client ready for ASAP
Pericardiocentsis
What should you do if the patient starts having complications
Notify the HCP