Congestive Heart Failure
Introduction
The heart is like an engine, pumping blood throughout the body. Over time, when this pump cannot distribute enough blood throughout the body to meet its needs, it develops into a condition known as congestive heart failure (CHF). When the right side of the heart fails, the lungs cannot pick up oxygen due to the heart’s inability to pump enough blood to them. In contrast, left sided heart failure is related to the heart’s inability to pump an adequate amount of oxygen-rich blood throughout the body. Only one side of the heart may be affected, although it is possible for both sides to be involved at the same time.
The purpose of this essay is to discuss the different factors of caring for a patient with CHF.
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This is an invasive procedure and the nurse should make certain that an informed consent that has been signed by the patient is in the chart. During this procedure, a flexible tube is inserted into a blood vessel located in the arm or groin and a dye is then injected that is visible on x-ray (AHA, 2015). If at this point a blockage of any kind is visible, the doctor has the option to place a stent or perform an angioplasty to remove the obstruction. In preparation for the procedure, the patient will not have anything to eat or drink after midnight. The doctor may request that certain medications not be taken the day of the procedure which could include insulin for diabetic patients. During the procedure, the patient will be placed on their back and may be given a mild sedative to stay relaxed because general anesthetics are not typically used (AHA, 2015). If the angiogram was performed using the site in the groin, pressure will be applied and the patient must remain flat on their back, typically for eight hours, varying by facility (AHA, 2015). The nurse should check the site every hour for any bruising or excessive bleeding. After the allotted time to remain flat has passed, the nurse should be present when the patient rises for the first
Congestive Cardiac Failure Keywords: Congenital, heart disease, cyanosis, oxygenated blood, deoxygenated blood, structural defects, systemic circulation, pulmonary circulation, Mottling, Pallor, Pulmonary Rales 1. CYANOTIC CONGENITAL HEART DISEASES (CCHD) CCHD is a group of congenital heart diseases that occur due to deoxygenated blood bypassing the lungs and entering the systemic circulation or a mixture of oxygenated and deoxygenated blood entering systemic circulation which is caused by structural defects of the heart or any condition which increases pulmonary vascular
The second step, sit the patient in a comfortable position with his arm fully extended while placing a clean tourniquet around the patients arm, about 3 or 4 inches above the venipuncture
The main aim of every study is to find solutions to a certain problem in the society. It is through the understanding of certain challenges in the nursing profession and society in general that long lasting solutions can be realized. The purpose of this paper is to critically analyze and summarize the results of a qualitative and quantitative peer reviewed articles discussing the issue of hospital readmission and patient education. Qualitative study Congestive Heart Failure (CHF) is a chronic, serious and pricey health condition with a huge medical, social and economic impact. Caring for patients with heart failure is not only about treating the disease’s physical symptoms; it involves educational, supportive, emotional, and cooperative care
Be sure to wear clothing that doesn't rub or pull the central line. Call your doctor or 911 if you think you may need emergency care. For example, passing out, trouble breathing, sudden chest pain, shortness of breath, uneven pulse. Signs of infection to watch for are pain, swelling, warmth or redness, red streaks from the exit site, drainage from the exit site, swollen lymph nodes in neck, armpits or groin, fever of over 100 degrees F, chills, swelling in face, chest, neck or arm on the central line catheter, leaking central line, resistance when injected medicine or fluids through line, displacement of the central line. (CDC,
Staples & Earle (2008) used a phenomenology research design, where they used a convenience sample of CHF patients to determine effective technologies for monitoring patients with heart failure admissions and mortality. The effectiveness of CHF patients through the use of telephonic assessments and interventions was implemented. Congestive Heart Failure study participants (n=591) were managed by a team of registered nurses and nurse practitioners. Data was collected using a telephone log and appropriate medical protocols were provided. Data was analyzed; determining frequency of calls, level of care required and scope of practice needed to ensure proper care of the patients.
1.Congestive Heart Failure also known as (heart failure) is a life threatening condition. Heart Failure is caused when someone has a weak heart. It usually happens when the bodies blood pump to the heart is not pumping blood to the heart correctly.
The capillary nail refill test is a quick test done on the nail bed. It is used to monitor dehydration and the amount of blood flow to tissue. If there is good blood flow to the nail bed, a pink color should return in less than 2 seconds after pressure is removed. There are a few important factors that can reduce the chances of a complication with diabetes Keep your blood pressure and cholesterol under control, don 't smoke, keep close watch on feet. It is important to keep close watch on the blood sugar, and proper administration of medications.
Christina Markevich 10/29/2015 Congestive Heart Failure What is Congestive Heart Failure? Congestive Heart Failure is something that occurs when the heart is no longer able to pump enough blood to the rest of the body, or when is just is not able to pump blood as well as it should. Some people happen to have either of these problems, some people have both.
Systolic and Diastolic Heart Failure Heart failure occurs when the heart cannot pump enough blood for the body due to a weakened or damaged heart. The heart 's pumping action moves oxygen-rich blood as it travels from the lungs to the left atrium, then on to the left ventricle, which pumps it to the rest of the body. The left ventricle supplies most of the heart 's pumping power, so it 's larger than the other chambers and essential for normal function. (American Heart Association). In left-sided or left ventricular heart failure, the left side of the heart must work harder to pump the same amount of blood.
Unfortunately, not only is a surgeon tasked with the successful graft of the patient’s artery, he or she, must simultaneously monitor the patient’s vitals to make sure the patient doesn’t
CT angiography or MR angiography may be performed without threading catheters into the brain as is the case with a formal
Because of this inability to contract effectively, the rest of the vital organs receive inadequate amount of blood resulting to inadequate tissue perfusion. There are two types of left-sided HF; systolic and diastolic failure. Systolic failure happens when the left ventricle doesn’t have the enough energy to pump normally the blood to the general circulation. As for diastolic failure, the left ventricle loses the ability to fill itself with blood during resting period resulting to inadequate amount of blood to be pumped out to the circulation (Weinrauch, 2008). The diastolic dysfunction will eventually lead to right-sided heart failure.
Congestive Heart Failure Acute Decompensated Heart Failure (ADHF) is a clinical syndrome of worsening signs or symptoms of heart failure requiring hospitalization or other unscheduled medical care (Felker 2014). ADHF formerly known as congestive heart failure is one of the leading cause for hospitalizations in the United States. ADHF accounts for approximately 1 million hospitalizations per year in the United States (Arnold & Porepa 2012). According to the Acute Decompensated Heart Failure National Registry, patients hospitalized with ADHF have a substantial risk of in-hospital mortality and rehospitalization. Pathophysiology
The nurse told me to look away and slowly pushed the IV into my arm. I was thinking that with the pain I felt in my leg the needle going in was just a pinch. The Emergency Room Doctor ordered morphine to stop the pain. It took a while, but the pain started to go away. Either that or I was feeling good enough not to
The first wipe should always be with alcohol, the 2nd wipe should be with chlorhexidine and the 3rd wipe should always be alcohol. Insert the catheter into the skin with the bevel side up. Advance the catheter into the place where you visualized or palpated the vein. Once you receive blood back into the hub of the catheter, slowly feed the catheter off the stylet and into the vein.