Class notes
Medical Surgical Nursing cardiac chapter 29 notes
- Course
- Medical Surgical NUR2230
- Institution
- Keiser University
Medical Surgical Nursing cardiac chapter 29 notes
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Advanced CardiacChapter 29
Heart Failure: Clinical syndrome resulting from structural or functional cardiac disorders that impair the
ability of the ventricles to fill or eject blood Congestive heart failure (CHF) is another term used by many who experienced pulmonary or peripheral congestion with edema Characterized by signs and symptoms of fluid overload or inadequate tissue perfusion
Indicated myocardial disease, in which there is a problem with the contraction the heart (systolic failure) or filling of the heart (diastolic failure) Some cases are reversible depending on the cause Chronic, progressive condition managed with lifestyle changes and medications Chronic Heart Failure:
The incidence of heart failure increases with age, most common in people older than 75 most common reason for hospitalization of people older than 65 and is the second most common reason for visits to a physician's office approximately 25% of patients discharged after treatment for heart failure are re-admitted
to the hospital within 30 days Right-sided heart failure:
RV cannot Eject sufficient amount of blood and blood backs up in the venous system results in peripheral edema hepatomegaly, ascites, anorexia, nausea, weakness, JVD, weight gain Left-sided heart failure:
LV Cannot pump blood effectively to the systemic circulation pulmonary venous pressure increases and results in pulmonary congestion with dyspnea, cough, crackles and impaired oxygen exchange Chronic heart failure is frequently biventricular S3 heart sound heard Medical management of Heart Failure:
Eliminate or reduce etiologic or contributing factors reduce the workload of the heart by reducing after load and preload optimize all therapeutic regimens prevent exacerbations of heart failure medications are routinely prescribed for heart failure
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