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Chapter 6: Problem 67

List: What three cardiac assessments must be done periodically while Wanda is on the diltiazem infusion? 1. 2. 3.

Short Answer

Expert verified
The three cardiac assessments that must be done periodically while Wanda is on the diltiazem infusion include monitoring of her blood pressure, heart rate and assessment for any experienced chest pain.

Step by step solution

01

Research On Diltiazem

Diltiazem is a calcium channel blocker that works by relaxing the muscles of your heart and blood vessels. However, it can cause changes in blood pressure, heart rate, and can potentially affect other heart conditions. Therefore, appropriate assessments are necessary.
02

Identify Key Cardiac Assessments

Considering that diltiazem affects the blood pressure and heart rate fundamentally and could potentially affect other heart conditions, the three assessments to be considered primarily should be; 1. Monitor Blood Pressure: It is important to continuously monitor the patient's blood pressure as diltiazem is used to lower high blood pressure.2. Monitor Heart Rate: This medication can slow down the heart rate, hence, continuous checking is necessary.3. Assess for Chest Pain: Chest pain is a sign of underlying heart conditions. As diltiazem is also used to prevent chest pain, caregivers should periodically assess whether the patient is experiencing any.
03

Ensure Periodic Assessment

The patient's cardiac assessments should be performed regularly and carefully documented. Any changes should be noted and in case of extreme changes, immediate action should be taken.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Diltiazem Monitoring
Diltiazem is a commonly used medication in cardiac care, especially for heart rhythm disorders and hypertension. It belongs to a class of drugs known as calcium channel blockers and works by relaxing the heart muscles and widening the blood vessels.

While this medication is effective in treating certain conditions, it is crucial to monitor patients closely for any potential side effects, such as changes in heart rate or blood pressure. Continuous monitoring ensures that the medication is working as intended and helps in preventing possible complications.
  • Watch for side effects such as dizziness or fatigue.
  • Document any changes in the patient's condition.
  • Report significant alterations to the healthcare provider promptly.
With regular assessments, caregivers can adjust treatment plans as needed and ensure the patient's safety.
Blood Pressure Measurement
Accurate blood pressure measurement is vital when a patient is receiving diltiazem. This medication helps lower blood pressure, which is essential in managing conditions like hypertension.

Blood pressure should be monitored regularly to ensure it remains within a safe range. An automated or manual sphygmomanometer can be used, and readings should be taken at different times of the day. Here are some tips:
  • Ensure the patient is resting for at least 5 minutes before taking a measurement.
  • Place the cuff on an arm at heart level for the most accurate reading.
  • Record the systolic and diastolic values each time.
Regular monitoring helps in detecting abnormal changes that may require medical intervention.
Heart Rate Assessment
Diltiazem can affect heart rate by slowing it down, which is why monitoring heart rate is a crucial assessment when administering this medication. A normal resting heart rate for adults ranges from 60 to 100 beats per minute.

Persistent monitoring ensures the heart rate does not drop too low, which can lead to bradycardia. Here's how to carry out this assessment effectively:
  • Use a stethoscope or palpate the radial artery to count beats.
  • Measure the heart rate at rest and during activity.
  • Note any irregularities in rhythm.
By maintaining accurate records, healthcare providers can adjust dosages or take further action as necessary.
Chest Pain Evaluation
Evaluating chest pain is another critical component of cardiac assessment in patients taking diltiazem. Since the medication helps prevent chest pain (angina), any occurrence of pain must be addressed swiftly.

Prompt evaluation helps differentiate between stable and unstable angina, or even potential heart attacks. When assessing chest pain, consider the following:
  • Ask the patient to describe the pain (e.g., sharp, dull, aching).
  • Inquire about any associated symptoms such as shortness of breath or nausea.
  • Determine the frequency, duration, and triggers of pain episodes.
Effective assessment of chest pain can prevent complications and ensure the patient receives appropriate care.

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