NR 324 2 MEDICAL SURGICAL STUDY
Chamberlian School of Nursing
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NR 324 EXAM 2 MEDICAL SURGICAL STUDY GUIDE
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---28September 20232023/2024A+
- HEART FAILURE 
Assessment of left and right 
 
CAD: 
Left Sided Heart Failure ( 
•	Most common 
•	Prevents normal forward flowing blood 
•	Blood backs up into the left atrium, and then to the pulmonary vein 
o	Pressure increases, fluid leaks from the pulmonary capillary bed into the interstitium and then the alveoli 
o	Results in pulmonary congestion and edema 
•	Signs 
 
o	LV heaves 
o	Alternating pulses (strong, weak): 
o	Increased HR 
o	Decreased PaO2, slight increase PaCO2 (result p...
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