Chapter 32.pdf - ACTIVE LEARNING TEMPLATE System Disorder Muhammad Ali STUDENT NAME Heart failure and Pulmonary edema DISORDER\/DISEASE PROCESS REVIEW

Chapter 32.pdf - ACTIVE LEARNING TEMPLATE System Disorder...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: System Disorder Muhammad Ali STUDENT NAME______________________________________ Heart failure and Pulmonary edema DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER__32 __________ Alterations in Health (Diagnosis) Instructions for home health Pathophysiology Related to Client Problem Left sided heart failure causes pulmonary edema. Health Promotion and Disease Prevention Exercise, low sodium diet, smoking cessation, following medication regimen. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Systolic blood pressure is elevated in older adults, putting them at risk for coronary artery disease and heart failure. Some medications can increase the risk of heart failure or worsen manifestations in older adult clients. Laboratory Tests Dyspnea, orthopnea (shortness of breath while lying down), nocturnal dyspnea Fatigue,Displaced apical pulse (hypertrophy),S3 heart sound (gallop,Pulmonary congestion (dyspnea, cough Diagnostic Procedures human B-type Natriuretic peptides hBNP test, cardiac enzymes, electorlytes and ABGs Hemodynamic monitoring, ultrasound, TEE, chest xray, ECG, PATIENT-CENTERED CARE Nursing Care Monitor daily weight and I&O.,Assess for shortness of breath and dyspnea on exertion.Administer oxygen as prescribed. Monitor vital signs and hemodynamic pressures. Position the client to maximize ventilation (high‑Fowler’s) Therapeutic Procedures LVADs Heart transplantation, ACTIVE LEARNING TEMPLATES Client education regarding medications is very important because of the severe side effects of the drugs. Complications Medications Diuretics, ACE inhibitors Angiotensin receptor II blockers, Calcium channel blockers, Phosphodiester ase-3 inhibitors, inotropic agents, beta blockers, vasodilators Client Education Provide emotional support for the client and family. Instruct the client on effective breathing techniques. Instruct the client on medications. Stress the importance of continuing to take medications even if the client is feeling better. Interprofessional Care cardiology and pulmonary services should be consulted to manage heart failure, Respiratory services for breathing treatments. cardiac rehab and nutritional services. anxiety, tachycardia, acute respiratory distress, dyspnea at rest, change in level of consciousness, and an ascending fluid level within the lungs (crackles, cough productive of frothy, blood‑tinged sputum). Therapeutic Procedure  A11 ...
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