Pericarditis is inflammation of the pericardium, the sac surrounding the heart. It can be caused by infection, autoimmune disorders, uremia, myocardial infarction, or trauma. Symptoms include chest pain that worsens with deep breathing or lying down. Complications include pericardial effusion and cardiac tamponade. Diagnosis involves physical exam, ECG, echocardiogram, and lab tests. Treatment focuses on identifying and treating the underlying cause with medications, pericardiocentesis if needed, and monitoring for complications.
Pericarditis is inflammation of the pericardium, the sac surrounding the heart. It can be caused by infection, autoimmune disorders, uremia, myocardial infarction, or trauma. Symptoms include chest pain that worsens with deep breathing or lying down. Complications include pericardial effusion and cardiac tamponade. Diagnosis involves physical exam, ECG, echocardiogram, and lab tests. Treatment focuses on identifying and treating the underlying cause with medications, pericardiocentesis if needed, and monitoring for complications.
Original Description:
A presentation about the inflammation of the heart pericardium.
Pericarditis is inflammation of the pericardium, the sac surrounding the heart. It can be caused by infection, autoimmune disorders, uremia, myocardial infarction, or trauma. Symptoms include chest pain that worsens with deep breathing or lying down. Complications include pericardial effusion and cardiac tamponade. Diagnosis involves physical exam, ECG, echocardiogram, and lab tests. Treatment focuses on identifying and treating the underlying cause with medications, pericardiocentesis if needed, and monitoring for complications.
Pericarditis is inflammation of the pericardium, the sac surrounding the heart. It can be caused by infection, autoimmune disorders, uremia, myocardial infarction, or trauma. Symptoms include chest pain that worsens with deep breathing or lying down. Complications include pericardial effusion and cardiac tamponade. Diagnosis involves physical exam, ECG, echocardiogram, and lab tests. Treatment focuses on identifying and treating the underlying cause with medications, pericardiocentesis if needed, and monitoring for complications.
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PERICARDITIS
• Pericarditis: is a condition caused by
inflammation of the pericardial sac ,which may occur on an acute basis. Etiology • Idiopathic Infectious • Virus- Coxsackievirus B group • Bacteria-pneumococci • Fungus- histoplasma Noninfectious • Uremia • MI • Neoplasm • Trauma AUTOIMMUNE/HYPERSENSITIVITY • Dresslers syndrome: inflammation of sac aroundthe heart Clinical Manifestations • chest pain located beneath the clavicle, in the neck, or in the left scapula region may worsen with deep inspiration and when lying down or turning may be relieved with a forward leaning or sitting position. • mild fever • Dyspnea and other signs and symptoms of heart failure may occur as the result of pericardial compression due to constrictive pericarditis or cardiac tamponade. Complications • Pericardial effusion fluid collection in pericardial space • Cardiac tamponade it develops when pericardial effusion increases in volume pulses paradoxus is present Assessment and Diagnostic Findings • patient’s history • Physical examination signs of pericardial friction rub on auscultation • 12-lead ECG detects ST changes • Chest x-ray- cardiomegaly • Echocardiogram • Lab invst- elevated WBC,CRP,ESR Pericardial biopsy- analysis Management • Identifying treating the underlying problems • patient is placed on bed rest • Pericardiocentesis, procedure in which the pericardial fluid is removed • Antibiotic therapy • Analgesics and NSAIDs such as aspirin or ibuprofen • Corticosteroids (eg, prednisone) Nursing management Assessment • The nurse caring for the patient with pericarditis must be alert to the possibility of cardiac tamponade Nursing management Assessment • The nurse caring for the patient with pericarditis must be alert to the possibility of cardiac tamponade Interventions • Pain management elevate head end to 45 degrees cardiac table antinflammatory drugs • Monitor for complications
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