Question

Why does this patient have signs and symptoms so different from Mr. G's? Let's make a diagram for him like the one you made for Mr. G's case.

<Ch 18 Chapter HW Nurses Need Physiology: Right- vs. Left-sided Heart Failure diastole collapsed 1. Mr. V's partly blocked tricuspid valve restricts blood flow from the right atrium to the right ventricle ; turbulent blood flow is heard during lungs as blood is forced through the narrow opening. lungs jugulars left atrium collapsed heavy right ventricle right atrium body systole gain 2. The right ventricle does not empty normally, so it cannot accept a normal amount of blood from the right atrium ): blood accumulates in the veins and tissues, causing distended swollen and collapsed tissues. The excess fluid in tissues leads to weight gain and a heavy feeling in Mr. V's legs. swollen carotids

Answer 1

1. Mr. V's partly blocked TRICUSPID valve restricts blood flow from the RIGHT ATRIUM to the RIGHT VENTRICLE; turbulent blood flow is heard during DIASTOLE as blood is forced through the narrow opening.

2. The RIGHT ATRIUM does not empty normally, so it cannot accept a normal amount of blood from the BODY; blood accumulates in the veins and tissues, causing distended JUGULARS and SWOLLEN tissues. The excess fluid in tissues leads to weight GAIN and a HEAVY feeling in Mr. V's legs.

(Mr. V is diagnosed with tricuspid stenosis (narrow tricuspid valve), his lungs sound normal but we can hear the diastolic murmur as blood flows through narrow heat valve ie., sound of turbulent blood flow will be heard. Blood flows through the valve during diastole. Mr. V has pitting edema and his both ankles and feet are swollen and his jugular veins are distended).