Denervation of the transplanted heart: nursing implications for patient care.
The denervated heart requires significant changes in planning and implementing care. The loss of direct neural compensation in response to the body's demands is replaced by the denervated heart's reliance on preload augmentation to maintain cardiac output, stimulation of cardiac adrenergic receptor sites to promote inotropic and chronotropic responses, and the nurse's knowledge of transplant physiology to choose and administer directacting cardiovascular pharmacologic agents to treat common posttransplant complications and to safely and effectively manage the patient's care.
Thompson
C J
CJ
D003714:Denervation / Q000451:nursing*; D016027:Heart Transplantation / Q000451:nursing / Q000502:physiology; D006439:Hemodynamics; D006801:Humans