click below
click below
Normal Size Small Size show me how
TL Valvular Heart
Nursing of the adult with Valvular Heart Disease
Question | Answer |
---|---|
Define valvular heart disease. | Heart valves that are unable to open fully (stenosis) or close fully (insufficiency or regurgitation) |
Valvular dysfunction is more common on which side of the heart? Which valves are most commonly affected by valvular heart disease? | Most valvular dysfunction takes place on the left side of the heart. The mitral valve is the most common followed by the aortic valve. |
Describe what’s happening in mitral valve stenosis. | Blood slips through the stenosed mitral valve back into the left atrium. |
Describe the progression from asymptomatic to symptomatic in the patient with mitral valve stenosis. | At first symptoms may be absent but as the condition worsens the patient will exhibit dyspnea w/exertion, orthopnea, cough, hemoptysis, or Pulmonary edema from back up to lungs and excessive fatigue from lack of oxygenated blood being pumped systemically |
Name 5 common causes of valvular disease(SHERC). | Rheumatic fever, Congenital heart disease, syphilis, endocarditis, hypertension |
What does treating strep throat have to do with valvular heart disease? | Streptococcus infections like strep throat and scarlet fever lead to rheumatic fever. Prevention of rheumatic fever would reduce the incidence of valvular heart disease. |
What symptoms might the nurse find on assessment of a patient with valvular heart disease (8)? | Fatigue, dyspnea, orthopnea, hemoptysis, pulmonary edema, murmurs, irregular cardiac rhythm, angina |
Give several applicable nursing diagnoses for the patient with valvular heart disease. | Decreased cardiac output, impaired gas exchange, activity intolerance |
What complication should the nurse monitor the patient with valvular heart disease for? | atrial fibrillation with thrombus formation |
What things should the nurse discuss with the patient with valvular heart disease? | Treatment: surgical repair or replacement of heart valves and need for lifelong anticoagulant therapy thereafter. Teach the need for prophylactic antibiotic therapy before any invasive procedures |