Pericarditis

Pericarditis

inflammation of the pericardial sac of the heart (15-50 mL of serous fluid)

Pericarditis Causes

1. infection of viral/bacteria

2. chest trauma, AMI

3. Neoplasm

4. Renal Failure

Pericarditis Complications

• dysrhythmia

• myocardial trauma

• puncture of ventricular, artery, gastric

• pleural laceration

Pericarditis Complication Treatment

• ECG monitoring

• Echocardiogram= fluid remove, fluid reaccumulation, cardiac tamponade

• Fluid Observation: amount, culture, color

• Hemodynamic Monitoring: BP, HR, O2

Pericarditis: Pericardial Effusion

building up fluid in the pericardium which causes Cardiac Tamponade

Pericarditis: Cardiac Tamponade

increased fluid inside the sac

Pericarditis: Cardiac Tamponade Symptoms

BECK TRAID: hypotension, JVD, Muffled Heart Sound

• confused

• anxious

• tachypnea

Pericarditis: Cardiac Tamponade Treatment

pericardiocentesis: removal of fluid within the pericardium sac via needle

Pericarditis Treatment

1. Assess Pain

2. High Fowler Position HOB>45

3. Monitor Cardiac Tamponade Beck Triad

Pericarditis Medication Treatment

1. NSAIDs (aspirin/ibuprofen)= relieve pain, fever, inflammation

2. Colchicine: decrease inflammation when allergic to NSAIDs

3. Corticosteroids (Prednisone): decreases inflammation when no other treatment works