Nursing care plan for heart disease in pregnancy

[Nursing care for pregnant women with heart disease] [Nursing care for pregnant women with heart disease] [Nursing care for pregnant women with heart disease] Rev Cubana Enferm. Jan-Apr 1987;2(1):22-9. [Article in Spanish] Authors E Peñate Torres, F Blanco, F Vega Marichal. PMID: 3647544 No abstract available. Nursing Care Plans Congenital heart defects vary in severity, symptoms, and complications, many of which depend on the age of the infant/child and the size of the defect. Treatment may include management with medications, open heart surgery to repair or resect, or to temporarily correct the defect until the child is older and growth takes place

NURSING PRIORITIES 1. Monitor degree/progression of symptoms. 2. Promote client involvement in control of condition and self-care. 3. Monitor fetal well-being. 4. Support client/couple toward culmination of a safe delivery. DISCHARGE GOALS In patient care not required unless complications develop units known to specialise in the management of women with heart disease in pregnancy. Appropriate tertiary units will have high-dependency and intensive care units suitable for the care of pregnant women with significant heart disease. 3.6.4 Postpartu ESC Clinical Practice Guidelines aim to present all the relevant evidence to help physicians weigh the benefits and risks of a particular diagnostic or therapeutic procedure on Cardiovascular Diseases during Pregnancy. They should be essential in everyday clinical decision making ICNP Catalogue: Prenatal Nursing Care Table 1. Expected changes of Pregnancy 7 Nursing diagnosis Nursing intervention Nursing outcomes Physical changes Pain 10023130 Manage pain 10011660 Pain control 10025831 Reduced pain 10027917 No pain 10029008 Heartburn 10043298 Teach about diet 10046533 Effective gastrointestinal system function 1002801

[Nursing care for pregnant women with heart disease

5 Congenital Heart Disease Nursing Care Plans Here are five (5) nursing care plans (NCP) for congenital heart diseases: Cardiac Care Plans, Hematologic and Lymphatic Care Plans, Nursing Care Plans April 12, 201 Nursing Care Plans. Nursing care plan goals for patients with heart failure includes support to improve heart pump function by various nursing interventions, prevention, and identification of complications, and providing a teaching plan for lifestyle modifications. Nursing interventions include promoting activity and reducing fatigue to relieve the. Nursing care for PIH involves providing adequate nutrition, good prenatal care, and control of pre-existing hypertension during pregnancy decrease the incidence and severity of preeclampsia. Early recognition and prompt treatment of preeclampsia can prevent progression to eclampsia Termination of pregnancy •Indications: a) Gestational age: Pregnant women with cardiac disease who are considered functionally normal be allowed to go in to labor spontaneously If there are any concerns about the functional adequacy of the heart and circulation, labor should be induced under controlled conditions the timing of induction is individualized taking into account the patient cardiac status inducibility of the cervix fetal lung maturity

Placenta Previa Nursing Care Plan and Management

Pregnancy can often precipitate clinical heart failure in women with pre-existing but unknown cardiovascular disease, because of the increase in cardiovascular demands on the heart during pregnancy. Clues may be found in a family history of cardiomyopathy, previous pregnancy, later presentation during pregnancy and prior non-pregnant imaging Frequency of monitoring, composition of the care team, delivery planning, and management during pregnancy are determined on the basis of patient risk. 2,5,71-76 The recently published ACOG guidelines recommend the estimation of risk and subsequent management with the modified WHO classification (Data Supplement Table 2). 4,77 Ideally, severe valvular heart disease should be treated before conception Pregnant women with valvular heart disease, which increases the risk of a clot-caused ischemic stroke, could benefit from medications after the first trimester to reduce clotting, the statement says. Heart rhythm disorders could be treated with medication or surgery if they are severe enough Nursing Care Plans for Coronary Artery Disease Nursing Care Plan 1 Decreased cardiac output related to the disease process of coronary artery disease (CAD) as evidenced by fatigue and inability to do ADLs as normal Desired outcome: The patient will be able to maintain adequate cardiac output

5 Congenital Heart Disease Nursing Care Plans - Nurseslab

Nursing Care Plan: NCP Cardiac Condition

Our Heart Disease in Pregnancy Program brings together board-certified experts in adult congenital heart disease, cardiology, maternal fetal medicine, obstetrics and anesthesiology. These experts collaborate with a team of specialty trained nurses and medical staff. Together, this team develops care plans for each patient, based on the opinion. Sep 12, 2016 - Provide nursing care with love. I have a client who's diagnosed with ischemic heart disease. She is 84 y.o, widowed and smiles beautifully. I have been providing care to her as her private duty nurse for a day now. And I thought sharing the nursing management for ischemic heart disease. Ischemic heart disease (or Co Nursing Care Plan for Rheumatic Heart Disease - Nanda Nursing Diagnosis for RHD Rheumatic heart disease is a condition in which permanent damage to heart valves is caused by rheumatic fever. The heart valve is damaged by a disease process that generally begins with a strep throat caused by bacteria called Streptococcus, and may eventually cause rheumatic fever A heart muscle disease called peripartum cardiomyopathy is the leading cause of death in expectant mothers, accounting for 23% of deaths late in pregnancy, according to ACOG. The new practice.

Cardiovascular Diseases during Pregnancy (Management of

  1. Clients participate in activities that reduce the heart's workload. Intervention: Assess pulse, respiration, blood pressure regularly every 4 hours. Note the heart sounds. Assess changes in skin color towards cyanosis and pallor. Monitor intake and output every 24 hours. Limit activities adequately. Give psychological condition quiet environment. 2
  2. 2. If the woman has congenital heart disease the risk of fetal congenital heart disease varies between 6 to 50%.9 3. Pregnant women with cardiac disease are at risk of serious morbidity such as heart failure, arrhythmias and stroke. 4. Because there are so many types of cardiac disease, often with very differen
  3. Pregnancy can often precipitate clinical heart failure in women with pre-existing but unknown cardiovascular disease, because of the increase in cardiovascular demands on the heart during pregnancy. Clues may be found in a family history of cardiomyopathy, previous pregnancy, later presentation during pregnancy and prior non-pregnant imaging
  4. Nursing Care Plan 3. Nursing Diagnosis: Altered Uteroplacental Tissue Perfusion related to decreased oxygen-carrying capacity of red blood cells secondary to HELLP syndrome as evidenced by fatigue and weakness of the mother, intrauterine fetal growth retardation viewed in the scans, and changes in fetal heart rate
  5. Nursing Diagnosis for Cardiovascular Diseases. by Daisy Jane Antipuesto RN MN · August 4, 2009. Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels and include: Coronary heart disease - disease of the blood vessels supplying the heart muscle. Cerebrovascular disease - disease of the blood vessels.
Ncp Hypertension

INDEX OF DISEASES/DISORDERS This is 1 of 2 indexes in the book. It should be compiled by the indexer and only needs to contain the disorder/disease and the page number in which the care plan for that disorder/disease begins. Herdman, T.H. (Ed.). Nursing Diagnoses—Definitions and Classification 2012-2014 Nursing diagnosis for congenital heart disease. In this nursing care plan guide are 18 nanda nursing diagnosis for congestive heart failure. • dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea. Focus on cultural diversity heart disease • up to 6.6 million Pregnant Women with Heart Disease Require Specialized Care. Women with pre-existing heart conditions should receive preconception counseling by a cardio-obstetrics team or health care providers. Eclampsia Nursing Care Plan - Altered tissue perfusion. Among the most fatal part of pregnancy-induced hypertension is eclampsia. The status of having eclampsia is an introductory phase for having convulsions when the case is not managed properly. Previous researchers attempted to cite out the cause of hypertension but until now they could.

Nursing Care Plan for Uterine Fibroids Definition Uterine fibroids are benign tumors that form on the wall of a woman's uterus. Causes The cause is unknown but is thought of muscle cells are immature 12:28 AM Nursing Care Plan, Teen Pregnancy 22 comments Statistics for 1995 reveal that 56.9 babies were born for every 1000 females between the ages of 15 and 19. Although these rates appear to be dropping, pregnant adolescents are at risk physically, emotionally, and socially Nursing Care Plan for Preeclampsia. Nursing Assessment. Subjective Data : Age is usually common in primigravida, less than 20 years or more than 35 years. Health history is now: increased blood pressure, edema, headache, epigastric pain, nausea, vomiting, blurred vision. Previous health history: kidney disease, anemia, vascular essential.

Cardiac Care and Cardiovascular System Nursing Care Plans

  1. Description. Hemoglobin value of less than 11 mg/dL or hematocrit value less than 33% during the second and third trimesters. Mild anemia (hemoglobin value of 11 mg/dL) poses no threat but is an indication of a less than optimal nutritional state. Iron deficiency anemia is the most common anemia of pregnancy, affecting 15% to 50% of pregnant women
  2. Nursing Care Plan 1. Nursing Diagnosis: Decreased cardiac output related to increased systemic vascular resistance secondary to preeclampsia, as evidenced by an average blood pressure level of 180/90, shortness of breath, and edema of the palms. Desired Outcome: The patient will have an improved cardiac output through well-controlled blood.
  3. 5 Congenital Heart Disease Nursing Care Plans. Congenital heart disease results from malformations of the heart that involve the septums, valves, and large arteries. They are classified as acyanotic or cyanotic defects. Acyanotic defects occur when a left-to-right shunt is present that allows a mixture of oxygenated and unoxygenated blood to.

NANDA Nursing Care Plan: NANDA Nursing Diagnosis List 2018-2020 by Charlse · Published February 10, 2018 · Updated April 5, 2018 In the latest edition of nanda nursing diagnosis list (2018-2020), NANDA International has made some changes to its approved nursing diagnoses compared to the previous edition of NANDA nursing diagnoses 2015-2017. How is pre-existing heart disease diagnosed in pregnancy? Heart problems are a possible complication in pregnancy. Diagnosing a heart issue in pregnancy can be tricky. This is because some of the normal symptoms of pregnancy look like symptoms of heart disease. Your healthcare provider will ask about your health history

See also: Nursing Care Plan for COPD - Full Guide. Nursing care plan for hypothyroidism in pregnancy. Women menstruate every month and in the process of menstruation, an egg is released from the ovary. If a woman is suffering from hypothyroidism then the egg may be released less frequently or not at all Increase exercise/activity levels gradually and plan rest periods between activities (resting for 3 minutes in a 10-minute walk). Prevents a sudden increase in cardiac workload; reduces fatigue. Promote comfort measures and provide for the relief of pain, if there's any

Heart Failure Nursing Care Plans: 18 Nursing Diagnosis

Nursing Care Plan For Heart Failure : A. Assessment Findings on Heart Failure Cases. Left-sided heart failure ; Dyspnea, Crackles, Orthopnea, Paroxysmal noctural dyspnea, Tachypnea, Tachycardia, Gallop rhythm (third or S3 and fourth or S4 heart sound), Fatigue, Anxiety, Arrhythmias and Cough Maternal heart disease has emerged as a major threat to safe motherhood and women's long-term cardiovascular health. In the United States, disease and dysfunction of the heart and vascular system as cardiovascular disease is now the leading cause of death in pregnant women and women in the postpartum period (1, 2) accounting for 4.23 deaths per 100,000 live births, a rate almost twice. A pregnant woman does not have to worry about contracting new illnesses during pregnancy. The nurse should encourage the client to take this medication with which substance? orange juice. A nurse is caring for a pregnant client with heart disease in a labor unit. The nurse is preparing a postpartum nursing care plan for a single HIV. Nursing Care Plan for Syncope Definition of Syncope Syncope is a body mechanism to anticipate changes in the blood supply to the brai... 3 Nursing Diagnosis and Interventions for Rheumatic Fever Rheumatic fever is a multisystem collagen vascular disease that occurs after a group A streptococcal infection in individuals who have predi.. Nursing Care Plans for Depression Nursing Care Plan 1. Nursing Diagnosis: Disturbed Thought Process related to biochemical/ neurophysical imbalance secondary to depression as evidenced by impaired insight and judgment, poor decision-making skills, difficulty handling complex tasks, confusion and disorientation, inability to do activities of.

The study by Greutmann et al. which aimed to evaluate pregnancy outcome and risk factors for adverse events among women with cardiac disease, was the only one which considered the composition of a specialist MDT and evaluated its role in planning care for women from 14-16 weeks of pregnancy. The authors attempted to compare their outcomes. Nursing Diagnosis for Hyperemesis Gravidarum. 1. Imbalanced Nutrition, Less Than Body Requirements related to the frequency of excessive nausea and vomiting. 2. Fluid Volume Deficit related to excessive fluid loss. 3. Anxiety related to ineffective coping, physiological changes of pregnancy. 4 nursing students formed a nursing diagnosis: Risk for heart disease among Akron City Adults related to ineffective health maintenance as evidence by heart disease is the leading cause of death in Summit County (Healthy Ohio Community Profiles, 2008) see assessment tool

6 Pregnancy Induced Hypertension Nursing Care Plans

  1. ister medications Such as (Anti- anginals) Ad
  2. 3. Post-term pregnancy resulting in decreased placental function. 4. Impaired fetal growth. 5. Maternal diseases such as hypertension, diabetes mellitus, blood clotting disorders, and the presence of autoimmune diseases such as Lupus. Signs and Symptoms of Oligohydramnios. 1. The mother feels pain when the fetus moves in the womb
  3. Nursing Care Plan for Varicose Veins Assessment for Varicose Veins. Assess the degree and type of pain. The level of activity, movement disorders: the causes, signs, symptoms and effects of movement disorders. Assess the quality of peripheral pulses. Temperature changes in both lower limbs
  4. Women with pregnancy high blood pressure had twice the number of deaths in this follow-up period from cardiovascular disease compared with women without pregnancy high blood pressure. These women also developed chronic hypertension 4.5 times faster than women without pregnancy high blood pressure, according to the study published in the journal.
  5. The target population for the concept nursing care for a patient . with heart disease was all the available textbooks on medical nursing care which describe heart failure as an illness and discuss clinical management for patients with heart diseases. Sampling method and sample. Selected textbooks on medical nursing care were.

Nanda Nursing Diagnosis List. Self-Care Deficit: Self-Care Deficit: Impaired capacity to perform or finish exercises of day by day living for oneself, for example, taking care of, dressing, washing, toileting. Small Bowel Obstruction: An inside check is a blockage in the small digestive tract Diabetes Nursing Diagnosis Care Plan NCLEX Review. Diabetes mellitus, simply known as diabetes, is a group of metabolic disorders that involve the abnormal production of insulin or response to it, affecting the absorption of glucose in the body. Glucose (blood sugar) is the main source of energy for brain cells, body tissues, and muscles NCP Prenatal Substance Dependence/Abuse. This disorder is a continuum of phases incorporating a cluster of cognitive, behavioral, and physiological symptoms that include loss of control over use of the substance and continued use of the substance, despite adverse maternal/fetal consequences (e.g., poor nutrition/weight gain, anemia.

Tissue Oxygenation and Routine Nursing Procedures in Critically Ill Patients. J Cardiovasc Nurs. 11(4):12-30. Josker J, Maciejewski M and Cousins M (1994). Advanced Case Studies In Hemodynamic Monitoring: Postoperative Cardiovascular Patients. Crit Care Nurs Clin North Am. 6(1):187-97. Juarbe TC (1998). Risk Factors for Cardiovascular Disease. Nursing care plan for anxiety related to COPD. COPD is an extremely dangerous disease. In this disease, there is a deficiency of air in the lungs and an increment in the carbon-dioxide. The flow of air blocks in the lungs. In this nursing care plan, the main focus is to remove the air blocks so that the proper amount of oxygen enters the lungs This course is going to expand on that for you and show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes Background: Heart diseases are increasingly identified as an important indirect cause of maternal mortality in several cities in Indonesia. The management of pregnancy with heart diseases requires a multidisciplinary approach, and interprofessional collaboration practice (IPCP) is critical to improving the quality of patient care Nursing Diagnosis for GERD. Risk for aspiration related to barriers to swallow, decreased reflux larynx and glottis to liquid reflux. Deficient Fluid Volume related to nausea and vomiting / excessive spending. Imbalanced Nutrition: less than body requirements related to anorexia, nausea, vomiting. Acute pain related to inflammation of the.

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Heart disease during pregnancy - SlideShar

Rheumatic heart disease is a chronic condition characterized by scaring and fibrosis of valves and layers of the heart secondary to rheumatic fever. Rheumatic Heart Disease caused by recurrent episodes of rheumatic fever; characterized by changes in the myocardium or scarring of the heart valves that reduce the power of the heart to pump blood Free Care Plans. Free care plans list: Browse our care plan database for nurses and nursing students below to learn more about how care plans are arranged, organized, and created. We have placed these care plans online so that nursing students (and pre-nursing students) can get an idea of how care plans are created, and what care plans will look like in nursing school Cardiovascular Disorders Practice Test. Below are recent practice questions under UNIT 1 -Medical-Surgical Nursing for Cardiovascular Disorders. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. 1. Plans for nursing interventions for a client in the acute stage. Syphilis is an infectious venereal disease caused by the spirochete Treponema pallidum.Syphilis is transmissible by sexual contact with infectious lesions, from mother to fetus in utero, via blood product transfusion, and occasionally through breaks in the skin that come into contact with infectious lesions. If untreated, it progresses through 4 stages: primary, secondary, latent, and tertiary

Nursing Care Plan for Nausea and Vomiting. Nausea is the sensation (feeling) issued a strong food or want to vomit. Usually accompanied by autonomic signs such as hypersalivation, diaphoresis, tachycardia, pallor, and tachypnea, nausea closely related to anorexia. Nausea caused by distention or irritation in any part of the gastrointestinal. Nursing Diagnosis. Imbalanced Nutrition less Than Body Requirements related to excessive nausea and vomiting. Nursing Interventions: Restrict oral intake until the vomiting stops. Rationale: Maintain fluid balance and elektfolit, and prevent further vomiting. Give the anti-emetic drugs are programmed with a low dose Nursing care plan for clients with cystic fibrosis includes maintaining adequate oxygenation, promoting measures to remove pulmonary secretions, emphasizing the importance of adequate fluid and dietary intake, ensuring an adequate nutrition, and preventing complications. Nursing Care Plans, Pediatric Nursing Care Plans Abstract. Heart disease is a common cause of morbidity and mortality during pregnancy. Symptoms and signs of heart failure in a pregnant woman are an indication for urgent assessment to establish a diagnosis and appropriate management. This is best accomplished through a multidisciplinary approach in which both cardiologists and obstetricians. Resources Doctors Who Treat. The Cardio-Obstetric Clinic offers specialized diagnosis and care to women who have heart disease and want to become pregnant - or who are pregnant and find they have heart disease.. For more information. If you need more information, click here to contact us, chat online with a nurse or call the Miller Family Heart, Vascular & Thoracic Institute Resource.

Statement Highlights: Women with cardiovascular disease should receive pre-pregnancy counseling and be monitored during and after pregnancy by either a cardio-obstetrics team or a multidisciplinary team of health care providers with experience in high-risk pregnancies In the ROPAC study (Registry on Pregnancy and Cardiac Disease), cardiomyopathy, NYHA functional class III or higher, WHO risk classification of 3 or greater, prepregnancy heart failure, and pulmonary hypertension were predictors of developing heart failure during pregnancy. 159 Women with left-sided obstructive lesions, D-transposition of the. Heart disease & pregnancy. Updated July 18, 2019. Texas Children's Hospital. Heart disease and pregnancy. Hemnes AR, Kiely DG, Cockrill BA, et al. Statement on pregnancy in pulmonary hypertension from the Pulmonary Vascular Research Institute. Pulm Circ. 2015;5:435-465. Jeejeebhoy FM. Prosthetic heart valves and management during pregnancy What 2 nursing priorities guide your plan of care. List a minimum of 2 nursing interventions per goal. Give rationale for diagnosis, goals, interventions. Cite all references and sources used in APA format-Discuss evaluation and expected outcome of each nursing intervention-Include 2 patient goals per nursing diagnosis (short & long term Sep 7, 2015 - Explore Mary Poe's board Nursing Care Plans/ Concept Maps, followed by 355 people on Pinterest. See more ideas about nursing care plan, nursing care, care plans

Searching for Edema nursing diagnosis and care plan? The swelling of any part of the body that is felt after an injury or inflammation is known as Edema. This can happen to any part of the body. There are many other conditions that lead to edema these include pregnancy, allergic reactions, infections and a reaction or side effect of other. While pregnant, women should monitor their level of exercise by measuring heart rate (target 140 bpm) or using the talk test (if too winded to carry on a conversation while exercising, slow down). Prenatal Care Plan Alberta Medical Association, October 2000 Counselin

Pregnancy is safe for most women with congenital heart disease. However, there are some cases in which the mother would be in danger. We can help identify cases where pregnancy might have more risk, such as for women with a Fontan Circulation Nursing care plans, Pregnancy Induced Hypertension (PIH) is a potentially life-threatening disorder that usually develops after the 20th week of pregnancy. It typically occurs in Nulliparity women and may be nonconvulsive or convulsive.Preeclampsia continues to have a massive impact on maternal and prenatal morbidity/mortality Preeclampsia, the nonconvulsive form of the disorder, is marked by.

Management of Cardiovascular Disease During Pregnancy

Nursing Care Plan : Deficient knowledge regarding condition Hepatitis,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease, Maternal Obesity and Diabetes in Pregnancy Result asthma care plan image search results; NCP: Hypertension, DM by chacyn0706. In a notable twist on conventional wisdom, a new American Heart Association scientific statement on managing pregnancy in patients with complex congenital heart disease (CHD) supports the notion that most women with complex CHD can have a successful pregnancy and normal vaginal delivery. To optimize outcomes, the statement notes, care should be. Nursing care plan for Hypertension, Nursing care plan for Diabetes Mellitus, Nursing Care Plan for Heart Failure, Nursing care plan Myocardial Infarction (MI), Nursing care plan Tuberculosis (TB), Nursing Care Plan for Renal Failure, Nursing Management for Hypovolemic Shock, Nursing Management for Fracture, Nursing Management of the Patient with Sepsis, etc

Cardiovascular Considerations in Caring for Pregnant

Written by RNlessons in Care Plans. This nursing diagnosis is appropriate for patients who cannot maintain adequate oxygenation resulting in insufficient tissue perfusion and carbon dioxide removal. An ineffective breathing pattern is a condition of inadequate ventilation due to an impairment in the mechanism of inspiration and expiration Nursing Care Plan for: Chest Pain, Myocardial Infarction, MI, Heart Attack, and Acute Pain If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below The Pregnancy Care Management Standardized Plan outlines methods and standards for pregnancy care managers to follow, working together with Pregnancy Medical Home (PMH) providers, in order to achieve the goal of improving the quality of maternity care, improving birth outcomes, and providin The Risk for Decreased Cardiac Output - NCP for Heart Arrhythmias is a kind of Information Nursing Care Plan Examples are much sought after on the internet and has linkages with various information Nursing Care Plan other Examples. A lot of people looking for Risk for Decreased Cardiac Output - NCP for Heart Arrhythmias on the internet and they.

20 minutes before breastfeeding or pumping (See more information on cold packs at the end of this care plan.) • DO NOT USE HEAT when there is swelling. It can make it worse. • Massage your breasts while breastfeeding or pumping by stroking toward your baby's mouth or the pump flange • Ask your doctor about using a non-steroidal Heart Disease. As the leading cause of death in the United States, heart disease is the focus of many health care professionals. There are many prevention programs in place and most employ the following methods of educating the public on ways to prevent heart-related illnesses, including: Encourage and conduct patients to engage in regular. Labor and Delivery with Cardiac Disease Labor and Delivery with Cardiac Disease. In the Northwestern Medicine Heart Disease and Pregnancy Program maternal-fetal medicine (high-risk obstetrics), cardiology, and anesthesia specialists plan for problems that may occur during childbirth for women with heart disease. Your care team will decide how you deliver, vaginally or by cesarean section. This nursing care plan for Constipation includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Hemorrhoids or pain on defecation Patients who experience hemorrhoids may delay having bowel movements to avoid pain associated with it This issue of Cardiology Clinics, curated by Dr. Melinda Davis and Dr. Kathryn Lindley, will explore topics related to Pregnancy and Heart Disease. This issue is one of four selected each year by the series editorial board: Jamil A. Aboulhosn, David M. Shavelle, Terrence D. Welch, and Audrey H. Wu. Topics in this volume include, but are not limited to, Cardiovascular Contribution to Maternal. disease, rheumatic heart disease, pregnancy, impaired renal function, CVA diseases including blood studies: CBC with diff, ANA titers, electrolytes, renal functions, and urinalysis. • Obtain patient's drug history to determine possible drug interactions and allergies Potential Nursing Diagnoses • Activity intolerance related t