Aortic Regurgitation IV: Nursing Management

Nursing management of a patient with aortic regurgitation begins with a comprehensive assessment of medical history, family history, and lifestyle factors.

During the cardiac examination, the nurse listens for the high-pitched, blowing diastolic murmur and observes for symptoms such as peripheral edema and pulmonary congestion signs.

The nurse then formulates nursing diagnoses, such as ineffective peripheral tissue perfusion related to decreased arterial blood flow, as evidenced by diminished peripheral pulses.

Another diagnosis is decreased cardiac perfusion related to the altered heart structure and function, as evidenced by changes in heart sounds and chest pain.

Based on these nursing diagnoses, the nurse implements the following interventions:

Positioning the patient in a high-Fowler's position to facilitate breathing.

Recommending leg elevation to enhance venous return.

Teaching deep breathing and coughing techniques.

Educate the patient on medication adherence and smoking cessation.

Finally, the nurse adjusts the care plan based on the patient's response to the interventions.