STUDENT NAME _____________________________________
Congestive Heart Failure
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
CH32
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
Low/High output The heart is no longer able to Exercise, smoking cessation
Left/Right sided failure pump blood out effectively medication adherence, diet
and efficiently throughout the
Cardiomyopathy body.
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings Educate the
Angina, HTN, MI, CAS, elevated client on the
Dyspnea, polyuria, liver
systolic blood pressure, alcohol importance of
enlargement, hypertrophy,
use, vascular disease, following the
crackles, edema, nausea,
hyperthyroidism, pulmonary medication
anorexia, JVD, fatigue
problems regimen.
Call the HCP if
Laboratory Tests Diagnostic Procedures the patients
status is
HBNP (human B type natriuretic Hemodynamic monitoring, declining,
peptides ultrasound, transesophageal especially SOB,
echocardiography, chest enzyme
and non-
ECG, cardiac enzymes,
electrolytes, ABG’s
responsiveness.
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education Acute pulmonary
Monitor daily weights, I&O, edema
assess for dyspnea, position Diuretics, Adverse side effects of Cardiogenic
client in high Fowlers, afterload medications, administration of
encourage bed rest, energy medications, self monitor blood Shock
conservation, dietary
reducing pressure, daily weights best at Pericardial
restrictions of fluid and agents, the same time daily (AM) Tamponade
sodium inotropic
agents, beta
blockers,
Therapeutic Procedures vasodilators, Interprofessional Care
Heart Transplant hBNP, Nutrionist, Nurse
anticoagulant Cardio and Pulmonary
Ventricular Assist
s
Devices (VAD) Specialists
Respiratory Therapy
Primary Care Doctor
ACTIVE LEARNING TEMPLATES TherapeuTic procedure A11