Physiology
Murmurs are the product of intense blood flow across inflexible, calcified valves; faulty valves that permit reverse blood flow (regurgitation); faulty (deviant openings) in the septum, aorta, or pulmonary artery; or abnormally high velocity of blood flow through a normal structure. Supposedly blood generally flows soundlessly through the heart; yet, these conditions can generate tumultuous blood flow resulting in auscultation of swooshing or gusty sound over the precordium (Weber & Kelley, 2014). S1 & S2 are the most evident heart sounds with S1 representing the first sound and systole while S2 represents the diastole and the second sound. S1 signals the estimated onset of systole and is generated when the surge in intraventricular pressure in the course of …show more content…
• I will make a note to advise the client on steps for smoking cessation in a non judgmental manner upon ready for discharge.
• Approach the client and explain all activities and procedures in a calm manner and also avoiding the use of medical terms (Ackley & Ladwig, 2011).
• I will also note discuss with the patient the importance of not been overweight and its relationship with one’s health.
• Preliminary test expected from the physician apart from blood test include but not limited to chest X-ray and echocardiogram.
Implementation
Analyzing the client’s source of anxiety and stress is the most important intervention due to its precedence over the corresponding signs and symptoms such as increased blood pressure, heart rate and respiration, including headaches, chest pain and perspiration. There will be clarifications on all physicians’ orders such as diagnostic tests with enough time for questions to avoid any misapprehension from the
Murmurs are the product of intense blood flow across inflexible, calcified valves; faulty valves that permit reverse blood flow (regurgitation); faulty (deviant openings) in the septum, aorta, or pulmonary artery; or abnormally high velocity of blood flow through a normal structure. Supposedly blood generally flows soundlessly through the heart; yet, these conditions can generate tumultuous blood flow resulting in auscultation of swooshing or gusty sound over the precordium (Weber & Kelley, 2014). S1 & S2 are the most evident heart sounds with S1 representing the first sound and systole while S2 represents the diastole and the second sound. S1 signals the estimated onset of systole and is generated when the surge in intraventricular pressure in the course of …show more content…
• I will make a note to advise the client on steps for smoking cessation in a non judgmental manner upon ready for discharge.
• Approach the client and explain all activities and procedures in a calm manner and also avoiding the use of medical terms (Ackley & Ladwig, 2011).
• I will also note discuss with the patient the importance of not been overweight and its relationship with one’s health.
• Preliminary test expected from the physician apart from blood test include but not limited to chest X-ray and echocardiogram.
Implementation
Analyzing the client’s source of anxiety and stress is the most important intervention due to its precedence over the corresponding signs and symptoms such as increased blood pressure, heart rate and respiration, including headaches, chest pain and perspiration. There will be clarifications on all physicians’ orders such as diagnostic tests with enough time for questions to avoid any misapprehension from the