Gravido Cardiac

Gravido Cardiac
Normal cardiac changes in pregnancy
•(1) functional (innocent) murmurs that can be

heard in many women during a usual
pregnancy and
•(2) heart palpitations on sudden exertion.
• As a rule, a woman with artificial but well functioning
heart valves can be expected to complete a pregnancy
without difficulty - consistent prenatal care.
• A woman with a pacemaker implant can also expect to

complete pregnancy successfully.
• Even women who have had heart transplants can be
expected to have successful pregnancies.
What Causes it?
❑ Valve damage caused by Rheumatic fever
❑ Congenital anomaly- ( ASD)
❑ Women becoming pregnant at an older age, the
incidences of ischemic cardiac disease and myocardial
infarction are increasing.
Failure to the
LEFT Failure to the
Common signs and symptoms are those RIGHT
associated with pulmonary hypertension Right-sided heart failure can occur in a
and pulmonary edema and may include: woman with a congenital heart defect,
• Decreased systemic blood pressure such as atrial ventricular septal defect
• Productive cough with blood-streaked and pulmonary valve stenosis.
sputum Signs and symptoms may include:
• Tachypnea
• Dyspnea on exertion, progressing to • Hypotension
dyspnea at rest • Jugular vein distention
• Tachycardia • Liver and spleen enlargement
• Orthopnea • Ascites
• Paroxysmal nocturnal dyspnea • Dyspnea and pain.
• Edema.
What to look for?
❑ ECG
❑ Echocardiogram
❑ UTZ
What TEST tells
you?
❑Digoxin (Lanoxin)
❑Antihypertensive and arrhythmia
agents such as adenosine, β- blockers,
and calcium channel blockers
❑Nitroglycerin
❑Heparin
❑Penicillin
Pharmacologic Treatment
How it Is treated?
Nursing Care:
❑Assess maternal vital signs and cardiopulmonary status
closely for changes
❑Monitor weight gain throughout pregnancy. Assess for
edema and note any pitting
❑Reinforce use of prescribed medications to control cardiac
disease
❑Encourage frequent rest periods throughout the day
❑Advise the woman to immediately report signs and
symptoms of infection
❑ Assess FHR and ultrasound results to monitor fetal growth.
❑ Advise the woman to rest in the left lateral recumbent position
❑ Frequently assess a woman’s blood pressure, pulse, and respirations and
monitor fetal heart rate and uterine contractions
❑ Prepare the woman for labor, anticipating the use of epidural anesthesia
❑ Anticipate anticoagulant and cardiac glycoside therapy immediately after
delivery for the woman with severe heart failure.
❑ Encourage ambulation, as ordered, as soon as possible after delivery.
❑ Anticipate administration of prophylactic antibiotics, if not already ordered,
after delivery
Thank You!
WEAR APPROPRIATE
CLOTHES
Make sure you look presentable for class.
Let's make the most out of our learning sessions. Get to your
study space a few minutes before class and make sure your
internet connection and computer are working.
BE RESPECTFUL
Respect your teacher and classmates.
Listen attentively to your teacher and follow

instructions. Raise your hand when you want to
speak and wait to be called before speaking. Listen
quietly when someone else is speaking.
KEEP YOUR
MICROPHONE
ON MUTE
Reduce background noise and distractions.

Microphones can pick up background sounds that may not bother you but may
bother your classmates and teacher. If you want to say something in class, raise
your hand and wait for the teacher to acknowledge you before unmuting.
BE RESPONSIBLE
IN THE CHAT BOX
Use the chat box for class-related
matters only
Only the chat feature for things related to your lessons and as
instructed by your teacher. Also, reading something is not the
same as hearing it, so think carefully before sending questions
or comments.
BE FULLY PRESENT
Pay attention and participate actively.
Don't play games on your phone, check your social media or watch
videos. Focus on your lessons, take notes and participate in class.
Also, avoid constantly moving away from your study area because
that may be distracting to your teacher and classmates.
REMOVE
DISTRACTIONS
Treat online class time as "real" class time.
Find a quiet space for class. Turn off the TV or any music in the
background. Keep mobile phones on silent and away from you. Don't eat
or drink during class to avoid distracting your teacher and classmates.
OTHER CLASSROOM REMINDERS
Don't be afraid Be courteous Keep up with lessons and

to ask questions and polite homework
Feel free to ask your teacher if you Think before speaking. Say "thank Review your notes. Stick to a study
don't know something or if you" and "please" when routine so you won't get behind
something is unclear. appropriate. with class assignments.
Submit Take breaks Support

assignments correctly from being online each other
Follow your teacher's rules and Find time to recharge and engage in Be kind to everyone. Let's
instructions on how to submit your offline activities. Find balance and encourage and lift each other up.
work online. make time for your hobbies as well.
QUESTIONS?
CLARIFICATIONS? Email Address
hello@reallygreatsite
Please feel free to contact me,
Teacher Casey, through email or phone.
Mobile Number
123-456-7890
Consultation Hours
4 PM to 6 PM

Gravido Cardiac

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Gravido Cardiac

Normal cardiac changes in pregnancy

•(1) functional (innocent) murmurs that can be

• A woman with a pacemaker implant can also expect to

Listen attentively to your teacher and follow

Reduce background noise and distractions.

Don't be afraid Be courteous Keep up with lessons and

Submit Take breaks Support

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