Instead of the word "congestive" in congested heart failure, what words are used?

PRIMARY RISK FACTORS FOR HEART FAILURE

Heart failure Caused by interference with normal mechanisms that regulate CO:

PRIMARY CAUSES OF HEART FAILURE

Precipitating causes of heart failure

Patho of SYSTOLIC HEART FAILURE

Patho of DIASTOLIC HEART FAILURE

Compensatory Mechanisms in HF

Compensatory Mechanisms in HF:
Counterregulatory Mechanisms

What is CARDIAC COMPENSATION?

What is CARDIAC DECOMPENSATION

MOST COMMON TYPE OF HEART FAILURE

The following is the patho of which type of heart failure and what does it result in?

Back up of blood from LV--> LA--> pulmonary veins--> leakage into interstitium and alveoli

What is the MAIN CAUSE OF RIGHT SIDED HEART FAILURE?

Which type of heart failure is compounded by pulmonary diseases and pulmonary hypertension?

4 MAIN CLINICAL MANIFESTATIONS OF RIGHT SIDED HEART FAILURE

Acute Decompensated Heart Failure:

Engorgement of the pulmonary vascular system
As this increases, alveolar lining cells disrupted CAUSING WHAT?

CLINICAL MANIFESTATIONS WITH ACUTE DECOMPENSATED HF

ABGs IN ACUTE DECOMPENASATED HEART FAILURE

CLINICAL MANIFESTATIONS ASSOCIATED WITH THE SKIN IN ACUTE DECOMPENSATED HF

LUNG SOUNDS WITH ACUTE DECOMPENSATED HF

IN ACUTE DECOMPENSATED HF WHAT VS ARE ELEVATED BUT THEN DROP

Bonnie is a 66-year-old female with a history of hypertension, Inferior MI two years ago, atrial fibrillation, chronic heart failure, Type 2 DM, obesity, hyperlipidemia, hypothyroidism and depression.

What meds do you expect her to be on?

Which of these meds help with HF?
Benazapril, Carvedilol, Lasix, Nitroglycerine, Digoxin, Lipitor, Warfarin, Metformin, Glucotrol, Lexapro, synthroid

After 2 days of increasing SOB, orthopnea (3 pillow), and a 5 Lbs weight gain, Bonnie begins coughing up copious amounts of pink frothy sputum. She is brought to the ED by her husband. VS: 100/84, HR: 110, RR: 32, T – 96.2, SpO2–75%
What could have led to this exacerbation?
Describe how you think Bonnie will look…..

After 2 days of increasing SOB, orthopnea, and a 5 Lbs weight gain, Bonnie begins coughing up copious amounts of pink frothy sputum. She is brought to the ED by her husband. VS: 100/84, HR: 110, RR: 32, T – 96.2, SpO2–75%
What nursing interventions will you implement?
What diagnostics do you expect?

*Managing ADHF*
Assess, Assess, Assess!
High flow oxygen, consider CPAP or intubation
Cardiac monitor, IV (maybe 2), positioning
Calm environment, include family
12 lead, Rainbow labs, consider ABGs, portable CXR, consider echo
WHAT MEDS WILL WE LIKELY ADMINISTER?

Why DIURECTICS in ADHF?

Why VASODILATORS in ADHF?

Why MORPHINE in ADHF?

Why POSITIVE INOTROPS in ADHF?

Ongoing complications with ADHF?

Ongoing options with ADHF?

When the heart is stretch BNP is released which causes what?