The nurse recognizes the symptoms distended jugular veins, tachycardia, tachypnea, and muffled heart sounds as of Cardiac tamponade.
When excess fluid accumulates in the area surrounding the heart, cardiac tamponade results. The pressure from this fluid stops the heart from pumping effectively. A medical emergency has occurred. The heart is encased in a fibrous sac known as the pericardium. Two tiny layers make up this sac. When the layers move in response to the heartbeat, the fluid prevents friction between them. Between these two layers, excess fluid might occasionally accumulate unnaturally. If too much fluid accumulates, the additional fluid may hinder the heart's ability to grow normally. Less blood leaves the body and enters the heart as a result of the increased pressure. This may reduce the amount of oxygen rich blood going out of the body.
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