Overview Heart failure (HF) is an abnormal clinical condition that…
Overview Heart failure (HF) is an abnormal clinical condition that… OverviewHeart failure (HF) is an abnormal clinical condition that involves inadequate pumping and/or filling of the heart. This results in the inability of the heart to provide sufficient blood to meet the oxygen needs of the tissues. HF is characterized by ventricular dysfunction, reduced exercise tolerance, diminished quality of life, and shortened life expectancy. Several factors predispose patients to the development of heart failure. Any factor that interferes with the normal mechanisms of cardiac output can lead to heart failure. Heart failure is classified according to pathology (systolic or diastolic), the part of the heart affected (right- or left-sided failure), the person’s tolerance to physical activity (New York Heart Association Functional Classification), and the absence or presence of ventricular dysfunction along with the severity of symptoms (ACCF/AHA Stages of Heart Failure). Interprofessional care of patients with heart failure includes nonpharmacologic, pharmacologic, and nutritional therapies. Complications arising from heart failure include pleural effusion, dysrhythmias, left ventricular thrombus, hepatomegaly, and renal failure.ObjectivesIdentify risk factors associated with heart failure.Describe the pathophysiologic changes related to heart failure.Prioritize assessment of a patient exhibiting an exacerbation of heart failure.Discuss drug management appropriate for a patient with heart failure.Appropriately delegate care of a patient with heart failure.Formulate a teaching plan for a patient with heart failure.What is the difference between right sided heart failure and left sided heart failure?What are the diagnostic tests used for patients with heart failure?What are the side effects of lasix?What signs and symptoms displayed by the patient would be important notify the physician right away?What lab results would need to be monitored for a heart failure patient and why?Case StudyR.K. is a 68-year-old white woman with a history of type 2 diabetes, hypertension, hyperlipidemia, and coronary artery disease (CAD). She has had two myocardial infarctions (MIs) over the past several years. She smoked 2 packs of cigarettes for 30 years, quitting after her first MI 4 years ago. She has been overweight most of her life and has no regular exercise except for household duties. R.K.’s current drug regimen includes ezetimibe/simvastatin (Vytorin) 10/40 mg/day, indapamide 2.5 mg/day, and losartan (Cozaar) 50 mg bid. She has scheduled an appointment with the nurse practitioner at the local health care clinic.Kindly answer the objectives Health Science Science Nursing RNSG 2361 Share EmailCopy link Comments (0)
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