Here are some nursing interventions for this nursing diagnosis:- Provide education on the disease process, treatment plan, medication management and importance of follow up. - Teach about signs and symptoms of worsening condition like increased swelling, shortness of breath etc and when to seek medical help.- Demonstrate proper techniques for activities of daily living like bathing, dressing, toileting with limitations. - Educate on diet management, fluid restriction, weight monitoring and exercise plan.- Counsel on stress management, energy conservation, rest periods and pacing of activities.- Teach about infection prevention like hand washing, wound care, dental hygiene etc. - Provide written instructions and contact information
The document discusses tricuspid valve stenosis and insufficiency. It defines the conditions as a narrowing or stiffening of the tricuspid valve opening (stenosis), or the valve not closing tightly enough to prevent leakage (insufficiency). Causes can include rheumatic fever, infections, congenital malformations, and tumors. Risks include right heart failure and liver congestion. Diagnosis involves physical exams, echocardiograms, and cardiac catheterization. Treatment options include medications, valve repairs such as annuloplasty or valvuloplasty, and valve replacements. Complications include heart failure, endocarditis, and liver cirrhosis.
Similar a Here are some nursing interventions for this nursing diagnosis:- Provide education on the disease process, treatment plan, medication management and importance of follow up. - Teach about signs and symptoms of worsening condition like increased swelling, shortness of breath etc and when to seek medical help.- Demonstrate proper techniques for activities of daily living like bathing, dressing, toileting with limitations. - Educate on diet management, fluid restriction, weight monitoring and exercise plan.- Counsel on stress management, energy conservation, rest periods and pacing of activities.- Teach about infection prevention like hand washing, wound care, dental hygiene etc. - Provide written instructions and contact information
Similar a Here are some nursing interventions for this nursing diagnosis:- Provide education on the disease process, treatment plan, medication management and importance of follow up. - Teach about signs and symptoms of worsening condition like increased swelling, shortness of breath etc and when to seek medical help.- Demonstrate proper techniques for activities of daily living like bathing, dressing, toileting with limitations. - Educate on diet management, fluid restriction, weight monitoring and exercise plan.- Counsel on stress management, energy conservation, rest periods and pacing of activities.- Teach about infection prevention like hand washing, wound care, dental hygiene etc. - Provide written instructions and contact information (20)
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Here are some nursing interventions for this nursing diagnosis:- Provide education on the disease process, treatment plan, medication management and importance of follow up. - Teach about signs and symptoms of worsening condition like increased swelling, shortness of breath etc and when to seek medical help.- Demonstrate proper techniques for activities of daily living like bathing, dressing, toileting with limitations. - Educate on diet management, fluid restriction, weight monitoring and exercise plan.- Counsel on stress management, energy conservation, rest periods and pacing of activities.- Teach about infection prevention like hand washing, wound care, dental hygiene etc. - Provide written instructions and contact information
2. INTRODUCTION
TRICUSPID VALVE
Known as RIGHT ATRIOVENTRICULAR
VALVE
Consists of the three flaps or cups
Situated between the right atrium and right
ventricle.
Acts as valve to prevent backflow of the
blood.
3. DEFINITION
Narrowing or
stiffening of the
opening in the valve
stenosis.
TRICUSPID
VALVE
STENOSIS
5. DEFINITION
The valve does not
close tightly
TRICUSPID
enough to prevent REGURGITATION
leakage
TRICUSPID
VALVE TRICUSPID VALVE
INSUSFFICIENCY INCOMPETENCE
10. PATHOPHYSIOLOGY
BACKFLOW TO THE RIGHT
ATRIUM
HIGHER PRESSURE RIGHT ATRIUM,
ENLARGEMENT, AND HYPERTROPHY
HEPATOMEGALY
SYSTEMIC VENOUS RETURN
CONGESTION
ASCITES
13. INVESTIGATION
LABORATORY TEST RESULT
Polycythemia result
FULL BLOOD COUNT (FBC) Leukocytosis indicate
ineffective endocarditis
Mild elevation of
LIVER FUNCTION TEST (LFT) aminotransferases may
present secondary to chronic
hepatic venous congestion.
BLOOD CULTURES Positive infective
endocarditis.
14. INVESTIGATION
• Physical examination
• Pulse
▫ Abnormal pulse elevated in the jugular vein of
the neck.
• Auscultation with a stethoscope.
▫ The result is abnormal heart sounds and heart
murmur.
26. TREATMENT
SURGICAL
TREATMENT
MEDICAL
TREATMENT
27. MEDICAL TREATMENT
• Mild- no symptoms no require treatment.
• Medication as prescribed to relief the
symptoms only .
• Types of medication prescribed depends on
the condition of patient.
Antibiotics
Diuretics
Anticoagulants
Antiplatelets
Vasodilators
Cardiac glycosides
28. MEDICATION
GROUP EXAMPLE ACTION
ANTIBIOTICS PENICILLIN G Inhibit cell wall
POTASSIUM synthesis in
(PFIZERPEN) susceptible organism
cell death.
ANTICOAGULANTS WARFARIN SODIUM Prevent thrombosis
(COUDIUM) and prolong clotting
time
CARDIAC GLYCOSIDES DIGOXIN Increasing cardiac
(LANOXIN) output by slowing
heart rate and
increase the force
contraction.
29. MEDICATION
GROUP EXAMPLE ACTION
ANTIPLATELETS TICLOPIDINE Reduces the clot
HYDROCHLORIDE production by
(TICLID) interfering with
platelets
aggregation.
VASODILATORS GTN To vasodilators the
ISORDIL blood vessels.
DIURETICS FRUSEMIDE To reduce the
(LASIX) edema.
31. ANNULOPLASTY
• Procedure to reduce the an enlarged
annulus (fibrous ring) surrounding the
valve.
• Prosthetic ring sutured into the
circumference of tricuspid annulus
and the stitches are pulled towards to
prosthesis .
34. COMMISSUROTOMY
• Incision of stenos valve leaflets at their
borders.
OPEN Performed median
COMMISSUROTOMY
sternotomy
CLOSED Insert finger through a small
COMMISSUROTOMY incision
46. NCP 1
NURSING DIAGNOSIS :
DECREASED OF CARDIAC OUTPUT RELATED TO
THE TRICUSPID VALVE STENOSIS AND
INSUFFICIENCY.
EXPECTED OUTCOME:
CARDIAC OUTPUT WILL ELEVATED AND
MAINTAIN.
47. NURSING INTERVENTION
NURSING INTERVENTION RATIONALE
Monitor vital signs , hemodynamic To report any changes /abnormality
parameters, cardiac rhythm. reading.
Monitor intake and output chart. To detect loss of function of the renal
perfusion or renal failure.
Weight daily. To evaluate the elevation of weight due to
fluid retention.
Restrict the fluid as ordered. To reduce cardiac workload.
Monitor oxygen saturation and ABG To allow the assessment of oxygenation.
results.
Administer oxygen as ordered. To improve alveolar ventilation and
oxygenation.
Encourage rest on the bed. To decrease cardiac workload.
Administer medication as prescribed. To reduce fluid volume and cardiac work
Elevate the head of the bed. To promote breathing mechanism.
48. NCP 1
EVALUATION
CARDIAC OUTPUT INCREASING , THE
HEART RATE, BLOOD PREESSURE
AND URINE OUTPUT WITHIN THE
NORMAL RANGE.
49. NCP 2
NURSING DIAGNOSIS:
ACTIVITIY INTOLERANCE RELATED TO THE
TRICUSPID VALVE STENOSIS AND INSUFFICIENCY
EXPECTED OUTCOME :
CLIENT WILL TOLERATE ACTIVITY WITHOUT
DYSPNEA OR TACHYCARDIA
50. NURSING INTERVENTION
NURSING INTERVENTION RATIONALE
Monitor vital signs before and during To report any abnormalities reading.
activity.
Encourage self-care and gradually To improve client self-esteem and
increasing activities as a lower and sense of power.
tolerated.
Provide assistance as needed. To reducing the energy expenditure
to help maintain a balance oxygen
balance.
Consult with cardiac rehabilitation , To improve the strength and promote
physical therapy for in-bed exercise good circulation.
and activity plan.
Discuss ways to conserve the energy. To maintain oxygen level in the body.
51. NCP 2
EVALUATION
CLIENT MANAGE SELF-CARE AND
MODERATE ACTIVITY WITHOUT
BECOMING DYSPNEA AND
MAINTAIN HEART RATE.
52. NCP 3
NURSING DIAGNOSIS: RISK FOR
INFECTION RELATED TO THE
TRICUSPID VALVE STENOSIS AND
INSUFFICIENCY
EXPECTED OUTCOME : CLIENT
WILL FREE OF INFECTION
53. NURSING INTERVENTION
NURSING INTERVENTION RATIONALE
Use aseptic technique for all invasive To prevents infection.
procedures.
Assess the wound and catheter sites To reduce the risk of infection.
for redness, swelling, warmth, pain .
Administer antibiotics as ordered. To treat and prevent the infection.
Monitor WBC and TWDC results. To notify the leukocytosis and
leucopenia.
EVALUATION: CLIENT FREE
FROM NOSOCOMIAL
INFECTION
54. NCP 4
NURSING DIAGNOSIS:
DEFICIT KNOWLEDGE OF SELF-CARE RELATED
TO THE TRICUSPID VALVE SYENOSIS AND
INSUFFICIENCY
EXPECTED OUTCOME :
CLIENT WILL ACCURATEKY DESCRIBE
DISCHARGE INSTRUCTION
55. NURSING INTERVENTION
NURSING INTERVENTION RATIONALE
Completely explain all treatment. To improve the understanding disease
process.
Consult the physician about To prevent infection.
prophylactic antibiotics therapy
before or invasive treatment.
Avoid vigorously activities and To reduces cardiac workload.
competitive sports.
Avoid caffeine and over-the –counter To reduce the high risk of congestion
medications cardiac failure.
EVALUATION:
CLIENT MORE UNDERSTANDING
AND KNOWLEGEABLE.
56. CONCLUSION
• Tricuspid valve stenosis and insufficiency
are the heart valvular disease.
• Both of them caused by the rheumatic heart
diseases.
• It can be corrected by the repairment of the
valve and replacement of the valve for good
circulation of blood in the body and improve
breathing process.