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Heart Failure

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by

Crosby Lindner

on 1 May 2014

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Transcript of Heart Failure

Heart Failure

Priority assessments:


Clinical Manifestations
Preload
What is Heart Failure?
The inability of the heart to pump sufficient blood to meet the needs of the tissues.








Heart failure is a syndrome characterized by fluid overload and/or inadequate tissue perfusion.
AKA: Left ventricular end diastolic pressure
The volume of blood return to the heart that causes the stretch of the ventricular cardiac muscle fibers at the end of diastole.
DECREASE PRELOAD

Afterload
INCREASED AFTERLOAD
Medications
The resistance the left ventricle must overcome
ACEs
ARBs
CCBs
Nitro
Morphine
FLUIDS
HEMOSTASIS
INCREASE PRELOAD
Preload
Stroke Volume
Contraction Force
and
Medications to DECREASE
PRELOAD:

ACEs
Diuretics
Vasodilators
Morphine

Causes include:
AFTERLOAD MEDICATIONS
Priority Nursing Interventions
Right Sided Heart Failure
Clinical Manifestations
Left Sided Heart Failure
Complications
Pulmonary Edema
Pleural Effusion
A-Fib
Left Ventricle Thrombus
Hepatomegaly
NURSING DIAGNOSIS
Activity
Intolerance
Fluid
Volume
Excess
Patient Education:
Medication
DASH diet
Fluid restriction
Daily weight
Hypotension (Sit down!)
Exercise
Stress management
Prevent infection
Dyspnea
Cough
Crackles
Confusion
Cyanosis
Ways To
Ways To
Age, smoking, diabetes, obesity, hypertension, the selfish kidneys
GI upset
Ascites
Edema
Fatigue
GI upset
Anxiety
Confusion
Full transcript