This condition makes the pulmonary venous pressure increases, causing diversion of blood, chest X-ray look at the relative dilation of blood vessels compared to the top of the pulmonary blood vessels below the lungs. Narrowing of the mitral valve causes the valve does not open properly and blocks the flow of blood between the left heart chambers. When the mitral valve narrowing (stenosis), blood can not efficiently pass through the heart. This condition causes a person to become weak and become short of breath and other symptoms.
Mitral stenosis, a valve disorder most often caused by rheumatic heart disease. It is estimated that 99% mitral stenosis based on rheumatic heart disease. However, approximately 30% of patients with mitral stenosis can not find any previous history of the disease.
In all valvular heart disease, mitral stenosis most commonly found, namely ± 40% of all rheumatic heart disease, and affects women more than men, with a ratio of approximately 4: 1.
Myxoma (benign tumor in the left atrium) or blood clots can block blood flow as it passes through the mitral valve and cause the same effect as mitral valve stenosis.
Nursing Assessment - Nursing Care Plan for Mitral Stenosis
- Demographic Data
- Interest / nation
- Main Complaints: patients with mitral stenosis is usually complain of shortness, cyanosis and coughing.
- History of Disease Now: The client is usually taken to hospital after shortness of breath, cyanosis or coughing is accompanied by high fever / no.
- History of past illness: The client had suffered from rheumatic fever disease, SLE (Systemic Lupus Erithematosus), RA (Rhemautoid arthritis), myxoma (benign tumor in the left atrium).
- Family History of Disease: there are no hereditary factors that influence the occurrence of mitral stenosis.
ROS (Review of Systems)
B1 (Breath): Shortness / increased respiration, low tones at the apex by using a bell on his side to the left, shortness of breath and fatigue, cough, orthopnea in venous congestion there.
B2 (Blood): an increase in the jugular vein, odema leg, in the form of atrial arrhythmia atrial fibrillation (rapid heart rate and irregular), hemoptysis, embolism and thrombus, strength weakened pulse, tachycardia, peripheral edema (started happening right heart failure), BJ 1 harsh systolic murmur, palpitations, hemoptysis, apical diastolic murmurs.
B3 (Brain): chest pain and abdominal
B4 (Bladder): excess fluid imbalance, oliguria
B5 (Bowel): Dysphagia, nausea, vomiting, no appetite B6 (Bone): weakness, sweating, rapid fatigue.
- Shortness of breath affects the interaction
- Activities limited
- Fear of facing surgery
- Stress due to disease condition with a poor prognosis
Nursing Diagnosis Nursing Care Plan for Mitral Stenosis
- Impaired tissue perfusion
- Risk for excess fluid volume
- Ineffective breathing pattern
- Impaired gas exchange
- Activity intolerance
Nursing Diagnosis and Interventions for Mitral Stenosis