Heart Failure
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| What is the difference between Right and Left sided failure? | Left side failure is the inability of the heart to pump necessary blood due to increased after load. Right side fails second but fails faster. R side backs up into systemic system.
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| What are some S/S for Left side Heart failure? | Early: weight gain Late: PND paroxysmal Nocturnal Dyspnea; Pulmonary congestion; Restlessness; confusion; orthopnea; tachycardia; Fatigue; Cyanosis.
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| What are some S/S for Right side Heart Failure? | Distended Jugulars; Enlarged liver and spleen; ascites; Increased peripheral pressure; weight gain; Fatigue.
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| What are some Diagnostic tests for Heart Failure? | ECG; Chest x-ray; CBC & Electrolytes; Cardiac Markers; Liver function enzymes; Echocardiogram; Angiogram (EF)
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| What are the complications of Heart Failure? | Pulmonary edema; Pleural effusion; Dysrhythmia; Left Ventricular Thrombus; Hepatomegaly; Renal Failure.
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| What is the collaborative care for Pulmonary Edema (ADHF)? | Decrease intravascular volume (Diuretics); Decreases venous return (High Fowler's position, Nitroglycerin); Decrease afterload (Morphine IV nipride); Improve Gas Exchange, Cardiac function; Reducing anxiety.
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