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Course Task CU 1

The patient is experiencing pericardial pain and the nurse should assist them into a semi-Fowler's position for comfort. The objectives of pericarditis management are to treat the underlying cause and use NSAIDs, colchicine, or corticosteroids for viral or idiopathic cases. To locate a pericardial friction rub, the nurse should auscultate over the left lower sternal edge or apex while the patient is sitting up and leaning forward.

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Camille Mactal
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61 views1 page

Course Task CU 1

The patient is experiencing pericardial pain and the nurse should assist them into a semi-Fowler's position for comfort. The objectives of pericarditis management are to treat the underlying cause and use NSAIDs, colchicine, or corticosteroids for viral or idiopathic cases. To locate a pericardial friction rub, the nurse should auscultate over the left lower sternal edge or apex while the patient is sitting up and leaning forward.

Uploaded by

Camille Mactal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CAMILLE MACTAL NCMB312

BSN 3Y1-1 September 16, 2021


Course Task CU 1.
Consider the scenario and answer the following questions:
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. (30 points)
1. The patient is experiencing pericardial pain. To alleviate this discomfort, what position could the nurse assist
the patient with maintaining?
Elevate the head of the bed and encourage the patient to sit in semi Flower’s position. Encourage pursed lip
breathing and deep breathing exercises. To relieve shortness of breath and help in lung expansion. To promote
optimal patient comfort and reduce restlessness. The patient will feel better when the nurse assists him to sit up and
lean forward.
2. When planning Mr. Nathaniel’s care, what should the nurse understand are the objectives of pericarditis
management?
When the etiology of acute pericarditis is neither viral or idiopathic, the focus of treatment should be on the underlying
cause. Patients who do not have any high-risk characteristics can be treated as outpatients. NSAIDs, colchicine, and
corticosteroids have been the mainstays of medical treatment for viral or idiopathic acute pericarditis. Patients with
myopericarditis have the same therapy and prognosis as those 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?
With the patient sitting up and leaning forward or on hands and knees, auscultation with the diaphragm of the
stethoscope over the left lower sternal edge or apex during end expiration allows for the best detection of the rub and
increases the likelihood of observing this finding.

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