Page 1740 - Saunders Comprehensive Review For NCLEX-RN

FIG. 52-11 Cross-sections of an atherosclerotic coronary artery.

Box 52-6
Complications of Myocardial Infarction

▪ Dysrhythmias
▪ Heart failure
▪ Pulmonary edema
▪ Cardiogenic shock
▪ Thrombophlebitis

▪ Pericarditis
▪ Mitral valve insufficiency
▪ Postinfarction angina
▪ Ventricular rupture
▪ Dressler’s syndrome (a combination of pericarditis, pericardial effusion, and
pleural effusion, which can occur several weeks to months following a
myocardial infarction)

Table 52-1

Clinical Manifestations of Right-Sided and Left-Sided Heart Failure

Right-Sided Heart Failure Left-Sided Heart Failure
Dependent edema (legs and sacrum) Signs of pulmonary congestion
Jugular venous distention Dyspnea
Abdominal distention Tachypnea
Hepatomegaly Crackles in the lungs
Splenomegaly Dry, hacking cough
Anorexia and nausea Paroxysmal nocturnal dyspnea
Weight gain Increased BP (from fluid volume excess) or decreased BP
(from pump failure)
Nocturnal diuresis
Swelling of the fingers and hands
Increased BP (from fluid volume excess) or decreased BP
(from pump failure)
BP, Blood pressure.

Box 52-7
Home Care Instructions for the Client with

Infective Endocarditis

▪ Teach the client to maintain aseptic technique during setup and administration

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