28192544
Description
Flashcards by Tafe Teachers SB, updated more than 1 year ago
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Created by Tafe Teachers SB
about 5 years ago
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| Question | Answer |
| The Heart | |
| What is CHF? | The heart is failing as a pump. Can't provide adequate cardiac output for the bodies requirements. |
| Causes of CHF | HTN Other Cardiac Diseases Thromboembolism Congenital Cardiac Defects CAD COPD Hyperthyroidism Chronic Anaemia |
| Diagnostics | History / Examination Vitals, 12 lead ECG, presence of oedema Cardiac enzymes, U&Es, Phosphate, FBC. lipids CXR, CT Coronary Angiogram Stress Test Doppler Ultrasound. Echocardiogram identify risk factors |
| Left Sided Heart Failure | L) ventricle can't pump the blood through to the aorta. L)HF - affects lungs. |
| Clinical Manifestations of L)HF | Dyspnoea/ very SOB Orthopnea Frothy sputum/maybe haemoptysis ?Cerebral Hypoxia Poor Systemic Perfusion Apprehension/anxiety |
| Right Sided Heart Failure | Impaired function of R) ventricle R)HF - affects rest of body. |
| Clinical Manifestations of R) HF | Raised jugular pressure Engorged liver/intestines Ascites Systemic oedema Apprehension/anxiety |
| Specific Nursing Interventions | Weigh daily Strict FBC / Monitor Fluid restrictions Assess oedema/peripheral pulses Monitor vitals Sit upright/Elevate legs Administer O2 as ordered Educate - diet, exercise, medications, disease |
| Reportable symptoms | Persistent cough Increased weakness/fatigue Increased SOB Weight gain > 500 g daily Distended neck veins Fluid input greater than output Changes in trends of vitals |
| Treatment | Low salt / fat / protein diet Fluid restrictions Medications including - ACE inhibitors, Diuretics, Beta blockers Exercise as tolerated |
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