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Heart Failure
| Question | Answer |
|---|---|
| Heart Failure | Ventricles do not fill properly, blood is not ejected into the circulatory system properly |
| Left sided HF manifestations | JVD, SOB, hypotension, tachycardia, orthopnea, weight gain, lower extremity edema, pulmonary congestion |
| Right sided HF manifestations | JVD, SOB, chest discomfort, S3 murmers, palpitations, ascites, peripheral edema, enlarged liver/spleen |
| Biventricular HF | Manifestations of both right and left HF |
| HF dietary teaching | Sodium and fluid restriction |
| HF medications | furosemide, metoprolol, digoxin, dopamine, dobutamine, nitroglycerin |
| HF nursing interventions | 30 mins daily exercise, wait 2 hours after eating for physical activity, avoid extreme weathers, elevate HOB |
| HF fluid volume management | Daily weight 2-3lbs = bad, 1500ml fluid restriction, assess for fluid overload |
| HF complications | Pulmonary edema, hypotension, cardiogenic shock, arrhythmias, thromboembolism, pericardial effusion |
| ADHF (acute decompensated HF) care | Mechanical ventilation, Intraaortic balloon pump (IABP), ventricular assist devices (VAD) |
| Dopamine | Vasopressor. Increased BP and myocardial contractility |
| Dobutamine | For left ventricular dysfunction. Increases cardiac contractility and renal perfusion |
| Nitroglycerin (HF) | enhance symptom relief |
| Pulmonary edema manifestations | Frothy and blood tinged sputum, restlessness, cough, tachypnea, dyspnea, cyanosis, weak and rapid pulse, decreased LOC, cool clammy skin |
| Pulmonary edema management | Position upright, legs dangling, I&Os, furosemide, nitroglycerin, monitor lung sounds |
Created by:
Haydenmeh
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