Congestive Heart Failure

From NursingWiki

A Congestive Heart Failure is a condition in which the heart is unable to pump enough blood to maintain adequate blood circulation to the body.

Contents 1 classification 2 causes 3 Immediate intervention 4 Assessment 5 Stabilizing & monitoring 6 Labs 7 Web Sites

classification

• Class 1: ordinary physical activities doesn’t cause symptoms
• Class 2 ordinary physical activities cause fatigue, papl., dyspnea or angina, but asymptomatic at rest.
• Class 3: less than ordinary physical activities cause symptoms ( see above) , but asymptomatic at rest.
• Class 4: Unable to perform any physical activity without symptoms and symptoms may be present when at rest.

causes

Possible causes & what you will see

• ↑BP, diabetes,CAD, valvular disease
• LFT-sided-↑HR, SOB, ↓O2, pale, cool & tingling in extremities,pulmanary edema & frothy pink sputum
• R-sided: edema in the lower extremities
• Both fatigue, anxiety, weakness, SOB, LOC, juglar vein distention, ↑CV, Women: Nausea

Immediate intervention

• high flowers
• √ & give O2
• Notify physician

Assessment

• VS , HR & LS
• O2
• Edema

Stabilizing & monitoring

• Monitor I&O, wt
• Restrict fluids
• obtain order →Place IV( Gage 18)
• VS & O2
• ECG

Labs

• Chem 7 , CXR, BUN, Creatinine,Tripionin, ABGs

Web Sites

• http://science.nationalgeographic.com/science/health-and-human-body/human-body/heart-article.html?nav=A-Z

This web site shows you how plaque developes and a heart attack happens as well as some great pictures. Including treatments

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