Cardiac Tamponade - Nursing care and management plan, procedure and aftercare PDF

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Nursing care and management plan, procedure and aftercare...

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Cardiac Tamponade Nursing Care Plan & Management 

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NURSING CARE PLAN

Description Cardiac tamponade is the accumulation of excess fluid within the pericardial space, resulting in impaired cardiac filling, reduction in stroke volume, and epicardial coronary artery compression with resultant myocardial ischemia. Clinical sings of cardiac tamponade depends on the rapidity of the fluid accumulation and on the fluid volume. Risk factors include recent cardiac trauma such as open trauma to the thorax (gunshot wounds and stabs), closed trauma to the thorax (impact of the chest on a steering wheel during a motor vehicle accident), cardiac surgery, and iatrogenic causes (cardiac catheterization or pacemaker electrode perforation).

Signs and Symptoms  Restlessness  Agitation  Weakness

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Anorexia Chest discomfort Shortness of breath Feeling of impending doom Poor tissue perfusion

Physical Examination  Pulsus paradoxus > 10 mm Hg (hallmark)  Narrowed pulse pressure (...