Nurse Nacole
1,210 FOLLOWERS
Nacole Riccaboni is a board-certified registered nurse, blogs about advanced nursing education and being a new nurse. She posts daily nursing tips, bedside nursing resources, practices, along with advice on nursing academics, licensing exams, professionalism, and nursing school success.
Nurse Nacole
15h ago
Category: Critical Care Nursing
A major indication for emergency pericardiocentesis is a patient in cardiac arrest with PEA. Always consider cardiac tamponade in the differential diagnosis for PEA, especially if jugular venous pressure is elevated ..read more
Nurse Nacole
2d ago
Category: Critical Care Nursing
The ultrasonographic finding of a large pericardial effusion (>20 mm) in a stable patient should lead to early cardiology or cardiothoracic surgery consultation for percutaneous drainage or placement of a pericardial window ..read more
Nurse Nacole
3d ago
Category: Critical Care Nursing
There are two indications for pericardiocentesis: (1) to diagnose the presence and cause of a pericardial effusion (diagnostic pericardiocentesis) and (2) to relieve tamponade (therapeutic pericardiocentesis ..read more
Nurse Nacole
4d ago
Category: Critical Care Nursing
Pulsus paradoxus (PP) is an exaggerated decrease in systolic blood pressure (>12 mm Hg) during inspiration secondary to reduced stroke volume. Patients with moderate to severe tamponade typically demonstrate PP greater than 20 mm Hg ..read more
Nurse Nacole
6d ago
Category: Fundamentals
Stab wounds cause tamponade more frequently because if the pericardial injury is small, it can reseal and trap blood within the pericardial space. On the other hand, a gunshot typically produces both large myocardial and pericardial wounds ..read more
Nurse Nacole
1w ago
Category: Fundamentals
External cardiac puncture is associated with stab wounds or projectile injuries (e.g., gunshot wounds). Tamponade develops in 80% to 90% of patients with cardiac stab wounds as opposed to 20% of those with gunshot wounds ..read more
Nurse Nacole
1w ago
Category: Fundamentals
Penetrating cardiac trauma can cause acute hemopericardium by either external forces (e.g., a stab wound to the heart) or internal forces (e.g., iatrogenic injury during placement of a pacemaker ..read more
Nurse Nacole
1w ago
Category: Fundamentals
The major categories of pericardial effusion include infection, inflammation, malignancy, trauma and metabolic abnormalities. The effusion may also be associated with aortic disease, connective tissue disease or idiopathic causes ..read more
Nurse Nacole
1w ago
Category: Fundamentals
The pericardium is a tense structure, but it also has some elasticity. These properties limit the amount of cardiac dilation that is possible during diastole and enhance mechanical interactions between the atria and ventricles during systole ..read more
Nurse Nacole
1w ago
Category: Fundamentals
A pericardial effusion is the presence of fluid within the pericardial space. As fluid accumulates, a critical point is reached at which pericardial pressure negatively affects cardiac filling and causes circulatory insufficiency ..read more