Cardiac Tamponade - Simple Nursing - Med Surg 1 PDF

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Summary

Cardiology study material for ATI - med surg 1 - from simple Nursing - NCLEX...

Description

Cardiac Tamponade Med Surg: Cardiac

Pathophysiology COMPRESSION OF THE HEART caused by fluid collecting in the pericardial sac. (weaker pump = less cardiac output)

This is a medical emergency as fluid or blood fills the pericardial sac, compressing the heart so that it cannot fill & pump! The result is a dramatic drop in blood pressure that can kill the client. MEMORY TRICK

• C - Cardiac Tamponade • C - Compression on the heart • C - Critical client! Causes

ACUTE TRAUMA: (Stabbing or MVA) CHRONIC: Pericarditis

Treatments

PERICARDIOCENTESIS 1. CARDIAC MONITOR 2. CATHETER ATTACHED to drainage system

3. ASSESS DRAINAGE (Type & speed of drainage)

Signs & Symptoms

BECKS TRIAD BEC B • Big Jugular Veins Distension (JVD) E • Extreme Low BP (Hypotension) C • Can’t hear heart sounds (muffled) PULSE PARADOXES Systolic drop of 10 mmHg (120/80 to 110/80) ECG QRS complexes (short & uneven height)...