The Patient with Heart Failuure 74-year-old woman is admitted to the hospital with heart failure. She had been growing progressively weaker and had ankle edema‚ dyspnea on exertion‚ and three-pillow orthopnea. On admission‚ she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic‚ with a heart rate of 132 beats/min‚ and blood pressure 98/70 mm Hg. She is extremely anxious. 1. Because this patient cannot breathe or talk easily‚ prioritize the immediate nursing
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CHF Heart Failure: failure of the cardiac muscle to pump blood to meet the body’s metabolic needs CHF is a complication that can result from problems such as cardiomyopathy‚ valvular heart disease‚ endocarditis‚ Acute MI Left-sided failure pulmonary congestion dyspnea‚ Paroxysmal nocturnal dyspnea Pulmonary edema‚ rales (crackles) cough blood-tinged‚ frothy sputum
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to other causes of myocardial stress‚ which included trauma‚ disease‚ or other abnormal states (e.g. ‚ pulmonary embolism‚ infection‚ anemia‚ pregnancy‚ drug use or abuse‚ fluid over load‚ arrhythmia‚ valvular heart disease‚ cardiomyopathies‚ congenital heart disease) . 4. The New York Heart Association (NYHA) developed a classification system‚ still used today to quantify the functional limitations of CHF patients. The NYHA classes are as follows: a) Class I : Degree of effort necessary to elicit
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Chapter 35: Nursing Management: Heart Failure Test Bank MULTIPLE CHOICE 1. While assessing a 68-year-old with ascites‚ the nurse also notes jugular venous distention (JVD) with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding indicates a. decreased fluid volume. b. jugular vein atherosclerosis. c. increased right atrial pressure. d. incompetent jugular vein valves. ANS: C The jugular veins empty into the superior vena cava and then into the right atrium‚ so JVD with
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Right sided heart failure happens when the right side of the heart is unable to pump an adequate amount of blood to the lungs and out of the right side of the heart. This either happens because the hearts muscles are unable to fully contract or they are inflamed not allowing an adequate amount of blood to enter them. This leads to a backup in venous blood. The venous blood puts pressure on the walls of the blood vessels (especially in the legs). This causes blood plasma to leak into the interstitial
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Left Sided Heart Failure When the left side of the heart is not able to pump enough blood forward the blood will back up into the lungs. This stops the rest of the body from receiving the oxygen its needs because the blood is in the lungs so tiredness and shortness of breath are very common. Right Sided Heart Failure When the right side of the heart is not able to pump efficiently. This causes blood to back up in the veins and other parts of the body causing swelling in the body including
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Assignment: Treatment of Heart Failure: The severity of HF is determined by The New York Carvedilol and Ramipril Heart Association classification (NYHA)‚ which is Keywords: Heart failure‚ beta-blockers‚ carvedilol‚ summarized in the table 15. angiotensin-converting enzyme inhibitors‚ ramipril. INTRODUCTION Heart failure (HF) is the disease of the elderly. Over 70% of the patients are older than 65 years. The risk of having the condition rises with age. HF can be defined as a clinical syndrome
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Heart disease‚ stroke‚ cancer‚ diabetes‚ and arthritis are the most common‚ costly‚ and preventable chronic diseases in the United States. Seventy percent of the total deaths in the U.S. are attributed to chronic diseases and fifty percent of that deaths are due to heart disease and stroke. Total expenditure for treatment of chronic diseases is $277 billion (Chronic Diseases and Health Promotion‚ 2012). Disease management is the key factor in managing these chronic conditions and improving the quality
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Chronic Heart Failure Exacerbation Preparation Questions 1. List the risk factors for chronic left-sided heart failure related to coronary artery disease. Coronary Artery disease‚ Hypertension‚ Substance abuse‚ Dysrhythmias‚ Diabetes mellitus‚ Smoking/tobacco use‚ Obesity 2. Explain the cause of the compensations for chronic heart failure. Insufficient cardiac output causes compensatory mechanisms work to improve cardiac output. They include‚ sympathetic nervous system stimulation‚ Renin=angiotensin
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Congestive heart failure is the process in which the heart becomes in-able to maintain circulation for the requirements of the body at an effective rate‚ As the heart is one of the body’s vital organs‚ it plays an important role and has some degree of compensating mechanisms to balance the body’s needs with existing disease of the heart. Eventually when the heart is no longer able to compensate heart failure occurs; congestion will then follow‚ resulting in insufficient supply of blood to the body
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