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MS Cu6

1. The nurse should assist the patient in maintaining a semi-fowler's position to alleviate pericardial pain. 2. The objectives of pericarditis management are to treat any underlying causes, manage mild cases as outpatients using NSAIDs, colchicine, or corticosteroids, and have similar management and prognosis as acute pericarditis for patients with myopericarditis. 3. To locate a pericardial friction rub, the nurse should auscultate 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.

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729 views1 page

MS Cu6

1. The nurse should assist the patient in maintaining a semi-fowler's position to alleviate pericardial pain. 2. The objectives of pericarditis management are to treat any underlying causes, manage mild cases as outpatients using NSAIDs, colchicine, or corticosteroids, and have similar management and prognosis as acute pericarditis for patients with myopericarditis. 3. To locate a pericardial friction rub, the nurse should auscultate 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.

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AUBREY ROSE A.

VIDON

BSN 3Y1 - 2

COURSE TASK CU #6

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?

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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