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Concept Mqp

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Submitted By biddies05
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68 years old

Male

Endocarditis
Social:

* Spanish Speaking * Former Cigarette Smoker, quit 17 years ago

Cardiac:

* Endocarditis * AVR * CABG x1 * Abscess of aortic root * Pacemaker * Hypertension * Complete Heart Block * Mitral Regurgitation * Coronary Artery Disease * Aortic Stenosis * Paroxysmal A-Fib * Metoprolol tartrate (lopressor) * Amlodipine (Norvasc) * Enalapril (Vasotec) * Furosemide (Lasix) * D: Decreased cardiac output related to inflammation of lining of the heart and valves. * I: Monitor for symptoms of heart failure and decreased cardiac output. Listen to heart sounds, lung sounds and note flowing symptoms: dyspnea, orthopnea, paroxysmal nocturnal dyspnea, Cheyne-Stokes respirations, fatigue, weakness, third and fourth heart sounds, and crackles in lungs. * D: Risk for infection due to previous diagnosis of endocarditis and recent surgery. * I: Observe and report signs of infection such as redness, warmth, discharge, and increased body temperature and white blood cells.
Pain:

* Acetaminophen (Tylenol) 650 mg * Oxycodone-acetaminophen (Percocet) 5-325 mg * D: Acute pain related to inflammation and surgery. * I: Conduct pain assessment using scale of 0-10 and implement pain management interventions.

Circulatory:

* Heparin (Porcine) 5,000 units * D: At risk for blood clots due to artificial valve, cardiac disorders, and lack of mobility due to activity intolerance related to reduced cardiac reserve. * I: Apply compression stockings and have patient use incentive spirometer. * D: At risk for bleeding due to anti-coagulants. * I: Monitor signs of bleeding in the urine, stool, sputum, and vomit.

Medications * Metoprolol Tartrate (Lopressor) * Category: Beta Blocker * Taking medication: Causes

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