University:
University of North Carolina at Chapel Hill
Course:
NURS 110 | Introduction to Nursing
Academic year:

2021
Views:

413

Pages:

1
Author:

Kieran Caldwell

ACTIVE LEARNING TEMPLATE: System Disorder Heart Failure DISORDER/DISEASE PROCESS __________________________________________________________ Alterations in Health (Diagnosis) Heart Failure REVIEW MODULE CHAPTER ___________ Pathophysiology Related to Client Problem Heart failure occurs when the heart muscle is unable to pump effectively resulting in adequate cardiac output, myocardial hypertrophy, and pulmonary congestion. The heart is unable to maintain adequate circulation to meet tissue needs Health Promotion and Disease Prevention Maintains an exercise routine to remain physically active consumes a diet low in sodium and restrict ﬂuids; dont smoke; take medication as ordered. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings HTN, CAD, MI, COPD, Anemia, Infection or inﬂammation of heart muscle. Laboratory Tests Dyspnea, fatigue, S3 heart sound, coug, crackles, jugular vein distension, edema, abdominal distension, polyuria, and weight Diagnostic Procedures BNP’ blood test that measures levels of protein that is made by the heart. Elevayed in patients with HF.A result greater than 100 pg/ mL is abnormal Metabolic Panels. ECG CXR TEE Ultrasound PATIENT-CENTERED CARE Nursing Care Monitor I&O Monitor wight assess pt, labs, response to medications Therapeutic Procedures -Ventricular Assist device: mechanical pump that help pump blood -Heart translplant Medications fall risk skin breakdown Complications Medications Diuretics Beta Blockers Vasodilator Anticoagulants Client Education -check weight daily -Medication side affect -smoking cessation if applicable Interprofessional Care Cardiology and pulmonary Services cardiac rehab Acute pulmonary edma Cardiogenic Shock Periciardial tamponade