Chapter 30 Coordinating Care for Patients With Cardiac Disorders Sherri Ulbrich
LEARNING OUTCOMES Content in this chapter is designed to assist in: 1. Describing the epidemiology of cardiac disorders 2. Correlating clinical manifestations to pathophysiological processes of:
ESSENTIAL TERMS Acute coronary syndrome (ACS) Angina
Murmur Myocardial tissue Myocarditis Percutaneous coronary intervention (PCI) Pericardial effusion Pericardiocentesis Pericarditis Prinzmetal’s/variant angina Pulmonary edema Orthopnea Regurgitation Stable angina Stenosis Tamponade Transcatheter aortic valve replacement (TAVR) Unstable angina
Aortic stenosis Atherosclerosis Cardiac rehabilitation Compensatory mechanism Coronary artery bypass graft (CABG) Coronary artery disease (CAD) Ejection fraction Embolization Exercise stress test Friction rub Heart failure Infective endocarditis (IE) Ischemia
a. Coronary artery disease b. Infective endocarditis
c. Myocarditis d. Pericarditis e. Valvular disease f. Heart failure 3. Describing the diagnostic results used to confirm the diagnosis of cardiac disorders 4. Discussing the interprofessional management of:
a. Coronary artery disease b. Infective endocarditis
c. Myocarditis d. Pericarditis e. Valvular disease f. Heart failure 5. Developing a comprehensive plan of nursing care for patients with cardiac disorders 6. Designing a teaching plan that includes pharmacological, dietary, and lifestyle considerations for patients with cardiac disorders
CONCEPTS
z Caring z Infection z Inflammation
z Oxygenation z Perfusion
Finding Connections
being nonadherent with his meds because “I feel okay.” He reports he was in his usual state of health until about 3 weeks ago. At that point, he reports feeling short of breath and fatigued unrelated to physical activity. Over the past 3 weeks, his symptoms have pro- gressed to the point where he sleeps in his recliner every night. He is admitted to the step-down unit for further management…
CASE STUDY: EPISODE 1 Follow this patient throughout the chapter.
Mr. Walter Thompson is a 57-year-old man with no significant past medical history except high blood pressure. He admits to
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