Nursing care of cardiac tamponade.doc

 PAGE \* MERGEFORMAT 9 Nursing care of cardiac tamponade [Abstract] cardiac tamponade is the rapid increase in pericardial pressure, prevented cardiac diastolic blood perfusion, the cardiac output decreased. The pressure increase was usually due to a blood or pericardial fluid accumulation. If fast fluid accumulation, the accumulated volume of liquid to 250ml can only have serious consequences. When close observation in the care without increasing cardiac tamponade, with or without progressive dyspnea and signs of arrhythmia. [Keywords:] Surgical Care Cardiac tamponade is the rapid increase in pericardial pressure, prevented cardiac diastolic blood perfusion, so that cardiac output decreased. The pressure increase was usually due to a blood or pericardial fluid accumulation. If the rate of fluid accumulation Soon, the accumulated volume of liquid to 250ml can only have serious consequences. The prognosis of cardiac tamponade depends on the rate of fluid accumulation. If the accumulation of very fast, you need to take urgent rescue measures to avoid death. If the fluid accumulation is slow, the pressure increases quickly, such as cancer caused by pericardial effusion, etc., are not will immediately produce a corresponding signs and symptoms, because the pericardial cavity wall will gradually stretch the fiber, so that pericardial cavity can accommodate 1-2L of liquid. Cardiac tamponade occurs when fluid in the pericardial cavity was due to the accumulation of that heart chamber pressure, and change thy blood less, but also a corresponding reduction in stroke volume. Each ventricular contraction, there will be more fluid accumulation in the pericardial cavity, is more limited in the next cardiac cycle, ventricular blood perfusion, in particular, left ventricular blood perfusion. Special attention: cardiac tamponade caused by a class of arrhythmias often - pulseless electrical activity (PEA). In the PEA, only sporadic electri