ATI Congestive Heart Failure PDF

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Summary

ATI System Disorder Template...

Description

ACTIVE LEARNING TEMPLATE:

STUDENT NAME ___

System Disorder _____________

Congestive Heart Failure DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

Result of an acute or chronic cardiopulmonary problem

The heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy, and pulmonary/systemic congestion

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Maintain an exercise routine to remain physically active and consult with provider before starting any exercise regimen. Consume a diet low in sodium along with fluid restrictions and consult with the provider regarding diet.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Older adults have an increased risk for heart failure and can have worse manifestations due to increased systolic blood presure and some medications

Laboratory Tests

Dyspnea, orthopnea, nocturnal dyspnea, fatigue, displaced apical pulse, frothy sputum, pulmonary congestion, jugular vein distention, ascending dependent edema, weight gain, polyuria, nocturia

Diagnostic Procedures

Human B-type natriuretic peptides (hBNP) elevated hBNP confirms a diagnosis of heart failure in clients who have dyspnea and rules out respiratory illnesses

Hemodynamic monitoring - mixed venous oxygen saturation is directly related to cardiac output. a drop in SvO2 indicates worsening cardiac functionUltrasound - used to measure the systolic and diastolic functioning of the heartTransesophageal echocardiagraphy. Gives a detailed view of cardiac structure

PATIENT-CENTERED CARE

Nursing Care Monitor daily weight and I/Os assess forshortness of berath and dyspnea on exertion administer oxygen as prescribed monitor vital signs and hemodynamic pressures position the client to maximize ventiliation.

Therapeutic Procedures Ventricular assist device - a mechanical pump that assists a heart that is too weak to pump blood through the body used in clients who are awaiting heart transplants or who have severe endstage heart failure.Heart transplant- a possible option for end-stage heart failure.

ACTIVE LEARNING TEMPLATES

Fall Risk,Risk of infection

Complications Medications -Diuretics - furosemide -Afterload reducing agents - ACE inhibitors Inotropic Agents - digoxin -Beta blockers carvedilol Vasodilators nitroglycerin

Client Education Use techniques to promote effective breathing techniques understand prescribed medications and how to administer them continue to take medications even if feeling better follow instructions for reasons to contact the provider remain on lowsodium diet

Interprofessional Care Cardiology and pulmonary servicesRespiratory services for inhalers, breathing treatments, and suctioning. Cardiac rehab for prolonged weakness and assistance with increasing level of activityNutrition for diet modification.

Acute pulmonary edema Cardiogenic shock Pericardial tamponade Pulmonary edema...