Multi Sim Capston .docx - 1 What key priority assessment findings are usually seen in left-sided heart failure How do these findings differ from

Multi Sim Capston .docx - 1 What key priority assessment...

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1. What key priority assessment findings are usually seen in left-sided heart failure? How do these findings differ from right-sided heart failure? Left Sided Heart Failure: ● Dyspnea, orthopnea, nocturnal dyspnea ● Fatigue ● Displaced apical pulse ● S3 heart sound ● Pulmonary congestion ● Frothy sputum ● Altered mental status ● Manifestations of organ failure, such as oliguria Right Sided Heart Failure the body is filled with fluid. You see peripheral edema, weight gain, JVD, abdominal growth. Left side will commonly cause right sided HF. Pulmonary HTN, chronic sleep apnea, and fibrotic or stiff lungs can cause R-HF. 2. Identify two common medication classes used to treat left-sided heart failure. What are two nursing considerations for each identified classification of medication? Diuretics o Weight Afterload - reducing agents o ACE inhibitors Monitor for hypotension after initial dose Watch for facial edema o Angiotensin receptor II blockers o Calcium channel blockers 3. How do cultural differences impact nurses in teaching diet and nutrition? What is cultural
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  • Winter '15
  • Cardiology, shortness of breath, Edema, peripheral edema

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