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TL Valvular Heart

Nursing of the adult with Valvular Heart Disease

QuestionAnswer
Define valvular heart disease. Heart valves that are unable to open fully (stenosis) or close fully (insufficiency or regurgitation)
Valvular dysfunction is more common on which side of the heart? Which valves are most commonly affected by valvular heart disease? Most valvular dysfunction takes place on the left side of the heart. The mitral valve is the most common followed by the aortic valve.
Describe what’s happening in mitral valve stenosis. Blood slips through the stenosed mitral valve back into the left atrium.
Describe the progression from asymptomatic to symptomatic in the patient with mitral valve stenosis. At first symptoms may be absent but as the condition worsens the patient will exhibit dyspnea w/exertion, orthopnea, cough, hemoptysis, or Pulmonary edema from back up to lungs and excessive fatigue from lack of oxygenated blood being pumped systemically
Name 5 common causes of valvular disease(SHERC). Rheumatic fever, Congenital heart disease, syphilis, endocarditis, hypertension
What does treating strep throat have to do with valvular heart disease? Streptococcus infections like strep throat and scarlet fever lead to rheumatic fever. Prevention of rheumatic fever would reduce the incidence of valvular heart disease.
What symptoms might the nurse find on assessment of a patient with valvular heart disease (8)? Fatigue, dyspnea, orthopnea, hemoptysis, pulmonary edema, murmurs, irregular cardiac rhythm, angina
Give several applicable nursing diagnoses for the patient with valvular heart disease. Decreased cardiac output, impaired gas exchange, activity intolerance
What complication should the nurse monitor the patient with valvular heart disease for? atrial fibrillation with thrombus formation
What things should the nurse discuss with the patient with valvular heart disease? Treatment: surgical repair or replacement of heart valves and need for lifelong anticoagulant therapy thereafter. Teach the need for prophylactic antibiotic therapy before any invasive procedures
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