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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