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A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for Nausea and vomiting.
What is pericarditis?
- An enlargement and irritation of the heart's delicate, sac-like membrane (pericardium).
- A viral infection or cardiac stroke are two possible causes of pericarditis.
- The cause is frequently unknown.
- Sharp, stabbing chest discomfort that may radiate to the left shoulder and neck is the most typical symptom.
- Pericarditis typically starts suddenly and ends quickly.
- Most cases are minor and resolve on their own most of the time.
- Medication and, in rare situations, surgery may be used as treatments for more serious conditions.
- Viral infections are frequently the cause of pericarditis, while the exact origin is frequently unknown.
- Following an infection of the digestive or respiratory systems, pericarditis can develop.
- Autoimmune diseases like lupus, scleroderma, and rheumatoid arthritis can lead to chronic and recurrent pericarditis.
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The attending nurse who administers NSAID Indomethacin must carefully watch out for nausea and vomiting in a clinical diagnosis of a patient with pericarditis.
Significance of Pericarditis with NSAIDs
Symptom alleviation is the goal of treatment for individuals with idiopathic or viral pericarditis.
- The cornerstone of treatment is nonsteroidal anti-inflammatory medications (NSAIDs).
- These medicines have comparable effectiveness, with the alleviation of chest pain occurring in around 85-90% of patients within days of therapy.
- Ibuprofen has the benefit of having few side effects and increasing coronary flow. Indomethacin has a minimal risk of side effects and decreases coronary flow.
A full-dose NSAID (aspirin, 2-4 g/d; ibuprofen, 1200-1800 mg/d; indomethacin, 75-150 mg/d) should be utilized; therapy should continue at least 7-14 days.
- To prevent an early recurrence, a full-dose NSAID should be continued until C-reactive protein (CRP) normalization, followed by a progressive reduction of the medication for another 1-2 weeks.
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