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Cardiac disease

During pregnancy

Increased blood volume increases to 50% to help perfuse the placenta to get enough O2 to baby
Increased HR increases to 80 or 90 bpm has to pump harder to move volume through heart faster
S/S of CHF & End of Pregnancy ARE THE SAME SOB Fatigue Edema Tachycardia Palpitations
New York Heart association classification system for clients w/ heart disease Assessed at 3 and 8 months gestation
Level 1 client w/ heart disease NO symptoms and NO limitations in ordinary physical activity
Level 2 client w/ heart disease Mild symptoms and slight limitations during ordinary activity. - SOB
Type 3 client w/ heart disease Marked limitations in activity due to symptoms, even during less than ordinary activity comfortable only at rest
Type 4 client w/ heart disease severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients
Delivery recommendations Vaginal birth C- section not recommended b/c to hard on their heart
Nursing interventions during labor Watch I& O Watch FHR- no decels Have pt in semi fowlers & side lying position O2 via non breather mask careful administration of IV fluids Monitor labor progression Maintain heart rate 70-90bpm maintain preload Monitor V/S
Top priority for mom and baby safety maintaining normal heart rate
Created by: Jaycee420