The treatment plan for management of an obstetric patient with peripartum cardiomyopathy includes
a. oxygen therapy, pain management, and preload enhancement.
b. walking exercises, diuretics, and anticoagulants.
c. diuretics, digoxin, and anticoagulation.
d. fluid resuscitation, beta-blockers, and vasoconstrictors.
C
Symptoms are identical to those of classic cardiac failure, but treatment depends on the pregnancy status of the patient. Women who present with PPCM during pregnancy require joint cardiac and obstetric care, but as soon as the baby is born and the patient is hemodynamically stable, standard therapy for heart failure may be applied. This would include treatment of diuretics, digoxin, beta-blockade, and afterload reduction. Angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and renin inhibitors are contraindicated during pregnancy because of fetotoxicity but may be used after the infant is born. After the bleeding has been stopped after delivery, anticoagulation is commonly used to prevent thromboembolism and the formation of left ventricular thrombus, which is associated with a worse prognosis.
You might also like to view...
As part of the Synergy Model, the nurse has identified a patient characteristic of resiliency. What patient behavior demonstrates resiliency?
A) Dysfunctional grieving behaviors after receiving bad news B) Developing a list of questions for the physician C) Denial of any possible negative outcomes for a procedure D) Assigning blame to others for undesired outcomes of illness
An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy
Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? A) Cells with a long generation time B) Cells that lack contact inhibition C) Cells that have a rapid mitotic rate D) Cells that lack a blood supply
What does the Health Insurance Portability and Accountability Act (HIPAA) of 1996 hold mental health care professionals legally and ethically responsible for?
A) Portability of medical records B) Accurate documentation C) Correct billing of insurance companies D) Client confidentiality
A researcher is studying the effect of massage on the alleviation of pain in cancer patients. This is an example of what type of study?
A) Descriptive B) Exploratory C) Applied D) Basic