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  • MR Nathaniel

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    JOEY MEAD ARUGAY
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    Mr. Nathaniel, a 46-year-old man, was diagnosed with acute pericarditis caused by a viral infection based on signs of a pericardial friction rub and pain. To alleviate his pericardial pain, the nurse should assist him in maintaining a semi-fowler's position. The objectives of managing his pericarditis include treating any underlying causes, managing viral or idiopathic cases with NSAIDs, colchicine, or corticosteroids as outpatients, and having a prognosis similar to those with myopericarditis. To locate the pericardial friction rub, the nurse should auscultate Mr. Nathaniel's left lower sternal edge

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    Mr. Nathaniel, a 46-year-old man, was diagnosed with acute pericarditis caused by a viral infection based on signs of a pericardial friction rub and pain. To alleviate his pericardial pain, the nurse should assist him in maintaining a semi-fowler's position. The objectives of managing his pericarditis include treating any underlying causes, managing viral or idiopathic cases with NSAIDs, colchicine, or corticosteroids as outpatients, and having a prognosis similar to those with myopericarditis. To locate the pericardial friction rub, the nurse should auscultate Mr. Nathaniel's left lower sternal edge

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    1K views1 page

    MR Nathaniel

    Uploaded by

    JOEY MEAD ARUGAY
    Mr. Nathaniel, a 46-year-old man, was diagnosed with acute pericarditis caused by a viral infection based on signs of a pericardial friction rub and pain. To alleviate his pericardial pain, the nurse should assist him in maintaining a semi-fowler's position. The objectives of managing his pericarditis include treating any underlying causes, managing viral or idiopathic cases with NSAIDs, colchicine, or corticosteroids as outpatients, and having a prognosis similar to those with myopericarditis. To locate the pericardial friction rub, the nurse should auscultate Mr. Nathaniel's left lower sternal edge

    Copyright:

    © All Rights Reserved
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    of 1

    Mr.

    Nathaniel is a 46 year-old man who has developed symptoms of acute pericarditis


    secondary to viral infection. Diagnosis was based on characteristic sign of a friction
    rub and pain over the pericardium.
    1. The patient is experiencing pericardial pain. To alleviate this discomfort, what
    position could the nurse assist the patient with maintaining?

     Pericardial discomfort translates simply to a feeling of pain in the rubbing or


    strain layers of the pericardium. Let the patient sit down and lean forward in this
    situation. The strain on the parietal pericardium is also decreased and discomfort
    reduced
     The patient is experiencing pericardial pain. To alleviate this discomfort, what
    position could the nurse assist the patient with maintaining?
     The position that the nurses assist the patient is semi-fowler’s position.

    2. When planning Mr. Nathaniel’s care, what should the nurse understand are the
    objectives of pericarditis management?

     When the identified etiology of acute pericarditis is not viral or idiopathic,


    management should be directed toward treating the underlying cause. Patients
    with no high-risk features can be managed as outpatients. Medical management
    for viral or idiopathic acute pericarditis has been centered on 3 major agents—
    NSAIDs, colchicine, and corticosteroids. The management and prognosis of
    patients with myopericarditis are similar to those of patients with acute
    pericarditis.

    3. The nurse is auscultating Mr. Nathaniel’s chest for a pericardial friction rub.
    Where will the nurse auscultate in order to locate the rub?

     The nurse should auscultation with the diaphragm of the stethoscope over the left
    lower sternal edge or apex during end expiration with the patient sitting up and
    leaning forward (or on hands and knees) allows the best detection of the rub and
    increases the likelihood of observing this finding.

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