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    Anuja Nair
    Congestive heart failure is a condition where the heart cannot pump enough blood to meet the body's needs. It can result from conditions that weaken the heart like hypertension, coronary artery disease, and cardiomyopathy. Symptoms include dyspnea, fatigue, edema, and reduced exercise tolerance. Diagnosis involves medical history, physical exam, echocardiogram, chest X-ray, and blood tests. Treatment focuses on managing symptoms, reducing fluid overload, and addressing the underlying cause to improve quality of life and survival. Nursing care involves monitoring for complications and managing issues like anxiety, fatigue, and noncompliance through education.

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    Case Presentation

    Uploaded by

    Anuja Nair
    21 views16 pages
    Congestive heart failure is a condition where the heart cannot pump enough blood to meet the body's needs. It can result from conditions that weaken the heart like hypertension, coronary artery disease, and cardiomyopathy. Symptoms include dyspnea, fatigue, edema, and reduced exercise tolerance. Diagnosis involves medical history, physical exam, echocardiogram, chest X-ray, and blood tests. Treatment focuses on managing symptoms, reducing fluid overload, and addressing the underlying cause to improve quality of life and survival. Nursing care involves monitoring for complications and managing issues like anxiety, fatigue, and noncompliance through education.

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    Congestive heart failure is a condition where the heart cannot pump enough blood to meet the body's needs. It can result from conditions that weaken the heart like hypertension, coronary artery disease, and cardiomyopathy. Symptoms include dyspnea, fatigue, edema, and reduced exercise tolerance. Diagnosis involves medical history, physical exam, echocardiogram, chest X-ray, and blood tests. Treatment focuses on managing symptoms, reducing fluid overload, and addressing the underlying cause to improve quality of life and survival. Nursing care involves monitoring for complications and managing issues like anxiety, fatigue, and noncompliance through education.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    21 views16 pages

    Case Presentation

    Uploaded by

    Anuja Nair
    Congestive heart failure is a condition where the heart cannot pump enough blood to meet the body's needs. It can result from conditions that weaken the heart like hypertension, coronary artery disease, and cardiomyopathy. Symptoms include dyspnea, fatigue, edema, and reduced exercise tolerance. Diagnosis involves medical history, physical exam, echocardiogram, chest X-ray, and blood tests. Treatment focuses on managing symptoms, reducing fluid overload, and addressing the underlying cause to improve quality of life and survival. Nursing care involves monitoring for complications and managing issues like anxiety, fatigue, and noncompliance through education.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    CONGESTIVE

    CARDIAC FAILURE
    BY ANUJA NAIR
    FY MSc Nursing
    PATIENT HISTORY
    ANATOMY PHYSIOLOGY
    Heart failure
    Congestive heart failure is an abnormal clinical
    condition involving impaired cardiac pumping.

    Definition
    Heart failure refers to the “inability of the heart to pump
    sufficient blood to meet the needs of the tissues for
    oxygen and nutrients.
    Etiopathophysilogy
    • HF results from a variety of cardiovascular conditions including
    • chronic Hypertension,
    • CAD
    • vascular disease.
    • This conditions can result in decreased contraction (systole) and
    decreased filling (diastole ) or both .
    • Cardiomyopathies
    • HTN,
    • Valvular disorder
    • diabetes mellitus •
    • Atherosclerosis of the coronary arteries is the primary cause of HF
    • inflammatory process such as myocarditis, Valvular heart disease
    Several systematic conditions can contribute to the development and
    severity of HF.
    • Increased metabolic rate (fever)
    • Iron over load, hypoxia and severe anemia all of this conditions
    increase in cardiac out put to satisfy of the systemic oxygen demand.
    SYMPTOMS

    LEFT HEART FAILURE RIGHT HEART FAILURE


    o Dyspnea on exertion ,Dyspnea at o Swelling of feet, hand
    rest o Abdominal distention/fullness
    o Orthpnea o Right upper quadrant pain
    o Paroxysmal nocturnal dyspnea o Early satiety
    (PND)
    o Weight loss 
    o Fatigue, inability to exercise
    SIGNS

    LEFT HEART FAILURE RIGHT HEART FAILURE:


    o Pleural effusions Edema of lower extremities
    o Displaced apical impulse o Elevated JVP(jugular vein
    o Tachycardia, LVS3, murmur of pressure)/+ HJR(hepatojugular
    MR(mitral regurge) reflux), murmur of TR(tricuspid
    regurge)
    o Narrow pulse pressure
    o Hepatomegaly, RUQ(right upper
    quadrant) tenderness
    o Ascites - Pleural effusions
    ASSESSMENT AND
    DIAGNOSTIC FINDINGS
    • History and physical examination
    • Echocardiography and ECG
    • Chest x-ray
    • 12 lead ECG
    • Cardiac catheterization
    LABORATORY INVESTIGATION
    • serum electrolytes
    • BUN
    • TSH
    • BNP (B-type natriuretic peptide)
    • urine analysis
    Medical management

    • The over goals of medical management in HF are to


    Relive patient symptoms to improve functional status
    and quality of life and extend to survival.
    • Medical management based on the type, severity and
    cause of HF.
    Nursing diagnosis
    1. Activity intorlance and Fatigue related to imbalance between
    oxygen supply and demand because of decreased CO
    2. Excess fluid volume related to excess fluid or sodium intake,
    and retention of fluid Related to the HF syndrome •
    3. Anxiety Related to breathlessness and restlessness from
    inadequate oxygenation
    4. Powerlessness related to inability to perform role
    responsibilities because of chronic illness and hospitalization
    • Noncompliance related to lack of knowledge
    Complications
    1. cardiogenic shock
    2. Dysrhythmias
    3. Thromboembolism
    4. Pericardial effusion

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