Valvular Heart Disease: Tricuspid Stenosis

Valvular Heart Disease: Tricuspid Stenosis

1. Etiology

   • CHD
   • Tumor
   • Infection
     • Strep
       • Rheumatic Fever
         • Vallvular infection
   • congenital
   • Atherosclerosis
   • Age
     • Valve degeneration

2. What procedures would the nurse predict to be ordered?

   • Blood Culture
   • Chest X-ray
   • MRI
   • 12 Lead EGC
   • Ultra sound
   • Echocardiogram
   • Stress Test
   • Valve replacement
   • Percutaneous balloon valvuloplasty
   • Annuplasty
   • Open commissurotomy

3. Nursing Intervention

   • Patient Teaching
     • Avoid caffeine and smoking
     • Avoid steneous activities
       • Rest periods
     • Complete antibiotic
     • Sodium restriction
     • Decreased anxiety
       • Breathing Techniques
   • Monitor cardiac rhythm
   • Medication
     • Pain management
       • Pain scale
     • Prophylactic antibiotics
     • Diuretic
     • antiarrathymic
     • Rights
     • Glycodiac digosin
     • Anticoagulant
   • Monitor weight
   • Monitor oxygen therapy & ABG
   • Monitor in and out
   • Therapeutic relationship

4. Pathophysiology

   • Valves Insufficiency
     • Obstruction of blood flow
       • Atrium Enlargement
         • Low cardiac output
           • Clinical manifestation
             • Jugular vein diatension
             • Fatigue
             • Peripheral edema
             • Pulsatile liver
             • Dypnea
             • Hypotension
             • Palpitation
             • Complication
               • Hepatomegaly
               • Acites
               • Chronic Heart Disease
               • Liver Cirrhosis
             • Murmur

5. Assessment

   • History
   • Vital Signs
   • Head to Toe Assesment

6. Evaluate Outcome

   • Cardiac tolerance
   • Increased activity
   • No peripharal eddema
   • Understand and adhered to therapeutic regimen
   • normal vital signs

7. Nursing Diagnosis

   • Excess fuid
   • Decreased cardiac output
   • Activity intolerance
   • Ineffective self-health management

8. Planning

   • Improve cardiac function
   • Improve activity tolerance
   • Improve self-care

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