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Unformatted text preview: fect on afterload) 64
64 Left Sided Heart Failure Decreased Cardiac output If they
become Pulmonary congestion
cough, blood tinged sputum
Paroxysmal nocturnal dyspnea
65 Causes of Heart Failure Most of these
structural pro • Valvular Heart disease
• Stenotic valvular disease • Congenital heart defects • Cardiomyopathies • Acute Myocardial infarction • Hypertension (pressure the heart has to push against) • Volume overload (renal failure) 66
66 Overview of Signs and Symptoms of
Heart Fluid retention and edema
Shortness of breath
Fatigue and limited exercise tolerance
Cyanosis Cachexia and malnutrition (anorexia, thicker blood) Distention of the jugular veins in right sided failure Diaphoresis (profuse sweating) and tachycardia 67
67 Diagnostic Methods for CHF Complete History and Physical – dyspnea, cough, nocturia (peeing at night), fatigue, paroxsymal nocturnal dyspnea (sudden onset of shortness of breath, usually late at night) Electrocardiogram (looks at how well the heart is working electrically) Chest x ray 68
68 Diagnostic Methods for CHF Echocardiogram Normal B
100. BNP Btype natriuretic peptide remember “Breathing Not Properly” Invasive Hemodynamic monitoring – Central venous pressure (...
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This document was uploaded on 03/05/2014 for the course NURS 115 at Liberty University Duplicate School.
- Spring '12