ATI System Disorder - CHF PDF

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Summary

ati system disorder congestive heart failure...

Description

System Disorder

ACTIVE LEARNING TEMPLATE:

Megan McInerney ST UDENT NAME _____________________________________ Congestive Heart failure DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis, or cardiomyopathy.

Heart failure

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention - remain active lifestyle - consume low sodium diet - refrain from tabacco use

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings Left-sided heart failure - Dyspnea, orthopnea (shortness of breath while lying down), nocturnal dyspnea - Fatigue - Displaced apical pulse (hypertrophy) - S3 heart sound (gallop) - Pulmonary congestion (dyspnea, cough, bibasilar crackles) - Frothy sputum (can be blood-tinged)

- Left- sided heart (ventricular) failure - Right- sided heart (ventricular) failure - High- output heart failure - Cardiomyopathy (leading to heart failure)

Laboratory Tests

Diagnostic Procedures

- Human B-type natriuretic peptides (hBNP)

- Hemodynamic monitoring - Ultrasound - Transesophageal echocardiography (TEE) - Chest x-ray - ECG, cardiac enzymes, electrolytes

PATIENT-CENTERED CARE

Nursing Care - Monitor daily weight and I&O. - Assess for shortness of breath and dyspnea on exertion. - Administer oxygen as prescribed. - Monitor vital signs and hemodynamic pressures. - Position the client to maximize ventilation (high-Fowler’s). - Monitor diagnostic results to track progress.

Therapeutic Procedures - Ventricular assist device (VAD) - Heart transplantation

ACTIVE LEARNING TEMPLATES

Weigh Every Day; Monitor Your Blood Pressure; Limit Liquids; Downsize Salt Intake; Take Your Medication as Directed;Consider a Home Monitoring Device.

Complications Medications Diuretics: - furosemide Afterload-reducing agents: - enalapril Inotropic agents: - digoxin, - dopamine - dobutamine - milrinone - levosimendan Beta Blockers - carvedilol - metoprolol Vasodilators: -Nitroglycerin

Client Education - Educate on s/s of complications - Review medication with client

- Acute pulmonary edema - Cardiogenic shock - Pericardial tamponade

Interprofessional Care - Cardiology and pulmonary - Respiratory - Cardiac rehab - Nutritional

THERAPEUTIC PROCEDURE

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