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Congestive heart failure

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by

Tracy Dodson

on 19 August 2016

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Transcript of Congestive heart failure

The Heart
1. Systemic Circulation
2. Superior / Inferior Vena Cava
3. Right Atrium / Right Ventricle
4. Pulmonary Artery --> Lungs
5.Pulmonary Vein
6. Left Atrium / Left Ventricle
7. Aorta --> Systemic Circulation
The Left Side:
CHF
Signs & Symptoms
Treatment: Pharmacologic Measures
Beta Blockers
* Metoprolol
* Carvidilol
Heart Failure:
Supply vs Demand
~ Heart is unable to generate the cardiac output needed to adequately perfuse the tissues.

~ Most common in people >75

~Most common cause of hospitalization in those >65




Congestive heart failure
Predisposing Factors
Most Important:

1. Ischemic heart disease

2. Hypertension


Additional Risk Factors:


Age
Obesity
Diabetes
Renal Failure
Valvular Heart Disease
Cardiomyopathies
Myocarditis
Congenital Heart Disease
Excessive Alcohol Use
Chronic & Progressive

BtNP (brain identifies - ventricles release)
(<100 normal; >300 elevated)

Symptom management


Ace Inhibitors
* Lisinopril
* Ramipril
Diuretics
* Lasix
* HCTZ
Treatment: Nonpharmacologic Measures
A Deeper Look
Cough
--> Fluid Congestion

Chest Pain
--> Stress on Heart

Activity Intolerance
--> Heart weak; unable to keep up with bodies demands for oxygen

Bloating
--> Fluid retention (liver / gut)

Dependent Edema
--> Blood flow backup
The Most Common Cause of Right Heart Failure is Left Heart Failure

Doctor guided exercise
(stable sx)

Reduce salt intake
(symptomatic)

Restrict fluids
(if retaining or renal dysfx)

Immunize
against Flu / Pneumonia

Avoid
Smoking / Limit Alcohol

O2

Full transcript