Scribd Logo
Importer

Bienvenue sur Scribd !

  • Congestive Heart Failure

    Transféré par

    Ramille ✯ de Guzman
    106 vues28 pages
    Congestive heart failure is a state of circulatory congestion caused by the heart's inability to pump blood effectively. It can be left-sided or right-sided depending on which side of the heart is affected. Signs and symptoms vary but include things like edema, shortness of breath, fatigue, and liver/jugular vein congestion. Treatment involves medications to improve heart function, decrease fluid retention, and lower blood pressure/resistance as well as lifestyle changes like diet and exercise. Nursing care focuses on monitoring symptoms, administering medications correctly, providing education, and preventing complications.

    Description originale:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Formats disponibles

    PPT, PDF, TXT ou lisez en ligne sur Scribd

    Avez-vous trouvé ce document utile ?

    Ce contenu est-il inapproprié ?

    Signaler ce document
    Congestive heart failure is a state of circulatory congestion caused by the heart's inability to pump blood effectively. It can be left-sided or right-sided depending on which side of the heart is affected. Signs and symptoms vary but include things like edema, shortness of breath, fatigue, and liver/jugular vein congestion. Treatment involves medications to improve heart function, decrease fluid retention, and lower blood pressure/resistance as well as lifestyle changes like diet and exercise. Nursing care focuses on monitoring symptoms, administering medications correctly, providing education, and preventing complications.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    106 vues28 pages

    Congestive Heart Failure

    Transféré par

    Ramille ✯ de Guzman
    Congestive heart failure is a state of circulatory congestion caused by the heart's inability to pump blood effectively. It can be left-sided or right-sided depending on which side of the heart is affected. Signs and symptoms vary but include things like edema, shortness of breath, fatigue, and liver/jugular vein congestion. Treatment involves medications to improve heart function, decrease fluid retention, and lower blood pressure/resistance as well as lifestyle changes like diet and exercise. Nursing care focuses on monitoring symptoms, administering medications correctly, providing education, and preventing complications.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 28

    CONGESTIVE HEART FAILURE

    Ramille R. de Guzman, R.N.

    Congestive Heart Failure


     Is

    a state of circulatory congestion produced by myocardial dysfunction the inability of the heart to pump blood towards the systemic circulation.

     Is

    Types:
     Left

    Sided Congestive Heart Failure

     Right

    Sided Congestive Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Types:
     Right

    Sided Heart Failure

     Left

    Sided Heart Failure

    Tricuspid valve stenosis

    Mitral valve stenosis LSCHF

    Signs and symptoms LSCHF:


            

    Pulmonary edema / congestion Dyspnea Paroxysmal nocturnal dyspnea Orthopnea Blood tinged frothy sputum Rales / crackles Bronchial wheezing Cyanosis Anorexia and body malaise

    Signs and symptoms LSCHF:


     Pulsus

    alternans  Point of Maximum Impulse (PMI) is displaced laterally

    Signs and symptoms RSHF:


             

    Venous congestion Neck / jugular vein distention Pitting edema Ascites Weight gain Hepatosplenomegaly Jaundice Pruritus / urticaria Esophageal varices Anorexia and body malaise

    DIAGNOSIS

    Collaborative Management:
     Digitalis

    therapy -

       

    myocardial contractility = CO (N = 3-6 L/m) 3assess heart rate before administration monitor serum potassium digitalis toxicity:
    Nausea Anorexia Vomiting Diarrhea Xanthopsia

     Diuretic

    therapy

     to decrease cardiac workload  assess signs of HYPOkalemia  give potassium supplements / potassium rich foods  diuretics used in treatment of CHF
     Thiazides
    Chlorothiazide (Diuril) Diuril)

     Loop diuretics
    Furosemide (Lasix) Lasix)

     Potassium

    sparing

    Spironolactone (Aldactone) Aldactone)

     Vasodilators

     to decrease afterload by decreasing resistance to ventricular emptying  most commonly used drugs:
     Hydralazine (Apresoline) Apresoline)  Nifedepine (Ca channel blocker w/ vasodilator effect)  Captopril (vasodilator effect)

     Diet

    Sodium restricted
     Oxygen

    therapy

    2-6 L/min as ordered

    Nursing Management
     Provide

    oxygenation  Semi-Fowler s or High-Fowler s position SemiHigh Provide meticulous skin care  Weigh patient daily, assess pitting edema, measure abdominal girth daily & notify AP  Monitor V/S, I & O, Breath sounds  Institute BLOODLESS PHLEBOTOMY  Health teaching

    BLOODLESS PHLEBOTOMY
     Rotating

    tourniquet / BP cuff  Three extremeties are occluded  Rotate clockwise every 15 mins  Perform neurovascular check distal to the tournequet application:
    Skin color, temperature, pulse, presence of numbness/tingling
     To

    10 40 mmHg above diastolic pressure

    decrease venous return

    Vous aimerez peut-être aussi