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Related Concept Videos

Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
65
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

67
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
67
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

113
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
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Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
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Nursing the Patient With an Artificial Pacemaker.

Betsy Todd

    The American Journal of Nursing
    |May 26, 2022
    PubMed
    Summary
    This summary is machine-generated.

    Explore the evolution of cardiac pacemakers from early transistorized devices to modern implantable cardioverter-defibrillators. This historical perspective highlights advancements in patient care and technology over decades.

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    Area of Science:

    • Cardiovascular Technology
    • Medical History
    • Nursing Practice

    Background:

    • AJN archives offer a historical perspective on nursing.
    • Nursing curricula often omit historical context.
    • Historical articles provide insights into past medical practices and societal views.

    Purpose of the Study:

    • To highlight the historical development of artificial cardiac pacemakers.
    • To compare early pacemaker technology and care with contemporary devices.
    • To underscore the importance of nursing history in contemporary practice.

    Main Methods:

    • Review of a 1964 AJN article on transistorized cardiac pacemakers.
    • Discussion of historical patient care protocols (pre-op enema, post-op antibiotics).
    • Comparison with current technologies like implantable cardioverter-defibrillators and cardiac resynchronization therapy.

    Main Results:

    • Early pacemakers were large, costly ($400), and required specific care.
    • Historical care involved pre-operative enemas and 10-day antibiotic courses.
    • Modern devices offer advanced features like wireless data transmission and primary prevention.

    Conclusions:

    • Significant advancements have been made in pacemaker technology and patient care.
    • Contemporary devices are more sophisticated, with costs exceeding $30,000.
    • Understanding this history enriches current nursing knowledge and practice.