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학습 자료 둘러보기 →In end-stage renal disease, the highest priority cardiac assessment is for uremic pericarditis. This condition can rapidly progress to cardiac tamponade, a life-threatening emergency.
Auscultate heart sounds every 2 hours to detect a pericardial friction rub or muffled heart sounds. Simultaneously, assess for signs of hemodynamic compromise, including hypotension and distended neck veins.
A new friction rub with sudden hemodynamic instability suggests impending tamponade. This requires immediate notification of the provider, not just continued monitoring.
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