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COR PULMONALE

Right-­sided heart failure caused by pulmonary disease

MANIFE­STA­TIONS

Hypoxia
Hypoxemia
Extreme dyspnea
Cyanotic lips
Jugular venous distention
Dependent edema
Hepato­megaly
Pulmonary hypert­ension

NURSING INTERV­ENTIONS

Monitor respir­atory status
Monitor cardiac status and for indica­tions of right-­sided heart failure
Administer oxygen therapy as prescribed
Ensure adequate rest periods
Encourage a low sodium diet
Maintain fluid balance; possible fluid restri­ction
Administer medica­tions as prescribed

MEDICA­TIONS

Diuretics
Digoxin

THERAP­EUTIC MEASURES

Mechanical ventil­ation

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