15 terms

Acute Pericarditis

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Pericarditis is caused by
inflammation of the pericardial sac
Pericarditis in the acute MI pt may be described as two distinct syndromes
acute pericarditis, Dressler syndrome
acute pericarditis occurs within the
initial 48-72 hours after an MI
Dressler syndrome appears
4-6 weeks after an MI
Clinical manifestations of pericarditis
severe chest pain
Pericarditis chest pain is
sharp, pleuritic in nature, worse with deep inspiration or when lying supine
Pericarditis chest pain is relieved by
sitting up and leaning forward
Pericarditis chest pain can be referred to the
shoulder and upper back
The hallmark finding in acute pericarditis is a
pericardial friction rub
Complications of pericarditis include
pericardial effusion, cardiac tamponade
Drug therapy for pericarditis include
antibiotics, NSAIDs, colchicine
Colchicine is an
antiinflammatory medication used for gout
Pericardiocentesis is usually performed if accompanied by
acute cardiac tamponade, purulent pericarditis, suspicion of a neoplasm
Primary nursing concern for pericarditis
management of the pt pain and anxiety
Pain relief measures for acute pericarditis
bed rest, HOB 45 degrees, overbed table for support, antiinflammatory medications