ATI System Disorder: Congestive Heart Failure PDF

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Summary

ACTIVE LEARNING TEMPLATESSystem DisorderSTUDENT NAME _____________________________________ DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ACTIVE LEARNING TEMPLATE:ASSESSMENT SAFETY CONSIDERATIONSPATIENT-CENTERED CAREAlterations in...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Congestive Heart Failure DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Decreased/Increased cardiac output. Left/right sided Cardiomyopathy

REVIEW MODULE CHAPTER ___________

Pathophysiology Related to Client Problem Heart Failure occurs when the heart muscle is unable to pump effectively. The heart is unable to maintain adequate circulation to the tissues.

Health Promotion and Disease Prevention Maintain an exercise routine. Consume a low sodium diet. Smoking cessation Follow medication regimen.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

HTN, CAD, MI, COPD, infection or inflammation of the heart, increased metabolic needs, septicemia, anemia, prolonged use of alcohol, heredity.

Laboratory Tests B-type natriuretic peptide

Dyspnea, fatigue, S3 heart sounds, cough, crackles, frothy sputum, altered mental status, jugular vein distention, polyuria, weight gain.

Diagnostic Procedures Hemodynamic monitoring, Ultrasound (to view ejection fraction), TEE, CXR, ECG.

PATIENT-CENTERED CARE

Nursing Care Monitor daily weight and I&O. Administer oxygen as prescribed. Monitor vital signs. Position client to maximize ventilation. Encourage bed rest until stable.

Therapeutic Procedures Ventricular assist device Heart Transplant

ACTIVE LEARNING TEMPLATES

Fall risks Medication Interactions

Complications Medications Diuretics, after-load reducing agents, inotropic agents, Beta blockers, vasodilators, anticoagulants.

Client Education Take medication as prescribed. Check weigh at the same time daily. Restrict fluid and sodium as instructed. Schedule regular follow ups.

Interprofessional Care Cardiologist, Pulmonologist, Nutritionist, Cardiac Rehab.

Acute pulmonary edema Cadiogenic shock Pericardial tamponade...