How does pericardial effusion present?
decreased RV filling with distended neck veins and an inspiratory decrease in arterial pressure (paradoxical pulse)
How does constructive pericarditis present?
elevated JV pressure, tachycardia, hepatomegaly, edema, ascites
What is the tx for constructive pericarditis?
surgical stripping of the pericardium
What is a pericardial rub?
a scratchy auscultation sound in acute pericarditis
What will be found in the ECG in pericarditis?
diffuse ST elevations
What are the s/s of acute pericarditis?
sudden onset chest pain that varies w/ position
What are the 4 most common causes of acute pericarditis?
1. viral 2. CT or autoimmune disease 3. uremia 4. metastatic tumors
What does it mean that there are diffuse ST elevations?
the ST is elevated in almost all leads- this is pericarditis and NOT an MI (you don't infarct the entire heart and still beat)
What causes constrictive pericarditis?
scarring and loss of elasticity of the pericardium
What is the tx for pericarditis?
NSAIDS (ibuprofen, aspirin, colchicine)
If the pt's chest pain is altered with changed position, think ____.