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N126-U3-I. MI/CHF #4
Dobrisky-Cardiac Module: Left sided heart failure
| Question | Answer |
|---|---|
| Left sided failure is also known as ________failure. | systolic |
| What signs and symptoms are typical in left sided failure? | respiratory |
| Left sided failure can progress to what type of edema? | pulmonary |
| Fluid retention in left sided heart failure is due to ___________to the kidneys and the activation of _____________. | decreased blood flow & renin-angiotensin |
| as the left ventricle fails what changes happen to the pulmonary capillary beds? | fluid moves across the pulmonary cap0illary beds into the alveoli |
| What is the result of fluid moving across the pulmonary capillary beds into the alveoli? | pulmonary edema |
| What contributes to the shortness of breath associated with left sided heart failure? | fluid back up in the lungs |
| What type of sputum is associated with severe pulmonary edema? | pink, frothy |
| What respdiratory symptoms might the patient with left sided heart failure experience? | short of breath, tachypnea, cough with pink, frothy sputum |
| Which is more likely with left sided heart failure, tachypnea or bradypnea? | tachypnea |
| What additional heart sound may be heard in patients with left sided heart failure? | S3 |
| During systolic failure what changes in BP may happen? | hypertension followed by hypotension and shock |
| Define cachexia | loss of muscle mass |
| What symptom related to the urinary system is associated with left sided heart failure? | nocturia |
| Which is more likely with left sided heart failure, tachycardia or bradycardia? | tachycardia |
| JVD, ascites, enlarged spleen and liver are all signs and symptoms of | right sided heart failure |
| Bowel sounds may be ________ in right sided heart failure | dereased |
| Decreased bowel sounds and ascites are common signs & symptoms of what type of heart failure? | right sided |
| Peripheral edema is associated with what type of heart failure? | right sided |
| JVD is associated with what type of heart failure? | right sided |
| What change will you see in the BNP for a patient with CHF? | increases |
| What diagnostic test utilizes isotopes injected during stress and rest? | Nuclear ventriculography |
| What function of the heart does nuclear ventriculography test? | perfusion |
| What two diagnostic tests give information about heart function and perfusion? | nuclear ventriculography and angiography |
| Name 4 priority nursing actions for the patient with CHF | rest, oxygen therapy, fluid restriction, sodium & cholesterol restrictions. |
| Why is rest a priority for patients with CHF? | reduces oxygen demand, promotes diuresis, decreases HR & BP, decreases venous return & metabolic needs. |
| What is the fluid intake recommendation for patients with CHF? | 500-2000ml/day |
Created by:
Lori Dobrisky
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