Tricuspid stenosis

Tricuspid stenosis - narrowing of the tricuspid valve between right atrium and right ventricle

Epidemiology
a. relatively uncommon
b. usually associated with lesions of other valves
c. caused by rheumatic fever

Assessment Findings

• dyspnea, fatigue, weakness, syncope
• peripheral edema
• jaundice with severe peripheral edema and ascites can mean that tricuspid stenosis has led to right ventricular failure
• may appear malnourished
• distended jugular vein

Medical Management

• surgery – valvulotomy or valve replacement; valvuloplasty

Nursing Interventions

• Apply cardio-care six

THE CARDIO-CARE SIX: A,B,C,D,E,F

1. ADL: Help the client with activities of daily living.
2. Bed rest
3. Commode at bedside (it stresses the heart less than using a bedpan does).
4. Diversions: offer diversions that don’t stress the heart.
5. Elevate head of bed, or sit client up.
6. Feelings: Let clients express concern; reassure when activity will resume.

• monitor the cardio seven
• monitor for findings of heart failure, pulmonary edema, and adverse reactions to the drug therapypost valve surgery, monitor client for hypotension, arrhythmias and thrombus formation
• when client sits, elevate legs – to prevent dependent edema
• client and family teaching
• teach the cardio five
• client must comply with long-term antibiotic and follow up care
• emphasize the need for prophylactic antibiotics during dental care

Diagnostic Findings

1. EKG – for arrythmias
2. Echocardiogram – right ventricular dilation and paradoxic septal motion