Unformatted text preview: ACTIVE LEARNING TEMPLATE: System Disorder Akugbe Uwaifo
STUDENT NAME______________________________________
Heart Failure
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________ Alterations in
Health (Diagnosis)
abnormal heart sounds, fluid
buildup in abdomen and legs, Pathophysiology Related
to Client Problem
Heart failure, sometimes known as congestive heart
failure, occurs when your heart muscle doesn't pump
blood as well as it should. Certain conditions, such as
narrowed arteries in your heart (coronary artery disease)
or high blood pressure, gradually leave your heart too
weak or stiff to fill and pump efficiently. Health Promotion and
Disease Prevention
Not smoking, control high blood pressure
or diabetes, Staying physically active,
Eating healthy foods, Maintaining a
healthy weight, reduce and manage stress ASSESSMENT SAFETY
CONSIDERATIONS Risk Factors Expected Findings High blood pressure. Coronary artery disease.
Heart attack. Diabetes. Some diabetes
medications. Congenital heart defects.
Valvular heart disease. Alcohol use. Tobacco
use. Obesity. Irregular heartbeats. Laboratory Tests
Blood tests
Chest X-ray
Electrocardiogram (ECG)
Echocardiogram
Stress test
Cardiac computerized tomography (CT) scan
Magnetic resonance imaging (MRI)
Coronary angiogram
Myocardial biopsy Dyspnea. Fatigue and weakness. Edema.
Rapid or irregular heartbeat. Persistent cough
or wheezing with white or pink blood-tinged
phlegm. Difficulty concentrating or decreased
alertness. Chest pain if your heart failure is
caused by a heart attack Diagnostic Procedures
Doctor will take a careful medical history, review your symptoms and
perform a physical examination. Your doctor will also check for the
presence of risk factors, such as high blood pressure, coronary artery
disease or diabetes, listen to your lungs for signs of congestion. The
stethoscope also picks up abnormal heart sounds that may suggest
heart failure. The doctor may examine the veins in your neck and
check for fluid buildup in your abdomen and legs. PATIENT-CENTERED CARE Nursing Care
Monitor vital signs, monitor
and treat for worsening of
symptoms, adinister
appropriate medications,
educate patient. Therapeutic Procedures
Adminstration of approriate medication. Invasive
therapies for heart failure include electrophysiologic
intervention such as cardiac resynchronization
therapy (CRT), pacemakers, and implantable
cardioverter-defibrillators (ICDs); revascularization
procedures such as coronary artery bypass grafting
(CABG) and percutaneous coronary intervention
(PCI) ACTIVE LEARNING TEMPLATES Monitor Your
Blood Pressure
Limit Liquids
Reduce salt intake
Take medication
as directed
Good sleep hygine Complications
Medications
Angiotensin-con
verting enzyme
(ACE) inhibitors
Angiotensin II
receptor
blockers
Beta blockers
Diuretics
Aldosterone
antagonists
Inotropes
Digoxin
(Lanoxin) Client Education
Signs and symptoms
contact doctor when if experience
chest pain, fainting or severe
weakness, rapid irregular heart
beat. shortness of breath and
coughing pink foamy mucus. Interprofessional Care
primary care doctor, cardiologist,
clinical nurse specialists, nurse
practitioners and physician assistants,
physical and occupational therapists,
dietitians, mental health professionals,
social workers and case managers,
pharmacists Kidney damage or
failure
Heart valve
problems
Heart rhythm
problems
Liver damage ...
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