Conecept map Template - concept map for ATI on HF PDF

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Summary

concept map for ATI on HF...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Heart Failure DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Heart Failure

Pathophysiology Related to Client Problem Heart failure occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy, and pulmonary congestion. The heart is unable to maintain adequate circulation to meet tissue needs.

AMS ch 32 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Maintain an exercise routine to remain physically active; consume a diet low in Na+ and restrict fluids; don't smoke; take medications as ordered

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

HTN, CAD, MI, COPD, Anemia, Infection or Inflammation of heart muscle, Hyperthyroidism, Septicemia, cancer treatments, heredity

Dyspnea, fatigue, S3 heart sound, cough, crackles, frothy sputum, altered mental status, jugular vein distension, edema, abdominal distension, polyuria, weight gain

Medication Interactions Falls risk Skin breakdown

Laboratory Tests

Diagnostic Procedures

BNP (will be elevated in patients with HF), metabolic panel (renal)

Hemodynamic monitoring (PAWP, CVP), Ultrasound to look at ejection fraction, TEE, CXR, ECG

PATIENT-CENTERED CARE

Nursing Care Monitor daily weight and I&O, assess patient, labs, assess responses to medications, emotional support, client education

Complications Medications Diuretics Afterload-reducing agents

Client Education Medication administration and side effects Monitor BP Weigh daily Sodium and fluid restrictions Schedule regular follow-ups Smoking cessation (if applicable)

Acute pulmonary edema Cardiogenic shock Perciardial tamponade

Inotropic agents Beta blockers

Therapeutic Procedures Ventricular Assist Device

Vasodilators hBNP's Anticoagulants

Heart transplant

Interprofessional Care Cardiology services Respiratory services Cardiac rehab Nutritional services

ACTIVE LEARNING TEMPLATES

THERAPEUTIC PROCEDURE

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