GoConqr hat ein neues Design! Sag uns, wie es dir gefällt.

Kostenlos registrieren

Mindmap

HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)

Yushreen Joshep Nursing Englisch

HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)

Inhalt der Mindmap

HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)

  1. ETIOLOGY (MCMURRAY ET AL., 2012)

    • MOST COMMON
      • HYPERTENSION
      • CORONARY ARTERY DISEASE
      • DIABETES MELLITUS
    • LESS COMMON
      • RHEUMATIC HEART DISEASE
      • ANEMIA
      • CARDIOMYOPATHY
      • VALVULAR DISORDERS
      • CONGENITAL HEART DISEASE
    • PRECIPITATING
      • MYOCARDITIS
      • PULMONARY EMBOLISM
      • PULMONARY DISEASE
      • PAGET'S DISEASE
      • HYPERVOLEMIA
      • INFECTION
      • HYPOTHORYDISM

  2. COMPLICATIONS (MCMURRAY ET AL., 2012; HAYES, 2015)

    • PLEURAL EFFUSION
    • DYSRHYTHMIAS
    • LEFT VENTRICULAR THROMBUS
    • HEPATOMEGALY
    • RENAL FAILURE

  3. TYPES

    • LEFT SIDED HF (LEWIS ET AL.,2010)
      • SIGNS
        • CRACKLES
        • TACHYCARDIA
        • LEFT-VENTRICULAR HYPERTROPHY
        • CHEYNE-STOKES RESPIRATIONS
      • SYMPTOMS
        • FATIGUE
        • DYSPNEA
        • ORTHOPNEA
        • DRY, HACKING COUGH
        • PULMONARY EDEMA
        • NOCTURIA
        • PAROXYSMAL NOCTURNAL DYSPNEA (PND)
        • ANXIETY
        • RESTLESSNESS
    • RIGHT SIDED HF (LEWIS ET AL.,2010)
      • SIGNS
        • RV HYPERTROPHY
        • MURMURS
        • WEIGHT GAIN
        • TACHYCARDIA
        • PERIPHERAL EDEMA/GENERALIZED EDEMA
        • HEPATOMEGALY
        • SPLENOMEGALY
        • ASCITES
        • RIGHT-SIDED PLEURAL EFFUSION
      • SYMPTOMS
        • RIGHT UPPER QUADRANT PAIN
        • DEPENDENT EDEMA
        • FATIGUE
        • ANOREXIA/GI BLOATING
        • NAUSEA

  4. PREVALENCE (HEART & STROKE FOUNDATION, 2016a)

    • 600,000 CANADIANS LIVING WITH HF
    • 50,000 DIAGNOSED EACH YEAR
    • INCREASED HOSPITALIZATION
      • $ 2.8 BILLION/YEAR

  5. PATHOPHYSIOLOGY (LEWIS ET AL, 2010)

    • SYSTOLIC (MOST COMMON)
      • DECREASED IN LEFT VENTRICULAR EJECTION
      • CAUSES
        • IMPAIRED CONTRACTILE FUNCTION (I.E. MI)
        • INCREASED AFTERLOAD (I.E. HYPERTENSION
        • CARDIOMYOPATHY
        • MECHANICAL ABNORMALITIES (I.E. VALVULAR HEART DISEASE
    • DIASTOLIC
      • IMPAIRED ABILITY OF VENTRICLES TO FILL
      • CAUSES
        • LEFT VENTRICULAR HYPERTROPHY
        • AORTIC STENOSIS
        • HYPERTROPHIC CARDIOMYOPATHY
      • PREDIMONINANTLY WOMEN
        • DUE TO HYPERTENSION AND MYOCARDIAL FIBROSIS
      • SEEN IN OLDER ADULTS
    • MIXED SYSTOLIC AND DIASTOLIC
    • COMPENSATORY MECHANISM
      • DILATION OF HEART CHAMBERS
      • HYPERTROPHY
      • SNS ACTIVATION
      • NEUROHORMONAL RESPONSE
      • VENTRICULAR REMODELLING

  6. TREATMENT (MCMURRAY ET AL., 2012; HAYES, 2015)

    • DRUG THERAPY
      • ACE INHIBITORS
      • ANGIOTENSIN RECEPTOR BLOCKERS (ARB)
      • ALDOSTERONE RECEPTOR ANTAGONISTS
      • BETA BLOCKERS
      • ANGIOTENSIN II RECEPTOR BLOCKER
      • DIURETICS
        • THIAZIDE (FIRST CHOICE)
        • LOOP DIURETICS I.E. FUROSEMIDE
        • SPIRONOLACTONE (K+ SPARING)
      • DIGITALIS
        • DIGITALIZATION PROTOCOL
          • THERAPEUTIC LEVEL (0.8-2.0 UG/L)
          • MAINTENANCE DOSE (0.125-0.25 MG ONCE DAILY)
          • DIVIDED INTO 3 SEPARATE DOSES OVER 24 HOUR PERIOD
        • ACTIONS
          • INOTROPIC (INCREASES FORCE OF HEART)
          • DROMOTROPIC (PROLONGS REFRACTORY PERIOD)
          • CHRONOTROPIC (DECREASES HR)
        • NURSING IMPLICATIONS
          • MONITOR APICAL PULSE 1 MIN
          • ASSESS FOR ELECTROLYTE DEPLETION
          • POTASSIUM LEVELS (3.5-5.0 MMOL/L)
          • ASSESS FOR DIGOXIN TOXICITY
            • ANTIDOTE: DIGIBIND
          • DAILY WEIGHT + I&O
      • VASODILATORS
    • CARDIAC REHABILITATION
      • MEDICALLY SUPERVISED PROGRAM
      • IMPROVE PHYSICAL, SOCIAL AND MENTAL FUNCTION
      • STABILIZE, SLOW, REVERSE PROGRESSION OF HF
    • SURGERY & DEVICES
      • CARDIAC TRANSPLANTATION
      • BIVENTRICULAR PACING
      • CARDIAC RESYNCHRONIZATION THERAPY
      • IMPLANTABLE CARDIOVERTER DEFRIBILLATOR
      • LEFT VENTRICULAR ASSIST DEVICE (LIMA ET AL., 2015)

  7. NURSING AND COLLABORATIVE MANAGEMENT (LEWIS ET AL., 2010)

    • EVALUATION
      • LESS ANXIETY
      • REALISTIC PROGRAM OF ACTIVITY
      • REDUCED OR ABSENT EDEMA
      • ADHERES TO MEDICATION AND DIETARY REGIMEN
    • AMBULATORY AND HOME CARE (LEWIS ET AL, 2010
      • EXPLAIN PHYSIOLOGICAL CHANGES THAT OCCURED
      • ASSIST CLIENT IN ADAPTING TO PSYCHOLOGICAL AND PHYSIOLOGICAL CHANGES
      • INTEGRATE CLIENT'S FAMILY AND SUPPORT SYSTEM IN CARE PLANS
    • HEALTH PROMOTION
      • SMOKING CESSATION
      • FLU AND PNEUMONIA VACCINATIONS
      • PACEMAKERS/ANTIDYSRHYTHMIC AGENTS
      • CONTTROL OF UNDERLYING HEART DISEASE (I.E. CONTROL OF HYPERTENSION OR VALVE REPLACEMENT
    • ACUTE INTERVENTION
      • CLIENT-CENTRED TREATMENT PLANS
      • SYMPTOM MANAGEMENT
        • OXYGEN THERAPY
      • SALT RESTRICTION
      • ENERGY CONSERVATION
      • SUPPORT SYSTEMS
      • SURGICAL WOUND CARE
      • CHEST TUBE (DRAINAGE)
    • NURSING DIAGNOSES
      • ACTIVITY INTOLERANCE
      • EXCESS FLUID VOLUME
      • IMPAIRED GAS EXCHANGE
      • ANXIETY
      • DEFICIENT KNOWLEDGE
        • PATIENTS WHO DO NOT SPEAK ENGLISH (BRENNAN, 2015)
          • INTERPRETER/TRANSLATOR
    • PLANNING (COEN & CURRY, 2016)
      • DECREASE IN SYMPTOMS I.E. SOB, FATIGUE
      • DECREASE IN PERIPHERAL EDEMA
      • INCREASE IN EXERCISE TOLERANCE
      • ADHERENCE TO DRUG REGIMEN
      • NO COMPLICATIONS R/T HF
    • NURSING ASSESSMENT
      • SUBJECTIVE DATA
        • PAST MEDICAL HISTORY
        • MEDICATIONS
        • SYMPTOMS
      • OBJECTIVE DATA
        • INTEGUMENTARY
          • COOL, DIAPHORETIC SKIN
        • RESPIRATORY
          • TACHYPNEA
          • BLOOD TINGED SPUTUM
          • CRACKLES
        • CARDIOVASCULAR
          • TACHYCARDIA
          • MURMURS
          • JUGULAR VEIN DISTENTION
        • GASTRONINTESTINAL
          • ABDOMINAL DISTENTION
          • ASCITES
        • NEUROLOGICAL
          • RESTLESSNESS
          • CONFUSION
    • END-OF-LIFE/PALLIATIVE CARE (MCKELVIE ET AL., 2011)
      • RELIEVE PAIN/SYMPTOMS
        • MEDICATIONS
        • COMPLEMENTARY THERAPIES
          • MASSAGE THERAPY
          • ACUPUNCTURE
          • PHYSIOTHERAPY
      • MANAGING DISABILITY
        • MEAL PREPARATION
        • CLEANING
        • TRANSPORTATION
        • ASSISTIVE DEVICES
      • ADDRESSING PSYCHOLOGICAL, SOCIAL AND SPIRITUAL ISSUES
        • DEPRESSION
        • ANXIETY
        • SOCIAL SUPPORT
        • SPIRITUAL SUPPORT
        • CLINICAL COUNSELLING
      • CAREGIVER SUPPORT
        • BEREAVEMENT SUPPORT
      • LEGAL/ETHICAL ISSUES (HEART &STOKE FOUNDATION, 2016)
        • ADVANCED DIRECTIVES
          • DO NOT RESUSCITATE (DNR)
        • POWER OF ATTORNEY
        • CULTURAL DIFFERENCES
          • CHAPLAINCY AND SPIRITUAL CARE
          • PERSONAL & FAMILY VALUES
    • PATIENT/CAREGIVER TEACHING (MCMURRAY ET AL., 2012)
      • TAILORED TO INDIVIDUAL CLIENT
      • HEALTH PROMOTION
      • EXERCISE/REST
        • KEEP ACTIVE
        • SLEEP WELL
      • DRUG THERAPY
        • BE AWARE OF ADVERSE EFFECTS
      • DIETARY THERAPY (WOODS, 2016)
        • SALT RESTRICTION: LESS THAN 2000 MG PER DAY
        • DAILY WEIGHTS: GAIN/LOSS ≥ 2 KG WITHIN 2 DAYS
        • FLUID RESTRICTION: ≤ THAN 1.5-2 L/DAY
        • REDUCE ALCOHOL INTAKE
        • REDUCE CAFFEINE INTAKE
      • END-OF-LIFE PLANNING
      • ONGOING MONITORING
        • BE AWARE OF S&S
        • RECOGNIZE COGNITIVE IMPAIRMENT
        • RECOGNIZE S&S OF DEPRESSION
      • OTHER
        • AVOID EXTREME COLD/HEAT
        • KEEP REGULAR APPOINTMENTS
        • SMOKE CESSATION
        • RESTRICT ALCOHOL CONSUMPTION

  8. DIAGNOSTIC STUDIES (LEWIS ET AL, 2010; HAYES, 2015)

    • ECHOCARDIOGRAM
    • STRESS TESTING
    • CARDIAC CATHETERIZATION
    • EJECTION FRACTION
    • HEMODYNAMIC ASSESSMENT
    • CHEST RADIOGRAM
    • HISTORY AND PHYSICAL EXAMINATION
    • LABORATORY DATA
      • URINE TEST
      • BLOOD AND BRAIN NATRIURETIC PEPTIDE TEST
        • CALCIUM LEVELS
        • CHOLESTEROL LEVELS
        • GLUCOSE TEST
        • LEVEL OF CLOTTING COMPONENT (I.E. FIBRINOGEN)
    • CORONARY ANGIOGRAM
    • SLEEP STUDY
    • DOPPLER ULTRASOUND
    • MONITORING
      • HOLTER
      • EVENT
      • MOBILE TELEMETRY

Bilder und Dateien der Mindmap

  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
  • HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)

Informationen

Beschreibung
Nursing Mindmap am HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015), erstellt von Yushreen Joshep am 30/10/2016.
Erstellt von
Yushreen Joshep
Aufrufe
28
Bewertung

Feedback

Worum geht es?

Wie gefällt dir das neue Design?

Dein Eindruck