NURSING 1J02 Lecture Notes - Lecture 4: Congenital Heart Defect, Interatrial Septum, Axilla
24 Mar 2018
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Family cardiac history: any family history of hypertension, obesity, diabetes, Cycle: louder heart sounds because of the thinner chest wall, s2 has a higher pitch and is sharper than s1, murmurs are generally grade 1 or 2. Children: note any extracardiac or cardiac signs that may indicate heart disease: poor weight gain, developmental delay, persistent tachycardia, tachypnea, 507-518: decreased cardiac output occurs when the heart fails as a pump and circulation becomes backed up and congested, signs and symptoms of heart failure come from two basic mechanisms: The heart"s inability to pump enough blood to meet the metabolic demands of the body and; The kidney"s compensatory mechanism of abnormal retention of sodium and water to decrease cardiac output. This increases blood volume and venous return, which causes further congestion: onset of heart failure may be: Acute, as after a myocardial infarction, when direct damage to the heart.
