Choroba zastawek serca
Charakterystyka, pielęgnacja i opieka

Choroba zastawek serca obejmuje dysfunkcję jednej lub więcej z czterech zastawek serca (mitralna, aortalna, trójdzielna, płucna), manifestującą się stenozą lub niedomykalnością, co prowadzi do upośledzenia efektywności pompowania krwi i może skutkować niewydolnością serca. Etiologia jest zróżnicowana, obejmując wady wrodzone, zmiany degeneracyjne, infekcje (np. gorączka reumatyczna, infekcyjne zapalenie wsierdzia) oraz powikłania po zawale serca. Diagnostyka opiera się na dokładnym wywiadzie, badaniu fizykalnym (osłuchiwanie szmerów, ocena tętna, ciśnienia krwi, objawów zastoju płucnego) oraz monitorowaniu parametrów hemodynamicznych i echokardiograficznych. Interwencje pielęgniarskie koncentrują się na monitorowaniu saturacji SpO2, kontroli objawów niewydolności serca, edukacji pacjenta, optymalizacji farmakoterapii (beta-blokery, diuretyki, inhibitory ACE, leki przeciwzakrzepowe) oraz wsparciu psychospołecznym. Szczególną uwagę zwraca się na profilaktykę infekcji, w tym zapalenia wsierdzia, poprzez higienę jamy ustnej i stosowanie profilaktyki antybiotykowej u pacjentów z wysokim ryzykiem.

Wprowadzenie do choroby zastawek serca

Choroba zastawek serca to schorzenie, w którym jedna lub więcej z czterech zastawek serca (mitralna, aortalna, trójdzielna i płucna) nie funkcjonuje prawidłowo. Zastawki te działają jak drzwi, które otwierają się i zamykają, kontrolując przepływ krwi wewnątrz serca i zapewniając jej przepływ w odpowiednim kierunku. W przypadku choroby zastawek serca, może dojść do zwężenia zastawki (stenoza) lub jej niedomykalności (regurgitacja), co wpływa na zdolność serca do efektywnego pompowania krwi.12

Choroba zastawek serca może mieć różne przyczyny, w tym wady wrodzone, zmiany związane z wiekiem, infekcje (takie jak gorączka reumatyczna czy infekcyjne zapalenie wsierdzia), choroby tkanki łącznej, a także uszkodzenia spowodowane zawałem serca. Szacuje się, że choroba zastawek serca dotyka ponad 5 milionów Amerykanów rocznie i prowadzi do około 25 000 zgonów każdego roku.34

Łagodne przypadki choroby zastawek serca mogą nie powodować problemów, ale cięższe przypadki mogą osłabić serce i prowadzić do niewydolności serca. Wczesne rozpoznanie i leczenie choroby zastawek serca ma kluczowe znaczenie dla zapobiegania powikłaniom i poprawy jakości życia pacjentów.56

Ocena i diagnostyka pielęgniarska

Kompleksowa ocena pielęgniarska jest kluczowa dla identyfikacji objawów choroby zastawek serca. Pielęgniarka powinna przeprowadzić dokładny wywiad medyczny, koncentrując się na wcześniejszych rozpoznaniach choroby zastawek serca, w tym rodzaju zajętej zastawki i czasie rozpoznania.7

Badanie fizykalne

Pielęgniarka powinna przeprowadzić dokładne badanie fizykalne, koncentrując się na układzie sercowo-naczyniowym i oddechowym. Szczególną uwagę należy zwrócić na tony serca, wykrywając wszelkie szmery, trzaski lub nieprawidłowe dźwięki, które mogą wskazywać na nieprawidłowości zastawek.89

  • Osłuchiwanie serca w celu wykrycia szmerów, które mogą wskazywać na nieprawidłowy przepływ krwi przez zastawki
  • Ocena tętna pod kątem siły i rytmu (regularny czy nieregularny)
  • Palpacja obwodowych tętnic
  • Ocena ciśnienia krwi i częstości akcji serca
  • Sprawdzanie czy występują objawy zastoju płucnego, takie jak trzeszczenia w płucach

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Ocena układu krążenia

Należy ocenić stan układu sercowo-naczyniowego, aby określić, czy występuje zmniejszona perfuzja tkanek. Jeśli krew nie przepływa do przodu lub cofa się, może to powodować zastój płucny prowadzący do obrzęku płuc. Mogłoby to spowodować zmniejszenie SpO2, trzeszczenia w płucach, a nawet pojawienie się różowej, pienistej plwociny.12

Pielęgniarka powinna również ocenić, czy występują objawy niewydolności serca, takie jak zmęczenie, duszność podczas wysiłku, zwiększony kaszel, krwioplucie, liczne infekcje dróg oddechowych, orthopnoe lub duszność nocna.13

Monitorowanie i badania diagnostyczne

Regularnie monitoruj parametry hemodynamiczne, w tym wyniki echokardiograficzne i inne istotne testy diagnostyczne, aby ocenić skuteczność interwencji w optymalizacji przepływu krwi i zapobieganiu powikłaniom.14

Należy niezwłocznie powiadomić lekarza o nowych lub nagłych szmerach, zwłaszcza jeśli towarzyszą im oznaki słabej perfuzji lub obrzęku płuc.15

Diagnozy pielęgniarskie w chorobie zastawek serca

Opracowanie dokładnych diagnoz pielęgniarskich jest kluczowe dla zapewnienia skutecznej opieki pacjentom z chorobą zastawek serca. Diagnozy pielęgniarskie zapewniają ramy do zaspokojenia konkretnych potrzeb pacjenta i promowania optymalnego zdrowia układu sercowo-naczyniowego.16

Zmniejszony rzut serca

Choroba zastawek serca może prowadzić do zmniejszonego rzutu serca, co skutkuje nieadekwatnym natlenowaniem tkanek i zastoju płucnym. Upośledzony wymiana gazowa może objawiać się dusznością, obniżonym poziomem saturacji tlenem i sinicą.17

Interwencje pielęgniarskie mogą obejmować:

  • Monitorowanie parametrów życiowych, w tym poziomów saturacji tlenem
  • Podawanie tlenu zgodnie z zaleceniami
  • Ułożenie pacjenta w pozycji siedzącej lub półsiedzącej w celu optymalizacji rozszerzenia płuc
  • Zachęcanie do ćwiczeń głębokiego oddychania i efektywnych technik kaszlu
  • Monitorowanie równowagi płynów i podawanie leków moczopędnych zgodnie z zaleceniami w celu zmniejszenia zastoju płucnego

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Nietolerancja aktywności

Choroba zastawek serca może ograniczać rzut serca, prowadząc do zmniejszonego przepływu krwi do tkanek obwodowych. Może to skutkować zmniejszoną tolerancją na wysiłek, zmęczeniem i ogólnym osłabieniem, ograniczając zdolność pacjenta do podejmowania aktywności fizycznej.19

Interwencje pielęgniarskie mogą obejmować:

  • Ocenę tolerancji aktywności pacjenta i ustalenie podstawowej wydolności funkcjonalnej
  • Zachęcanie do stopniowej aktywności i ćwiczeń w granicach ograniczeń pacjenta
  • Monitorowanie parametrów życiowych i poziomów saturacji tlenem przed, w trakcie i po aktywności
  • Zapewnienie okresów odpoczynku i zachęcanie do rozłożenia aktywności, aby zapobiec zmęczeniu
  • Współpraca z fizjoterapeutami i terapeutami zajęciowymi w celu opracowania indywidualnego programu ćwiczeń

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Nadmierna objętość płynów

Choroba zastawek serca może zakłócać normalne mechanizmy równowagi płynów, prowadząc do zatrzymania płynów i zwiększonego ciśnienia żylnego. Zwiększa to ryzyko nadmiernej objętości płynów, co może objawiać się obrzękiem obwodowym, rozszerzeniem żył szyjnych i zastoju płucnym.21

Lęk

Choroba zastawek serca może powodować znaczny stres fizyczny i emocjonalny, prowadząc do lęku i strachu. Pacjenci mogą martwić się swoim rokowaniem, ograniczeniami w aktywności oraz koniecznością inwazyjnych interwencji lub operacji.22

Interwencje pielęgniarskie mogą obejmować:

  • Ocenę poziomu lęku pacjenta i obaw emocjonalnych
  • Dostarczanie edukacji i informacji na temat choroby zastawek serca, jej leczenia i opcji terapeutycznych
  • Zachęcanie pacjenta do wyrażania obaw i zapewnienie aktywnego słuchania i wsparcia emocjonalnego
  • Uczenie technik relaksacyjnych, takich jak ćwiczenia głębokiego oddychania i stopniowa relaksacja mięśni
  • Skierowanie pacjenta do usług doradczych lub grup wsparcia w razie potrzeby

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Deficyt wiedzy

Pacjenci z chorobą zastawek serca mogą mieć ograniczoną wiedzę na temat swojego schorzenia, w tym jego przyczyn, opcji leczenia i strategii samoopieki. Zapewnienie edukacji i informacji wzmacnia pacjentów do aktywnego uczestnictwa w opiece i podejmowania świadomych decyzji.24

Opieka farmakologiczna

Leczenie farmakologiczne jest istotnym elementem zarządzania chorobą zastawek serca, szczególnie w łagodnych do umiarkowanych przypadkach lub jako leczenie uzupełniające dla pacjentów oczekujących na zabieg chirurgiczny lub tych, którzy nie są kandydatami do operacji.

Podawanie leków

Należy podawać leki zgodnie z zaleceniami w celu optymalizacji kurczliwości i rzutu serca, w tym:

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Oceniaj przestrzeganie zaleceń dotyczących leków i skuteczność interwencji farmakologicznych w leczeniu choroby zastawek serca. Zwracaj uwagę na wszelkie przeszkody w przestrzeganiu zaleceń i dostosuj schematy leczenia według potrzeb.27

Edukacja dotycząca leków

Pielęgniarka powinna:

  • Współpracować z pacjentem w celu opracowania harmonogramu przyjmowania leków
  • Nauczać o nazwie, dawkowaniu, działaniu, skutkach ubocznych oraz wszelkich interakcjach między lekami lub lekami a żywnością
  • Edukować pacjentów o konieczności regularnego monitorowania poziomów INR w przypadku stosowania leków przeciwzakrzepowych
  • Pouczać pacjentów o znaczeniu przestrzegania reżimu lekowego i regularnych wizyt kontrolnych

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Przygotowanie do zabiegu i opieka pooperacyjna

Zapewnienie skutecznej opieki przedoperacyjnej i pooperacyjnej dla osób poddawanych operacji zastawki serca jest kluczowym elementem planu opieki pielęgniarskiej. Obejmuje to kompleksową ocenę, edukację i wsparcie, aby zoptymalizować wyniki i zapewnić płynny proces zdrowienia.30

Przygotowanie przedoperacyjne

Pielęgniarka powinna:

  • Edukować pacjenta o wymaganiach pooperacyjnych po operacji wymiany zastawki
  • Wyjaśnić, że pacjenci, którzy otrzymują sztuczne zastawki, będą wymagać dożywotniej terapii przeciwzakrzepowej
  • Informować pacjentów o środkach ostrożności związanych z terapią przeciwzakrzepową, w tym używaniu elektrycznych maszynek do golenia i miękkich szczoteczek do zębów
  • Wyjaśnić, jak często będą potrzebować monitorowania, jeśli w ogóle
  • Przeprowadzić ocenę przedoperacyjną stanu sercowo-naczyniowego i oddechowego

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Opieka pooperacyjna

Po operacji zastawki serca pielęgniarka powinna:

  • Monitorować parametry hemodynamiczne
  • Obserwować pod kątem objawów krwawienia
  • Zarządzać bólem, podając przepisane leki przeciwbólowe
  • Monitorować odpowiedź pacjenta na interwencje związane z leczeniem bólu
  • Zachęcać do technik relaksacyjnych, takich jak głębokie oddychanie i prowadzona wizualizacja, aby zmniejszyć lęk i percepcję bólu
  • Zapewnić spokojne i wspierające środowisko, aby złagodzić lęk, który może zaostrzać ból

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Pacjenci mogą doświadczać powikłań pooperacyjnych, takich jak migotanie przedsionków (występuje u około jednej trzeciej pacjentów), powikłania naczyniowe i krwotoczne, udar, blok serca wymagający czasowej lub stałej stymulacji, zaburzenia czynności nerek, zapalenie osierdzia lub infekcje.35

Profilaktyka infekcyjnego zapalenia wsierdzia

Higiena jamy ustnej jest niezbędna dla zapobiegania zapaleniu wsierdzia po naprawie zastawki. Może się to wydawać błahe, ale to OGROMNA sprawa. Dowody wykazały, że bakterie z jamy ustnej są wysoce prawdopodobne do przeniesienia (przemieszczenia) do serca i zagnieżdżenia się w/na zastawkach.36

Interwencje pielęgniarskie powinny obejmować:

  • Przestrzeganie ścisłych protokołów higieny rąk przed i po każdym kontakcie z pacjentem
  • Monitorowanie temperatury pacjenta i oznak infekcji
  • Edukowanie pacjenta i rodziny na temat objawów i oznak infekcji oraz kiedy należy szukać pomocy medycznej
  • Współpracę z zespołem opieki zdrowotnej w celu wdrożenia odpowiednich środków zapobiegania infekcjom podczas zabiegów inwazyjnych lub interwencji chirurgicznych
  • Podawanie profilaktycznych antybiotyków zgodnie z zaleceniami przed zabiegami inwazyjnymi, jeśli są wskazane

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Profilaktyka antybiotykowa jest uzasadniona u pacjentów ze zwiększonym ryzykiem rozwoju infekcyjnego zapalenia wsierdzia, w tym u pacjentów z przezcewnikowymi zastawkami podczas zabiegów stomatologicznych wysokiego ryzyka.38

Edukacja pacjenta i modyfikacja stylu życia

Edukacja pacjentów z chorobą zastawek serca na temat modyfikacji stylu życia, przestrzegania zaleceń dotyczących leków i znaczenia regularnych wizyt kontrolnych jest kluczowa dla zarządzania objawami, zapobiegania powikłaniom i poprawy ogólnego zdrowia układu sercowo-naczyniowego.39

Zalecenia dotyczące stylu życia

Pielęgniarka powinna edukować pacjentów o następujących zmianach stylu życia:

  • Dieta przyjazna sercu, np. więcej owoców, warzyw, ryb, chudego mięsa, pełnych ziaren i innych produktów wysokobłonnikowych
  • Ograniczenie sodu, cukru i alkoholu
  • Aktywność fizyczna zgodnie z zaleceniami lekarza
  • Utrzymanie zdrowej wagi ciała
  • Zaprzestanie palenia tytoniu
  • Zarządzanie innymi problemami zdrowotnymi, takimi jak cukrzyca, nadciśnienie i wysoki poziom cholesterolu

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Samoopieka i monitorowanie

Instrukcje dla pacjenta powinny obejmować:

  • Codzienne ważenie się
  • Zgłaszanie przyrostu masy ciała o 2 funty w ciągu 1 dnia lub 5 funtów w ciągu 1 tygodnia
  • Pomoc pacjentowi w planowaniu aktywności i okresów odpoczynku, aby osiągnąć styl życia akceptowalny dla pacjenta
  • Rozpoznawanie objawów, które wymagają natychmiastowej uwagi medycznej
  • Przestrzeganie harmonogramu przyjmowania leków

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Profilaktyka infekcji

Pacjentów należy pouczyć o:

  • Unikaniu infekcji, takich jak COVID-19, przeziębienia i grypa
  • Otrzymaniu szczepionki przeciwko pneumokokom
  • Corocznym szczepieniu przeciwko grypie
  • Aktualnych szczepieniach przeciwko COVID-19
  • Dbaniu o zęby i dziąsła oraz regularnych wizytach u stomatologa
  • Potrzebie przyjmowania antybiotyków przed niektórymi zabiegami stomatologicznymi lub chirurgicznymi, jeśli mieli naprawę lub wymianę zastawki

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Wielodyscyplinarne podejście do opieki

Zindywidualizowana kontrola przez wielodyscyplinarny zespół w klinice zastawek serca jest potrzebna do oceny zmieniających się potrzeb danej osoby i dostosowania opieki i wsparcia do każdej osoby w czasie.46

Skład zespołu wielodyscyplinarnego

Zespół opieki nad pacjentem z chorobą zastawek serca może obejmować:47

  • Koordynatora zastawek do umawiania spotkań i prowadzenia pacjenta przez leczenie
  • Chirurga serca, który operuje zastawki serca i tętnice
  • Kardiologa, lekarza serca, który jest ekspertem w chorobach serca
  • Kardiologa interwencyjnego, eksperta w obrazowaniu serca i wykorzystaniu cewników (małych rurek) do naprawy lub wymiany zastawek serca
  • Innych ekspertów, takich jak anestezjolodzy kardiologiczni, pielęgniarki specjalizujące się w opiece nad sercem i specjaliści intensywnej terapii

Koordynacja opieki

Po zdiagnozowaniu stenozy mitralnej, pacjent powinien zostać poinformowany o potrzebie operacji. Ci, którzy pozostają bezobjawowi, będą potrzebować corocznych badań, w tym echokardiogramów. Pacjenci z kołataniem serca mogą wymagać monitora Holtera w celu potwierdzenia obecności arytmii przedsionkowych. Wielu z tych pacjentów będzie potrzebować antykoagulacji warfaryną. Dlatego farmaceuta powinien upewnić się, że comiesięczne badania krwi są wykonywane w celu zapewnienia terapeutycznej antykoagulacji.48

Czas interwencji w chorobie zastawek serca jest kluczowym determinantem ich skuteczności. Czas operacji powinien być ustalony przez wielodyscyplinarny zespół, który obejmuje specjalistę chorób zakaźnych i kardiologów.4950

Rehabilitacja kardiologiczna

Rehabilitacja kardiologiczna jest ważnym elementem opieki po operacji zastawki serca. Badania pokazują, że chodzenie i poruszanie się wkrótce po zabiegu lub operacji pomaga poprawić rekonwalescencję.51

Rehabilitacja kardiologiczna to nadzorowany medycznie program ćwiczeń, mający na celu pomoc w powrocie do zdrowia po zabiegu. Pacjent uczy się zdrowych nawyków życiowych i technik radzenia sobie ze stresem, z dodatkowymi wskazówkami dotyczącymi leków, aby pomóc sercu w odzyskaniu zdrowia i utrzymaniu jak najlepszej kondycji.52

Wsparcie psychologiczne

Odpowiednie wsparcie, aby pomóc pacjentom rozwinąć odpowiednie mechanizmy radzenia sobie i zaspokoić ich potrzeby psychologiczne, musi być częścią wielodyscyplinarnej opieki oferowanej im, najlepiej od momentu diagnozy.53

Wsparcie psychospołeczne powinno obejmować:

  • Wsparcie emocjonalne dla pacjentów i rodzin, zajmowanie się lękami i niepokojami związanymi z chorobą i jej leczeniem
  • Ułatwianie grup wsparcia lub poradnictwa w razie potrzeby
  • Zachęcanie pacjentów do angażowania się w regularną, umiarkowaną aktywność fizyczną, zgodnie z tolerancją i zaleceniami lekarza
  • Zapewnienie wskazówek dotyczących modyfikacji diety, w tym diety niskosodowej i przyjaznej sercu

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Specjalne populacje i okoliczności

Choroba zastawek serca w ciąży

Konieczne są ostrożne i regularne badania kontrolne u pacjentów z chorobą zastawek serca podczas ciąży.55 Ciąża może pogorszyć objawy choroby zastawek serca.56

Ważne jest, aby zasięgnąć porady specjalisty od serca, jeśli jesteś w ciąży lub chcesz zajść w ciążę. Kobiety z chorobą zastawek serca potrzebują specjalistycznego monitorowania podczas ciąży. Kardiolodzy i specjaliści medycyny matczyno-płodowej zapewniają niezbędną opiekę.5758

Dysproporcje w leczeniu choroby zastawek serca

Istnieją zauważalne dysproporcje w diagnostyce i leczeniu choroby zastawek serca wśród populacji afroamerykańskich, latynoskich i azjatyckich. Kobiety również częściej są niedodiagnozowane z chorobą zastawek serca w porównaniu do mężczyzn.59

W Providence rozumiemy, że wpływ chorób serca jest większy w społecznościach marginalizowanych.60

Innowacyjne metody leczenia i badania kliniczne

Centrum Medyczne UVM jest jednym z wybranej grupy szpitali, które uczestniczą w badaniach klinicznych w celu oceny rewolucyjnych metod leczenia. Trwają badania kliniczne dotyczące leczenia ciężkiej stenozy aortalnej. Tę nową metodę leczenia chirurgicznego nazywa się przezcewnikową wymianą zastawki aortalnej (TAVR), znaną również jako przezcewnikowa implantacja zastawki aortalnej (TAVI).61

Leczenie choroby zastawek serca stale ewoluuje, a my jesteśmy na czele tych zmian.62

Wiele chorób zastawek serca, które tradycyjnie były leczone operacją na otwartym sercu, ma teraz mniej inwazyjne alternatywy. TEER i TAVR to dwie z tych małoinwazyjnych procedur leczenia choroby zastawek serca.63

Przezcewnikowa wymiana zastawki aortalnej (TAVR)

TAVR może złagodzić objawy stenozy zastawki aortalnej i może poprawić przeżycie u osób, które nie mogą poddać się operacji lub mają wysokie ryzyko powikłań chirurgicznych.64

Podczas TAVR, lekarze współpracują, aby wymienić zastawkę aortalną za pomocą cewników. Ta małoinwazyjna technika pozwala na wprowadzenie nowej zastawki aortalnej wewnątrz chorej zastawki aortalnej bez konieczności przeprowadzania tradycyjnej operacji na otwartym sercu.65

Przezcewnikowa naprawa zastawki mitralnej

Teraz dostępna jest przezcewnikowa naprawa zastawki mitralnej za pomocą urządzenia MitraClip.66

Procedura ta jest minimalnie inwazyjną procedurą opartą na cewniku dla pacjentów z objawową, degeneracyjną i funkcjonalną niedomykalnością mitralną (MR), którzy mogą być zbyt chorzy na operację.67

Podsumowanie planu opieki pielęgniarskiej

Regularnie oceniaj odpowiedź pacjenta na interwencje pielęgniarskie i modyfikuj plan opieki w razie potrzeby. Monitoruj objawy pacjenta, wydolność funkcjonalną, poziom bólu, poziom lęku i wszelkie oznaki powikłań. Współpracuj z zespołem opieki zdrowotnej, aby zapewnić kompleksową opiekę i zoptymalizować wyniki pacjenta.68

Rozumiesz, że decyzja o wyborze spośród różnych opcji leczenia choroby zastawek serca może wydawać się przytłaczająca dla pacjentów i ich rodzin. Dostarczasz pacjentowi i jego rodzinie informacji potrzebnych do podjęcia świadomej decyzji.69

Czas rekonwalescencji po zabiegu choroby zastawek serca zależy od rodzaju zastosowanego leczenia i ogólnego stanu zdrowia. Techniki przezcewnikowe zazwyczaj wymagają jednodniowego pobytu w szpitalu, podczas gdy procedury na otwartym sercu mogą wymagać od dwóch do czterech dni pobytu w szpitalu.70

Uważasz, że jesteś kluczowym członkiem zespołu. Twoi opiekunowie odpowiedzą na wszystkie Twoje pytania, będą informować Cię o tym, czego się spodziewać, i dadzą jasne instrukcje dotyczące kontroli.71

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Your heart has four valves, and their job is like doors that open and close to control blood flow inside your heart. These valves make sure blood flows in the right direction. In Heart Valve Disorders, something is wrong with one or more of these valves. […] Upon completion of this nursing care plan for Heart Valve Disorders, nursing students will be able to: […] Provide effective preoperative and postoperative care for individuals undergoing heart valve surgery. This includes comprehensive assessment, education, and support to optimize outcomes and ensure a smooth recovery process. […] Educate patients with heart valve disorders on lifestyle modifications, medication adherence, and the importance of regular follow-up to manage symptoms, prevent complications, and improve overall cardiovascular health.
  • #2 Heart Valve Disease: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
    Heart valve disease affects the valves that keep your blood flowing in one direction through your heart. Treatments include medicines, valve repair or valve replacement. […] Heart valve disease includes a narrow, leaky or stretchy valve that doesnt open and close correctly. Heart valve disease refers to any of several conditions that prevent one or more of the valves in your heart from working right. […] In many cases, your healthcare provider can do surgery or a minimally invasive procedure to repair or replace your heart valves. This restores normal function and allows you to return to normal activities. […] Heart valve disease treatments depend on the cause and may include: Protecting your valve from further damage, Taking medications, Having surgery or invasive procedures if necessary, Seeing your cardiologist (heart doctor) for regular visits.
  • #3 Heart Valve Disease Toolkits | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/php/data-research/heart-valve-disease-toolkit/index.html
    Heart valve disease affects more than 5 million people in the U.S. and leads to 25,000 deaths each year. […] There are notable disparities in heart valve disease diagnosis and treatment among African American, Hispanic, and Asian populations. […] Women are also more likely to be underdiagnosed with heart valve disease compared to men. […] Start the conversation with patients about heart valve disease with plain language resources. […] Access resources and graphics to learn more about heart valve disease prevention, risk, and management. Explore stories from patients living with heart valve disease and hear more about their treatment journeys.
  • #4 Heart Valve Care
    https://www.grandviewhealth.com/heart-valve-care
    In the United States, more than 5 million people are diagnosed with heart valve disease annually, and those numbers continue to rise. Heart valve disease is responsible for an estimated 25,000 deaths each year. […] Heart valve disease occurs when one or more of the heart valves are not working correctly. This could be because of stenosis (the valve becomes stiff and tight) or insufficiency, also known as regurgitation (a leaking valve). […] More than half of the patients who have heart valve disease do not even recognize their symptoms until their heart valve has become severely compromised. […] Aortic stenosis affects close to 1.5 million people in the United States, and of that, some 250,000 patients suffer from severe symptoms. Patients often develop debilitating symptoms that can restrict their normal day-to-day activities.
  • #5
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3409
    Your heart is a muscular pump that has four chambers and four valves. The four valves are the mitral, aortic, tricuspid, and pulmonary valves. The valves open and close to keep blood flowing in the proper direction through your heart. When something is wrong with one of the valves, the blood cannot flow in and out of the heart properly. Problems with the heart valves can cause leaks (valve regurgitation) and blockages (valve stenosis). You can be born with heart valve disease, or it can develop over a number of years. […] Mild cases of heart valve disease may not cause problems, but more serious cases will weaken the heart and can lead to heart failure. Treatment with medicine can help relieve symptoms, but it will not fix the valve. You may choose to have the valve replaced or repaired.
  • #6 Creating a better journey of care for patients with heart valve disease
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8689964/
    Heart valve disease has been described as the next cardiac epidemic, with prevalence expected to double by 2040 and triple by 2060 due to the ageing of the population. […] Effective treatment options exist for heart valve disease, and early detection and treatment can dramatically change disease progression, improve quality of life, and reduce mortality. […] Unfortunately, in too many patients, heart valve disease is undetected, undiagnosed, untreated, or treated too late, leading to avoidable deaths and costs, and significant compromises to peoples quality of life. […] These gaps in the patient pathway can be remedied through appropriate policy action, with a focus on: early detection and diagnosis; timely intervention; patient-centred follow-up care; patient engagement and empowerment; psychological support; and better data to guide practice.
  • #7 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Assess a detailed patient history, focusing on any past diagnoses of heart valve disorders, including the type of valve affected and the timing of the diagnosis. […] Conduct a thorough physical examination with a focus on the cardiovascular and respiratory systems. Pay special attention to heart sounds, detecting any murmurs, clicks, or abnormal sounds that may indicate valve abnormalities. […] Assess cardiovascular status to determine if there is decreased perfusion to the tissues. […] If blood is not going forward or backing up, it can cause pulmonary congestion leading to pulmonary edema. This would cause decreased SpO2, crackles in the lungs, and possibly even pink-frothy sputum. […] Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema.
  • #8 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Assess a detailed patient history, focusing on any past diagnoses of heart valve disorders, including the type of valve affected and the timing of the diagnosis. […] Conduct a thorough physical examination with a focus on the cardiovascular and respiratory systems. Pay special attention to heart sounds, detecting any murmurs, clicks, or abnormal sounds that may indicate valve abnormalities. […] Assess cardiovascular status to determine if there is decreased perfusion to the tissues. […] If blood is not going forward or backing up, it can cause pulmonary congestion leading to pulmonary edema. This would cause decreased SpO2, crackles in the lungs, and possibly even pink-frothy sputum. […] Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema.
  • #9 Nursing Care of Clients with Valvular Disorders | PPT
    https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874
  • #10 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Administer supplemental oxygen as prescribed. […] Position the patient in an upright or semi-Fowler position to optimize lung expansion. […] Encourage deep breathing exercises and effective coughing techniques. […] Monitor fluid balance and administer diuretics as ordered to reduce pulmonary congestion. […] Assess the patients activity tolerance and establish baseline functional capacity. […] Encourage progressive activity and exercise within the patients limitations. […] Monitor vital signs and oxygen saturation levels before, during, and after activity. […] Provide rest periods and encourage the pacing of activities to prevent fatigue. […] Collaborate with physical and occupational therapists to develop an individualized exercise program. […] Assess the location, characteristics, and intensity of the patients chest pain.
  • #11 VALVE Disease and its nursing management | PPT
    https://www.slideshare.net/slideshow/valve-disease-and-its-nursing-management/271097416
    Nursing management Physical Examination: signs and symptoms of heart failure (e.g., dyspnea, edema, jugular venous distention). murmurs, which may indicate valvular abnormalities. Blood pressure and heart rate. Diagnostic Tests: […] Medication Administration: antibiotics, anti-inflammatory agents, diuretics, ACE inhibitors, beta-blockers, digoxin, and anticoagulants. Monitor for medication side effects and therapeutic effects. Symptom Management: Manage symptoms of heart failure positioning the patient to enhance breathing providing supplemental oxygen if needed. Monitor fluid balance and encourage adherence to fluid and sodium restrictions if indicated. […] Education: About the disease process, medication regimen, dietary restrictions, and the importance of regular follow-up. Early signs and symptoms of heart failure or complications Infection Prevention: importance of prophylactic antibiotics before dental or surgical procedures to prevent infective endocarditis. Promote good hygiene practices to reduce the risk of infections.
  • #12 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Assess a detailed patient history, focusing on any past diagnoses of heart valve disorders, including the type of valve affected and the timing of the diagnosis. […] Conduct a thorough physical examination with a focus on the cardiovascular and respiratory systems. Pay special attention to heart sounds, detecting any murmurs, clicks, or abnormal sounds that may indicate valve abnormalities. […] Assess cardiovascular status to determine if there is decreased perfusion to the tissues. […] If blood is not going forward or backing up, it can cause pulmonary congestion leading to pulmonary edema. This would cause decreased SpO2, crackles in the lungs, and possibly even pink-frothy sputum. […] Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema.
  • #13 Nursing Care of Clients with Valvular Disorders | PPT
    https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874
  • #14 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Regularly monitor hemodynamic parameters, including echocardiographic findings and other relevant diagnostic tests, to assess the effectiveness of interventions in optimizing blood flow and preventing complications. […] Assess medication adherence and the effectiveness of pharmacological interventions in managing heart valve disorders. Address any barriers to adherence and adjust medication regimens as needed.
  • #15 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Assess a detailed patient history, focusing on any past diagnoses of heart valve disorders, including the type of valve affected and the timing of the diagnosis. […] Conduct a thorough physical examination with a focus on the cardiovascular and respiratory systems. Pay special attention to heart sounds, detecting any murmurs, clicks, or abnormal sounds that may indicate valve abnormalities. […] Assess cardiovascular status to determine if there is decreased perfusion to the tissues. […] If blood is not going forward or backing up, it can cause pulmonary congestion leading to pulmonary edema. This would cause decreased SpO2, crackles in the lungs, and possibly even pink-frothy sputum. […] Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema.
  • #16 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Valvular heart disease refers to conditions that affect the valves of the heart, compromising cardiac function and circulation. A well-structured nursing care plan is essential for effectively managing valvular heart disease and improving the patients overall well-being. […] A thorough nursing assessment is crucial in identifying signs and symptoms of valvular heart disease. Valvular heart disease refers to abnormalities in the heart valves, which can lead to impaired blood flow and compromised cardiac function. […] Developing accurate nursing diagnoses is crucial for providing effective care to individuals with valvular heart disease. Valvular heart disease refers to conditions that involve abnormalities in the heart valves, leading to impaired blood flow and compromised cardiac function. Nursing diagnoses provide a framework for addressing the patients specific needs and promoting optimal cardiovascular health.
  • #17 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Valvular heart disease can lead to decreased cardiac output, resulting in inadequate oxygenation of tissues and pulmonary congestion. The impaired gas exchange may manifest as dyspnea, decreased oxygen saturation levels, and cyanosis. […] Valvular heart disease can limit cardiac output, leading to reduced blood flow to the peripheral tissues. This can result in decreased exercise tolerance, fatigue, and generalized weakness, limiting the patients ability to engage in physical activities. […] Valvular heart disease can disrupt the normal fluid balance mechanisms, leading to fluid retention and increased venous pressure. This increases the risk of fluid volume excess, which can manifest as peripheral edema, jugular venous distention, and pulmonary congestion. […] Valvular heart disease can cause significant physical and emotional stress, resulting in anxiety and fear. Patients may worry about their prognosis, limitations in activities, and the need for invasive interventions or surgeries.
  • #18 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Administer supplemental oxygen as prescribed. […] Position the patient in an upright or semi-Fowler position to optimize lung expansion. […] Encourage deep breathing exercises and effective coughing techniques. […] Monitor fluid balance and administer diuretics as ordered to reduce pulmonary congestion. […] Assess the patients activity tolerance and establish baseline functional capacity. […] Encourage progressive activity and exercise within the patients limitations. […] Monitor vital signs and oxygen saturation levels before, during, and after activity. […] Provide rest periods and encourage the pacing of activities to prevent fatigue. […] Collaborate with physical and occupational therapists to develop an individualized exercise program. […] Assess the location, characteristics, and intensity of the patients chest pain.
  • #19 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Valvular heart disease can lead to decreased cardiac output, resulting in inadequate oxygenation of tissues and pulmonary congestion. The impaired gas exchange may manifest as dyspnea, decreased oxygen saturation levels, and cyanosis. […] Valvular heart disease can limit cardiac output, leading to reduced blood flow to the peripheral tissues. This can result in decreased exercise tolerance, fatigue, and generalized weakness, limiting the patients ability to engage in physical activities. […] Valvular heart disease can disrupt the normal fluid balance mechanisms, leading to fluid retention and increased venous pressure. This increases the risk of fluid volume excess, which can manifest as peripheral edema, jugular venous distention, and pulmonary congestion. […] Valvular heart disease can cause significant physical and emotional stress, resulting in anxiety and fear. Patients may worry about their prognosis, limitations in activities, and the need for invasive interventions or surgeries.
  • #20 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Administer supplemental oxygen as prescribed. […] Position the patient in an upright or semi-Fowler position to optimize lung expansion. […] Encourage deep breathing exercises and effective coughing techniques. […] Monitor fluid balance and administer diuretics as ordered to reduce pulmonary congestion. […] Assess the patients activity tolerance and establish baseline functional capacity. […] Encourage progressive activity and exercise within the patients limitations. […] Monitor vital signs and oxygen saturation levels before, during, and after activity. […] Provide rest periods and encourage the pacing of activities to prevent fatigue. […] Collaborate with physical and occupational therapists to develop an individualized exercise program. […] Assess the location, characteristics, and intensity of the patients chest pain.
  • #21 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Valvular heart disease can lead to decreased cardiac output, resulting in inadequate oxygenation of tissues and pulmonary congestion. The impaired gas exchange may manifest as dyspnea, decreased oxygen saturation levels, and cyanosis. […] Valvular heart disease can limit cardiac output, leading to reduced blood flow to the peripheral tissues. This can result in decreased exercise tolerance, fatigue, and generalized weakness, limiting the patients ability to engage in physical activities. […] Valvular heart disease can disrupt the normal fluid balance mechanisms, leading to fluid retention and increased venous pressure. This increases the risk of fluid volume excess, which can manifest as peripheral edema, jugular venous distention, and pulmonary congestion. […] Valvular heart disease can cause significant physical and emotional stress, resulting in anxiety and fear. Patients may worry about their prognosis, limitations in activities, and the need for invasive interventions or surgeries.
  • #22 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Valvular heart disease can lead to decreased cardiac output, resulting in inadequate oxygenation of tissues and pulmonary congestion. The impaired gas exchange may manifest as dyspnea, decreased oxygen saturation levels, and cyanosis. […] Valvular heart disease can limit cardiac output, leading to reduced blood flow to the peripheral tissues. This can result in decreased exercise tolerance, fatigue, and generalized weakness, limiting the patients ability to engage in physical activities. […] Valvular heart disease can disrupt the normal fluid balance mechanisms, leading to fluid retention and increased venous pressure. This increases the risk of fluid volume excess, which can manifest as peripheral edema, jugular venous distention, and pulmonary congestion. […] Valvular heart disease can cause significant physical and emotional stress, resulting in anxiety and fear. Patients may worry about their prognosis, limitations in activities, and the need for invasive interventions or surgeries.
  • #23 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Administer prescribed pain medications, such as nitroglycerin, as ordered. […] Monitor the patients response to pain management interventions. […] Encourage relaxation techniques, such as deep breathing and guided imagery, to reduce anxiety and pain perception. […] Provide a calm and supportive environment to alleviate anxiety, which can exacerbate pain. […] Assess the patients level of anxiety and emotional concerns. […] Provide education and information about valvular heart disease, its management, and treatment options. […] Encourage the patient to express fears and concerns, and provide active listening and emotional support. […] Teach relaxation techniques, such as deep breathing exercises and progressive muscle relaxation. […] Refer the patient to counseling services or support groups as needed.
  • #24 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Patients with valvular heart disease may have limited knowledge about their condition, including its causes, treatment options, and self-care management strategies. Providing education and information empowers patients to actively participate in their care and make informed decisions. […] Valvular heart disease can impair normal blood flow patterns, potentially leading to inadequate tissue perfusion. Altered tissue perfusion can result in ischemia, compromised healing, and an increased risk of complications. […] The diagnosis of valvular heart disease can be emotionally distressing for patients and their families. Coping mechanisms may be challenged, leading to increased stress, anxiety, and difficulty adapting to lifestyle changes. […] Monitor vital signs, including oxygen saturation levels.
  • #25 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Administer medications as ordered to optimize cardiac contracility and output, including: Beta-blockers, Diuretics, ACE inhibitors, Angiotension-2 receptor blockers. […] Educate patient about post-op requirements after valve replacement surgery. […] Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all. […] Oral hygiene is imperative for the prevention of endocarditis after valve repair. This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves.
  • #26
    https://www.nursingcenter.com/clinical-resources/guideline-summaries/valvular-heart-disease
    The timing of surgical intervention should be determined by a multidisciplinary team that includes an infectious disease specialist and cardiologists. […] Early surgery is indicated for patients with IE and valve dysfunction with heart failure symptoms. […] Anticoagulation is recommended for atrial fibrillation in patients with VHD. […] The determination whether to use transcatheter aortic valve implantation (TAVI) or surgical aortic valve repair (AVR) should be made according to an assessment of the surgical risks, patient condition, comorbidities, and patient preferences. […] Medical treatment is necessary for patients with aortic stenosis to treat hypertension and hyperlipidemia. […] Diagnosis of aortic regurgitation using TEE is recommended. […] For patients with rheumatic mitral stenosis and atrial fibrillation or tachycardia, heart-rate control can help manage symptoms.
  • #27 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Regularly monitor hemodynamic parameters, including echocardiographic findings and other relevant diagnostic tests, to assess the effectiveness of interventions in optimizing blood flow and preventing complications. […] Assess medication adherence and the effectiveness of pharmacological interventions in managing heart valve disorders. Address any barriers to adherence and adjust medication regimens as needed.
  • #28 Nursing Care of Clients with Valvular Disorders | PPT
    https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874
  • #29 Mitral Stenosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568793/
    Nursing Management […] – Monitor vital signs […] – Universal precaution for infection control to prevent endocarditis and decrease rheumatic fever […] – Symptom management […] – Monitor signs and symptoms of deep vein thrombosis […] – Elevate legs above the heart […] – Monitor fluid intake to avoid fluid overload […] – Assess ECG […] – Monitor INR […] – Listen to the lungs as pulmonary edema is common […] – Listen to the heart-MS presents with a loud S1 […] – Encourage diet (Failure to thrive is common) […] – Educate patients on the disease and surgery […] […] […] Coordination of Care […] Once the diagnosis of mitral stenosis is made, the patient should be educated about the need for surgery. Those who remain asymptomatic will need annual exams, including echocardiograms. Patients with palpitations may require a Holter monitor to confirm the presence of atrial arrhythmias. Many of these patients will need anticoagulation with warfarin. Hence, the pharmacist should ensure that monthly blood work is done to ensure therapeutic anticoagulation. A dietary consult is often important as failure to thrive is common. Finally, the patient should be educated on the type of prosthetic valves available and which may be best suited for them. Finally, the primary care provider, pharmacist, and nurses should discuss with the patient the possibility of developing an infection of the valve and the need for prophylaxis when undergoing any type of invasive procedure.
  • #30 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Your heart has four valves, and their job is like doors that open and close to control blood flow inside your heart. These valves make sure blood flows in the right direction. In Heart Valve Disorders, something is wrong with one or more of these valves. […] Upon completion of this nursing care plan for Heart Valve Disorders, nursing students will be able to: […] Provide effective preoperative and postoperative care for individuals undergoing heart valve surgery. This includes comprehensive assessment, education, and support to optimize outcomes and ensure a smooth recovery process. […] Educate patients with heart valve disorders on lifestyle modifications, medication adherence, and the importance of regular follow-up to manage symptoms, prevent complications, and improve overall cardiovascular health.
  • #31 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Administer medications as ordered to optimize cardiac contracility and output, including: Beta-blockers, Diuretics, ACE inhibitors, Angiotension-2 receptor blockers. […] Educate patient about post-op requirements after valve replacement surgery. […] Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all. […] Oral hygiene is imperative for the prevention of endocarditis after valve repair. This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves.
  • #32 Heart Valve Disease – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/heart-and-vascular-center/diseases-and-conditions/heart-valve-disease
    The choice between a mechanical valve and a biological valve is based on many factors, including patient preference, age, overall health, medical history, severity and form of the disease, tolerance for specific medications or procedures, expectations for course of the disease, and presence of other conditions. […] If you are having surgery or a procedure, you will likely be scheduled for a visit to the Watkins Clinic for pre-operative information and tests. […] The day of surgery, your care will be provided by surgeons, anesthesiologists and nurses who specialize in surgery for patients with valvular disease. […] After surgery, you will go to the post-surgical care unit where you will receive comprehensive care from an experienced surgical and nursing staff.
  • #33 Nursing Care and Pathophysiology for Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/04-03-nursing-care-and-pathophysiology-for-valve-disorders
    Biological: valve from other species […] Post-Op […] Monitor hemodynamics […] Monitor for s/s bleeding […] Patient Education […] Post-Op Valve Replacement […] Maintain good oral hygiene with soft bristle toothbrush […] Prophylactic antibiotics required prior to invasive procedures […] Instruct client on anticoagulant therapy […] Avoid dental procedures for 6 months […] High risk endocarditis […] What are some different ways in which we treat patients with valve disorders? […] You can actually see things such as valve replacements […] These are usually done with the replacement of valves using either biological or mechanical valves […] It’s also important that we make sure that we educate patients on avoiding dental procedures for six months post procedure […] And if they’ve received a mechanical valve, sometimes I think with biological valves as well, the importance of anticoagulant adherence
  • #34 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Administer prescribed pain medications, such as nitroglycerin, as ordered. […] Monitor the patients response to pain management interventions. […] Encourage relaxation techniques, such as deep breathing and guided imagery, to reduce anxiety and pain perception. […] Provide a calm and supportive environment to alleviate anxiety, which can exacerbate pain. […] Assess the patients level of anxiety and emotional concerns. […] Provide education and information about valvular heart disease, its management, and treatment options. […] Encourage the patient to express fears and concerns, and provide active listening and emotional support. […] Teach relaxation techniques, such as deep breathing exercises and progressive muscle relaxation. […] Refer the patient to counseling services or support groups as needed.
  • #35
    https://www.nursingcenter.com/clinical-resources/guideline-summaries/valvular-heart-disease
    Surgical repair should be considered for patients who have severe mitral regurgitation. […] Mitral valve repair is preferred over replacement. […] Surgery is recommended for primary mitral regurgitation as follows: Chronic severe, symptomatic primary mitral regurgitation with LV ejection fraction greater than 30%. […] Repair is recommended for the following patient groups: Patients for whom surgical treatment is indicated and who have chronic, severe, primary mitral regurgitation limited to the posterior leaflet. […] Surgery is recommended for operable patients who have mechanical valves and intractable hemolysis or heart failure due to regurgitation. […] Postoperative atrial fibrillation occurs in up to one-third of patients. Other complications include vascular and bleeding complications, stroke, heart block requiring temporary or permanent pacing, kidney dysfunction, pericarditis, or infection.
  • #36 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Administer medications as ordered to optimize cardiac contracility and output, including: Beta-blockers, Diuretics, ACE inhibitors, Angiotension-2 receptor blockers. […] Educate patient about post-op requirements after valve replacement surgery. […] Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all. […] Oral hygiene is imperative for the prevention of endocarditis after valve repair. This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves.
  • #37 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Follow strict hand hygiene protocols before and after any patient contact. […] Monitor the patients temperature and signs of infection. […] Educate the patient and family about the signs and symptoms of infection and when to seek medical attention. […] Collaborate with the healthcare team to implement appropriate infection prevention measures during invasive procedures or surgical interventions. […] Administer prophylactic antibiotics as prescribed before invasive procedures, if indicated. […] Regularly evaluate the patients response to the nursing interventions and modify the care plan as necessary. Monitor the patients symptoms, functional capacity, pain level, anxiety level, and any signs of complications. Collaborate with the healthcare team to ensure comprehensive care and to optimize patient outcomes.
  • #38
    https://www.nursingcenter.com/clinical-resources/guideline-summaries/valvular-heart-disease
    Valvular Heart Disease: ACC/AHA Guideline for the Management of Patients with Valvular Heart Disease (2020) […] The guideline has become an official policy for both the ACC and AHA and is intended for use with patients who have or who are at risk for developing cardiovascular disease. […] While the guideline is intended to improve patient care and define practices that will meet the needs of most patients, it is not a replacement for clinical judgment based on the unique needs of individual patients. […] Become familiar with the recommendations and best-practice statements provided in this guideline, especially if you work in an acute care setting. […] Antibiotic prophylaxis is reasonable for patients at increased risk of developing infective endocarditis including patients with transcatheter prosthetic valves during high-risk dental procedures.
  • #39 Nursing Care Plan (NCP) for Heart Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-heart-valve-disorders
    Your heart has four valves, and their job is like doors that open and close to control blood flow inside your heart. These valves make sure blood flows in the right direction. In Heart Valve Disorders, something is wrong with one or more of these valves. […] Upon completion of this nursing care plan for Heart Valve Disorders, nursing students will be able to: […] Provide effective preoperative and postoperative care for individuals undergoing heart valve surgery. This includes comprehensive assessment, education, and support to optimize outcomes and ensure a smooth recovery process. […] Educate patients with heart valve disorders on lifestyle modifications, medication adherence, and the importance of regular follow-up to manage symptoms, prevent complications, and improve overall cardiovascular health.
  • #40 Heart Valve Disease: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.heart-valve-disease-care-instructions.uh3409
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Eat a heart-healthy diet. For example, eat more fruits, vegetables, fish, lean meats, whole grains, and other high-fiber foods. Limit sodium, sugar, and alcohol. […] Be active. Ask your doctor what type and level of exercise is safe for you. Walking is a good choice. You also may want to swim, bike, or do other activities. […] Stay at a healthy weight. Lose weight if you need to.
  • #41 Heart Valve Disease: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.heart-valve-disease-care-instructions.uh3409
    Do not smoke. Smoking can cause more heart problems. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. […] Manage other health problems. These include diabetes, high blood pressure, and high cholesterol. If you think you may have a problem with alcohol or drug use, talk to your doctor. […] Avoid infections such as COVID-19, colds, and the flu. Get a pneumococcal vaccine. If you have had one before, ask your doctor if you need another dose. Get a flu vaccine every year. Stay up to date on your COVID-19 vaccines. […] Take care of your teeth and gums. Get regular dental checkups. Good dental health is important because bacteria can spread from infected teeth and gums to the heart valves. […] If you have had a valve repaired or replaced, you may need to take antibiotics before you have certain dental or surgical procedures. […] Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.
  • #42 Nursing Care of Clients with Valvular Disorders | PPT
    https://www.slideshare.net/slideshow/nursing-care-of-clients-with-valvular-disorders/14046874
  • #43 Heart Valve Disease: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
    Although medicines cant cure heart valve disease, they and a healthy lifestyle can help with symptoms and decrease your chance of having a stroke or cardiac arrest. […] Heart valve disease is a problem with the opening or closing of your leaflets, and you may need surgery to repair or replace your valve. […] If you have heart valve disease, ask your healthcare provider about the increased risk of getting infective endocarditis. […] It’s important to follow up regularly with a healthcare provider to monitor the progression of your valve disease over time. […] Keep taking any medicines your healthcare provider prescribed for you and go to all follow-up appointments.
  • #44 Heart Valve Disease: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.heart-valve-disease-care-instructions.uh3409
    Do not smoke. Smoking can cause more heart problems. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. […] Manage other health problems. These include diabetes, high blood pressure, and high cholesterol. If you think you may have a problem with alcohol or drug use, talk to your doctor. […] Avoid infections such as COVID-19, colds, and the flu. Get a pneumococcal vaccine. If you have had one before, ask your doctor if you need another dose. Get a flu vaccine every year. Stay up to date on your COVID-19 vaccines. […] Take care of your teeth and gums. Get regular dental checkups. Good dental health is important because bacteria can spread from infected teeth and gums to the heart valves. […] If you have had a valve repaired or replaced, you may need to take antibiotics before you have certain dental or surgical procedures. […] Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.
  • #45 Nursing Care and Pathophysiology for Valve Disorders | Free NURSING.com Courses
    https://nursing.com/lesson/04-03-nursing-care-and-pathophysiology-for-valve-disorders
    Biological: valve from other species […] Post-Op […] Monitor hemodynamics […] Monitor for s/s bleeding […] Patient Education […] Post-Op Valve Replacement […] Maintain good oral hygiene with soft bristle toothbrush […] Prophylactic antibiotics required prior to invasive procedures […] Instruct client on anticoagulant therapy […] Avoid dental procedures for 6 months […] High risk endocarditis […] What are some different ways in which we treat patients with valve disorders? […] You can actually see things such as valve replacements […] These are usually done with the replacement of valves using either biological or mechanical valves […] It’s also important that we make sure that we educate patients on avoiding dental procedures for six months post procedure […] And if they’ve received a mechanical valve, sometimes I think with biological valves as well, the importance of anticoagulant adherence
  • #46 Creating a better journey of care for patients with heart valve disease
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8689964/
    The timing of interventions for heart valve disease is a key determinant of their effectiveness. […] Individualized follow-up by a multidisciplinary team in a heart valve clinic is needed to assess a persons evolving needs and tailor care and support to each person over time. […] Better information is needed to guide patients through all aspects of their care, ensuring they feel empowered to recognize potential signs of deterioration of their condition and seek help accordingly. […] Appropriate support to help them develop suitable coping mechanisms and address their psychological needs must be part of the multidisciplinary care offered to them, ideally from diagnosis onwards. […] Putting in place these recommendations will have tangible benefits to a growing population of people living with heart valve disease in Europe, and help attenuate the predicted public health impact of this condition on our future societies.
  • #47 Heart Valve Disease Diagnosis and Treatment | Knight Cardiovascular Institute | OHSU
    https://www.ohsu.edu/knight-cardiovascular-institute/heart-valve-disease-diagnosis-and-treatment
    Your team may include: A valve coordinator to set appointments and guide you through treatment. A heart surgeon who operates on heart valves and arteries. A cardiologist, a heart doctor who is an expert in heart disease. An interventional cardiologist, an expert in heart imaging the use of catheters (small tubes) to repair or replace heart valves. Other experts, such as cardiac anesthesiologists, nurses who specialize in heart care, and intensive care specialists. […] Your care team will discuss the best option for you. […] We offer Oregons widest array of treatment options, performed by experts. Some procedures are available in Oregon only at OHSU. […] Medication can ease symptoms in early stages of the disease. Your team may prescribe medications to: Lower your blood pressure or cholesterol, Prevent irregular heartbeat, Help your body get rid of excess fluid.
  • #48 Mitral Stenosis (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568793/
    Nursing Management […] – Monitor vital signs […] – Universal precaution for infection control to prevent endocarditis and decrease rheumatic fever […] – Symptom management […] – Monitor signs and symptoms of deep vein thrombosis […] – Elevate legs above the heart […] – Monitor fluid intake to avoid fluid overload […] – Assess ECG […] – Monitor INR […] – Listen to the lungs as pulmonary edema is common […] – Listen to the heart-MS presents with a loud S1 […] – Encourage diet (Failure to thrive is common) […] – Educate patients on the disease and surgery […] […] […] Coordination of Care […] Once the diagnosis of mitral stenosis is made, the patient should be educated about the need for surgery. Those who remain asymptomatic will need annual exams, including echocardiograms. Patients with palpitations may require a Holter monitor to confirm the presence of atrial arrhythmias. Many of these patients will need anticoagulation with warfarin. Hence, the pharmacist should ensure that monthly blood work is done to ensure therapeutic anticoagulation. A dietary consult is often important as failure to thrive is common. Finally, the patient should be educated on the type of prosthetic valves available and which may be best suited for them. Finally, the primary care provider, pharmacist, and nurses should discuss with the patient the possibility of developing an infection of the valve and the need for prophylaxis when undergoing any type of invasive procedure.
  • #49 Creating a better journey of care for patients with heart valve disease
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8689964/
    The timing of interventions for heart valve disease is a key determinant of their effectiveness. […] Individualized follow-up by a multidisciplinary team in a heart valve clinic is needed to assess a persons evolving needs and tailor care and support to each person over time. […] Better information is needed to guide patients through all aspects of their care, ensuring they feel empowered to recognize potential signs of deterioration of their condition and seek help accordingly. […] Appropriate support to help them develop suitable coping mechanisms and address their psychological needs must be part of the multidisciplinary care offered to them, ideally from diagnosis onwards. […] Putting in place these recommendations will have tangible benefits to a growing population of people living with heart valve disease in Europe, and help attenuate the predicted public health impact of this condition on our future societies.
  • #50
    https://www.nursingcenter.com/clinical-resources/guideline-summaries/valvular-heart-disease
    The timing of surgical intervention should be determined by a multidisciplinary team that includes an infectious disease specialist and cardiologists. […] Early surgery is indicated for patients with IE and valve dysfunction with heart failure symptoms. […] Anticoagulation is recommended for atrial fibrillation in patients with VHD. […] The determination whether to use transcatheter aortic valve implantation (TAVI) or surgical aortic valve repair (AVR) should be made according to an assessment of the surgical risks, patient condition, comorbidities, and patient preferences. […] Medical treatment is necessary for patients with aortic stenosis to treat hypertension and hyperlipidemia. […] Diagnosis of aortic regurgitation using TEE is recommended. […] For patients with rheumatic mitral stenosis and atrial fibrillation or tachycardia, heart-rate control can help manage symptoms.
  • #51 Heart Valve Care | Virtua Health
    https://www.virtua.org/Services/Heart-Care/Heart-Valve-Care
    Our team specializes in the full range of valve repair and replacement procedures. […] The heart valve team at Virtua includes interventional cardiologists and heart surgeons, working together for you. […] Virtua is a high-volume valve center, specializing in common and more complex valve conditions and procedures. […] We can typically see you in our valve clinic within two weeks of your call. […] Before your valve replacement or repair procedure, youll need several tests. […] Research shows that walking and moving soon after a procedure or surgery helps improve your recovery. […] We believe you are the crucial member of the team. Your providers will answer all your questions, keep you informed about what to expect, and give you clear follow-up instructions.
  • #52 Heart Valve Disease | Baylor Scott & White Health
    https://www.bswhealth.com/conditions/heart-valve-disease
    Heart valve disease can often be treated if it becomes severe enough to cause symptoms or damage the heart. Your healthcare provider may recommend surgery or a minimally invasive procedure to repair or replace the affected valve. These treatments can restore normal heart function and help you get back to living your life. […] Your doctor will work with you to identify a care plan and treatment options that best suit your condition, based on your health goals and other underlying health factors that need to be considered. […] If your heart valve disease has a significant impact on your quality of life, your cardiologist may recommend having a heart valve repair or replacement surgery or procedure. In addition to open heart surgery, advances in technology and innovation have introduced minimally invasive robotic and transcatheter procedures as options. […] You may benefit from cardiac rehab, a medically supervised exercise program designed to help you recover from your procedure. Youll learn healthy lifestyle habits and stress management techniques with additional guidance on medications to help your heart recover and stay as healthy as possible.
  • #53 Creating a better journey of care for patients with heart valve disease
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8689964/
    The timing of interventions for heart valve disease is a key determinant of their effectiveness. […] Individualized follow-up by a multidisciplinary team in a heart valve clinic is needed to assess a persons evolving needs and tailor care and support to each person over time. […] Better information is needed to guide patients through all aspects of their care, ensuring they feel empowered to recognize potential signs of deterioration of their condition and seek help accordingly. […] Appropriate support to help them develop suitable coping mechanisms and address their psychological needs must be part of the multidisciplinary care offered to them, ideally from diagnosis onwards. […] Putting in place these recommendations will have tangible benefits to a growing population of people living with heart valve disease in Europe, and help attenuate the predicted public health impact of this condition on our future societies.
  • #54 VALVE Disease and its nursing management | PPT
    https://www.slideshare.net/slideshow/valve-disease-and-its-nursing-management/271097416
    Monitoring and Follow-Up Regular Monitoring: Monitor for changes in clinical status, including new or worsening symptoms, and report these to the healthcare provider promptly. Regularly assess cardiac function through follow-up echocardiograms and other diagnostic tests as ordered. […] psychosocial Support Emotional Support: Provide emotional support to patients and families, addressing fears and anxieties related to the illness and its treatment. Facilitate support groups or counseling if needed. Lifestyle and Activity: Encourage patients to engage in regular, moderate physical activity as tolerated and as advised by their healthcare provider. Provide guidance on dietary modifications, including low-sodium and heart-healthy diets. […] Patient Education: Educate patient and family about medications, potential side effects, and adherence, signs of complications, and follow-up instructions.
  • #55 Heart valve disease – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-valve-disease/diagnosis-treatment/drc-20353732
    Our caring team of Mayo Clinic experts can help you with your heart valve disease-related health concerns […] Heart valve disease treatment depends on: […] Treatment may include: […] Some people with heart valve disease need medicines to treat their symptoms. Blood thinners may be given to help prevent blood clots. […] A diseased or damaged heart valve might eventually need to be repaired or replaced, even if you don’t have symptoms. […] If you have heart valve disease, your health care team might suggest surgery to repair and save your heart valve. […] Heart valve repair procedures include: […] If a heart valve can’t be repaired, surgery may be done to replace it. […] Valve replacement typically requires open-heart surgery. But less invasive procedures may be available, depending on which heart valve is affected. […] Careful and regular checkups are needed for those who have heart valve disease during pregnancy. […] If you have heart valve disease, here are some ways to help you manage your condition and thrive: […] Your health care team is likely to ask you many questions, including:
  • #56 Heart valve disease
    https://www.nhs.uk/conditions/heart-valve-disease/
    Your care team will tell you what to expect. They’ll also advise on any changes you need to make. This can include healthy lifestyle changes and avoiding strenuous exercise. […] It’s important to get advice from a heart specialist if you’re pregnant or want to get pregnant. Pregnancy can make heart valve disease symptoms worse.
  • #57 Heart Valve Disorders Program | Heart and Vascular Care | UMass Memorial Health
    https://www.ummhealth.org/services-treatments/heart-and-vascular-care/cardiology/heart-valve-disorder-program
    Women with heart valve disease need specialized monitoring during pregnancy. Cardiologists and maternal-fetal medicine specialists in our Heart Health and Pregnancy Program provide the care you need. […] Heart failure, pulmonary hypertension and arrhythmias are some of the most common complications of valve disease. At UMass Memorial, we have a range of specialty programs and clinics to manage any related conditions.
  • #58 Heart valve disease – BHF
    https://www.bhf.org.uk/informationsupport/conditions/heart-valve-disease
    Many people live well with heart valve disease. […] You can support your overall health and wellbeing by making healthy lifestyle choices. This can help prevent your condition getting worse and support you to live well. […] It’s important to talk to your doctor and see if there are things you need to avoid. […] Speak to your doctor or nurse specialist about your diagnosis. They can explain what you can do or if there is anything you need to avoid. […] If you have valve disease and are considering starting a family, talk to your GP or heart specialist before getting pregnant. They can help make sure you get the care and support you might need.
  • #59 Heart Valve Disease Toolkits | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/php/data-research/heart-valve-disease-toolkit/index.html
    Heart valve disease affects more than 5 million people in the U.S. and leads to 25,000 deaths each year. […] There are notable disparities in heart valve disease diagnosis and treatment among African American, Hispanic, and Asian populations. […] Women are also more likely to be underdiagnosed with heart valve disease compared to men. […] Start the conversation with patients about heart valve disease with plain language resources. […] Access resources and graphics to learn more about heart valve disease prevention, risk, and management. Explore stories from patients living with heart valve disease and hear more about their treatment journeys.
  • #60 Treating Heart Valve Disease | Providence
    https://www.providence.org/services/heart-and-vascular/heart-valve-disease
    When youre a patient at Providence, we help you feel better today and reduce your risk of more serious disease tomorrow. We work with you to create a personalized plan to treat your heart valve disease. This plan includes everything from diagnosis and treatment to the post-care support you need to feel your best. The result is compassionate, whole-person care for your body, mind and spirit. […] Our patients are at the heart of everything we do, which is why were always looking for ways to make your experience better. […] We take a team-based approach to treating your heart valve disease. Why? Because we know this leads to the best results. Every Providence patient has access to world-class care from leaders in the field. […] We understand that the impact of heart disease is greater in marginalized communities.
  • #61 Heart Valve Disease
    https://www.uvmhealth.org/medcenter/conditions-and-treatments/valvular-heart-disease
    The diagnosis process begins with your doctor asking you about your symptoms, your medical history and your family history. We will also perform a thorough physical exam. Your doctor will listen to your heart to see if a murmur is present, which may indicate that the blood is flowing through an obstructed or leaky valve. […] There are a number of options when it comes to treatments for heart valve disease. Your specific course of treatment depends on the type and severity of the disease. At the UVM Medical Center, we offer the following treatments: […] Patients with heart valve disease are at a higher risk of developing a serious condition called endocarditis. We recommend the following steps in order to help protect your valve from further damage: […] The UVM Medical Center is one of a select group of hospitals that participate in clinical trials to evaluate revolutionary treatments. There is a clinical trial in progress used to treat severe aortic stenosis. Read more about this new surgery treatment called Transcatheter Aortic Valve Replacement (TAVR), also known as Transcatheter Aortic Valve Implantation (TAVI).
  • #62 Heart Valve Disease Treatment | Baptist Health South Florida
    https://baptisthealth.net/services/heart-and-vascular-care/services-and-programs/heart-valve-disease
    The highly skilled, expert surgeons in our heart valve program are trained to deliver the best surgical care through traditional and minimally invasive procedures. They also use sophisticated devices that enhance the safety of your surgery. Talk with your doctor about the surgery option that is best for you. […] Heart valve disease treatment is constantly evolving, and were at the forefront of these changes. […] We will work closely with you to determine if this is a good treatment option for you. […] Our team of heart valve disease specialists bring together a broad skill set that ensures you receive the highest level of care available. Our cardiologists and cardiothoracic surgeons work closely together in our heart valve program to give you the best outcomes possible. […] As regional leaders in treating heart valve disease, our heart and vascular care specialists are also invested in research that will lead to the next generation of more effective treatment options for patients like you.
  • #63 Heart Valve Diseases | Symptoms & Treatments | Rush
    https://www.rush.edu/services/heart-valve-disease-services
    Many heart valve diseases that have traditionally been treated with open heart surgery now have minimally invasive alternatives. […] For patients who are more at risk or have had previous unsuccessful treatment, minimally invasive procedures may be available as alternatives to surgery. […] TEER and TAVR are two of these minimally invasive procedures to treat heart valve disease.
  • #64 Heart Valve Disease – Fairmont – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/locations/fairmont/services-and-treatments/cardiology/diseases/valve
    TAVR can relieve the signs and symptoms of aortic valve stenosis, and may improve survival in people who can’t undergo surgery or have a high risk of surgical complications. […] Your local cardiology experts can manage your consultations and diagnostic tests, as well as preoperative and postoperative care.
  • #65 Heart valve disease treatment in Tulsa, OK – Oklahoma Heart Institute
    https://oklahomaheart.com/services/heart-valve-disease/
    Our multidisciplinary team of interventional cardiologists, cardiovascular surgeons and heart imaging specialists offer various services to treat heart valve disease, including: Transcatheter aortic valve replacement (TAVR) – During TAVR, providers work together to replace the aortic valve using catheters. This minimally-invasive technique allows a new aortic valve to be inserted within the diseased aortic valve without your doctors needing to perform traditional open-heart surgery. […] Our cardiovascular doctors are committed to delivering the best possible outcomes for your particular condition. No matter what type of treatment you need, our team will work together to ensure you receive the exceptional heart care you deserve.
  • #66 Care and Treatment Options for Heart Valve Problems | American Geriatrics Society | HealthInAging.org
    https://www.healthinaging.org/a-z-topic/heart-valve-problems/care-treatment
    Until recently, surgical aortic valve replacement (SAVR) was the only effective treatment for severe aortic stenosis. […] An alternative is transcatheter aortic valve replacement (TAVR). […] Now there is transcatheter mitral valve repair available using the MitraClip device. […] New ways of repairing or replacing heart valves can help some people.
  • #67 Valvular Heart Disease – The Queen′s Health Systems
    https://www.queens.org/locations/hospitals/qmc/services/heart-care/valvular-heart-disease/
    Patients that have symptomatic severe mitral regurgitation that are too sick for open heart surgery, may undergo minimally invasive catheter-based procedure for the treatment of their condition. […] The Queens Heart Cardiovascular Interventional Surgical Services is the premier program in Hawaii to offer Transcatheter Mitral Valve Repair (TMVR) with the Mitraclip. This procedure is a minimally invasive catheter-based procedure for patients with symptomatic, degenerative and functional Mitral Regurgitation (MR) who may be too sick for surgery.
  • #68 Nursing Care Plan for Valvular Heart Disease – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-valvular-heart-disease/
    Follow strict hand hygiene protocols before and after any patient contact. […] Monitor the patients temperature and signs of infection. […] Educate the patient and family about the signs and symptoms of infection and when to seek medical attention. […] Collaborate with the healthcare team to implement appropriate infection prevention measures during invasive procedures or surgical interventions. […] Administer prophylactic antibiotics as prescribed before invasive procedures, if indicated. […] Regularly evaluate the patients response to the nursing interventions and modify the care plan as necessary. Monitor the patients symptoms, functional capacity, pain level, anxiety level, and any signs of complications. Collaborate with the healthcare team to ensure comprehensive care and to optimize patient outcomes.
  • #69 Diagnosis & Treatment of Heart Valve Disease | NYU Langone Health
    https://nyulangone.org/care-services/heart-valve-center/diagnosis-treatment-of-heart-valve-disease
    At NYU Langones Heart Valve Center, you receive personalized care based on your individual needs. […] We understand that deciding among the variety of treatment options for heart valve disease may feel overwhelming for patients and their families. We provide you and your family with the information you need to make an informed decision. […] Recovery time following a heart valve disease procedure depends on the type of treatment used and your overall health. Transcatheter techniques generally require a one-night hospital stay, while open heart procedures can require a two- to four-day hospital stay.
  • #70 Diagnosis & Treatment of Heart Valve Disease | NYU Langone Health
    https://nyulangone.org/care-services/heart-valve-center/diagnosis-treatment-of-heart-valve-disease
    At NYU Langones Heart Valve Center, you receive personalized care based on your individual needs. […] We understand that deciding among the variety of treatment options for heart valve disease may feel overwhelming for patients and their families. We provide you and your family with the information you need to make an informed decision. […] Recovery time following a heart valve disease procedure depends on the type of treatment used and your overall health. Transcatheter techniques generally require a one-night hospital stay, while open heart procedures can require a two- to four-day hospital stay.
  • #71 Heart Valve Care | Virtua Health
    https://www.virtua.org/Services/Heart-Care/Heart-Valve-Care
    Our team specializes in the full range of valve repair and replacement procedures. […] The heart valve team at Virtua includes interventional cardiologists and heart surgeons, working together for you. […] Virtua is a high-volume valve center, specializing in common and more complex valve conditions and procedures. […] We can typically see you in our valve clinic within two weeks of your call. […] Before your valve replacement or repair procedure, youll need several tests. […] Research shows that walking and moving soon after a procedure or surgery helps improve your recovery. […] We believe you are the crucial member of the team. Your providers will answer all your questions, keep you informed about what to expect, and give you clear follow-up instructions.