Troponin earliest increase, peak and return to normal
3-4 hours, peaks in 4-24 hrs and returns to normal 1-3 weeks
Cardiac Tamponade S/S
Life threatening need stat interventions. S/S fullness within the chest, substantial or ill defined pain. sob, massive JVD, falling systolic blood pressure, narrowing pulse pressure, rising venous pressure (increased JVD) and distant heart sounds
Pulmonary Edema
Massive left sided heart failure, full of fluid, pink frothy secretions, Treatment: diuretics (lasix first line)If pt has renal failure then (nitroglycerin and morphine)
Valve replacement teaching: pre and post
take long term anticoagulant therapy, freequent follow up appointsments and blood lab studies. mak need to take aspirin, precribed medication teaching,
Pericarditis
Friction rub. notched T wave, S/S: fever, positional chest discomfort, nonspecific ST-segment elevation, elevated ESR erythrocyte sedimentation rate, retrosternal pain that worsens during supine positioning, pulsus paradoxus
