ipl-logo

Heart Failure: A Case Study

382 Words2 Pages

Mrs. Smith experiences symptoms of heart failure which seems to have been caused by her hypertension, which is poorly controlled, given the blood pressure of 158/98. Her symptoms relate to a reduction of cardiac output as evidenced by fatigue and weakness, depleting her cardiac reserve, and excess fluid retention from elevated end-diastolic pressure (dyspnea, exertional dyspnea, bibasilar crackles, peripheral edema, decreased saturation). The decreased cardiac output is evidenced in a HR of 92, and is possibly related to her memory loss as well. Her symptoms seem to be manifestations of left-sided heart dysfunction, given her complaints of fatigue and weakness. (Porth, 2015). According to the ACCF / AHA Guideline for the Management of Heart Failure, patients with clinical manifestation of heart failure are at stage C of the algorithm (Yancy et al., 2013). Goals for therapy include …show more content…

First-line drugs for routine use include diuretics for fluid retention, ACEI or ARB, Beta blockers and aldosterone antagonists. Since there has been some noncompliance from Mrs. Smith in taking her beta-blocker, at this time I would not change this to a different type of medication but ensure better adherence to this drug first and evaluate the effect. Since she has already been established on this medication, the added diuretic might produce improvement in her symptom manifestation, if better medication compliance can be accomplished. If the outcome is insufficient, ACEI or ARB would be the next alternatives, with ACEI beneficial to improve her cognitive abilities as well. We do not have information about imaging studies, and therefore do not know her

Show More
Related

  • Post-Concussive Syndrome: Case Study

    732 Words  | 3 Pages

    Chief Complaint Post concussive syndrome. History Patient is a 55-year-old right-handed white female who does see a neurologist in Florida for multiple issues. She does have a chronic pain issue and has some bradykinesia. Her neurologist down there was concerned about Parkinson 's disease.

    Read More

  • Congestive Heart Failure Qualitative Study

    194 Words  | 1 Pages

    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

    Read More

  • Heart Failure Readmissions

    84 Words  | 1 Pages

    Heart failure is a health condition affecting millions of people worldwide. Heart failure readmissions for healthcare agencies continues to be an area of concern due to the cost associated with each readmission. Readmissions to the hospital for heart failure is tied to reimbursement and financial penalties. Developing a plan to combat readmission is a difficult task.

    Read More

  • Congestive Heart Failure Summary

    172 Words  | 1 Pages

    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.

    Read More

  • Congestive Heart Failure Research Paper Outline

    349 Words  | 2 Pages

    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.

    Read More

  • Mildred Pasek Argumentative Essay

    578 Words  | 3 Pages

    She didn’t look as bright as the first afternoon I saw her and still reported hypotension and lightheadedness on standing. She now also had upper abdominal discomfort. As Mildred had a pulmonary embolism history, alarm bells went off in my head. I asked Mildred if her care team was addressing the problem and if I could do anything. Mildred didn 't ask me to talk to the medical staff and not being her health care proxy or wanting to overstep my boundaries, I didn’t.

    Read More

  • Patient's Case Study: Syncope

    2129 Words  | 9 Pages

    Orthostatic hypotension has many etiologies but the baseline is that it is generally caused by a dysautonomic syndrome, drugs, volume depletion or a combination of a variety of factors. Peripheral autonomic (sympathetic) denervation, resulting from systemic diseases can prevent needed peripheral vasoconstriction with standing, diseases such as diabetes and amyloidosis. Other diseases are Parkinsonism , and Addison’s, porphyria, tabes dorsalis, syringomyelia, spinal cord transection , Guillian–Barré syndrome, Riley–Day syndrome, surgically induced sympathectomy, pheochromocytoma, multisystem atrophy, Bradbury–Eggleston syndrome, and the Shy–Drager syndrome (which is also known as idiopathic orthostatic hypotension). There is a variety of medications that can cause syncope by causing orthostatic hypotension and other mechanisms also leading to syncope. These are vasodilators (such as hydralazine, nitrates, angiotensin-converting enzyme inhibitors), adrenergic blockers and adrenergic stimulants, diuretics, tricyclic antidepressants, phenothiazines, and others, can cause orthostatic

    Read More

  • The Framingham Heart Study

    694 Words  | 3 Pages

    The number one killer in the United States today is heart disease or also known as cardiovascular disease (U.S. National Library of Medicine, 2015). As death rates begin to rise due to cardiovascular disease, in 1948 the Framingham Heart Study became a joint project of the National Heart, Lung, and Blood Institute and Boston University to pinpoint the most common factors that play a role in cardiovascular disease and strokes (Framingham Heart Study, 2015). Over several years, the Framingham study has identified several risks factors that are believed to increase the likelihood of a person being diagnosed with cardiovascular disease. These risk factors include high blood pressure, high cholesterol levels, smoking, obesity, diabetes, and physical

    Read More

  • Assignment 1: A Case Study Of SO EMT Perez

    200 Words  | 1 Pages

    On 8/2/2015 SO EMT Perez was dispatched to FC-505 regaurding general sickness. SO EMT Perez knocked and announced his presence at the door and was greeted by the residents spouse and then to the resident in question, a Mrs. Barbra Myers. Mr. Myers stated that Mrs. Myers was feeling unwell for the past couple of days but today she was acting unusal and slurring/mubling her words and all around acting uncoordinated. Mrs. Myers seems to be somewhat disorientated but is answering all questions appropriatly. SO EMT Perez performed and assesment which revealed the following; Blood Pressure 148/72, Pulse 101, Spo2 96%, Mrs. Myers is very hot to the touch but does not appear to be perspiring, SO EMT Perez recieved a temperature reading from Mr. Myers '

    Read More

  • Activity Intolerance R/T Compromised Oxygen Transport System Secondary To Heart Failure

    88 Words  | 1 Pages

    1. Activity intolerance R/T compromised oxygen transport system secondary to heart failure AEB shortness of breath and decreased oxygen levels when walking longer than 3 minutes. 2. Ineffective peripheral tissue perfusion R/T compromised blood flow secondary to heart failure AEB capillary refill longer than 3 seconds, lack of hair on toes, and self-report of pain of 7-8, on scale of 0-10, in lower extremities. 3.

    Read More

  • Personal Narrative: My Pneumonia

    348 Words  | 2 Pages

    My mom still has an enlarged heart her Ejection fraction was still 20%. She went 16 years like this and she’s still her the death rate on this illness is high. She went back to work for 7 years and the thing went down hill quickly in 2015. My mom in March of 2015 started having irregular heart rhythm and didn’t know it.

    Read More

  • Heart Failure Essay

    986 Words  | 4 Pages

    Heart is at the center of the circulatory system as it continuously pumps blood through various organs of the body, which in turn provides the much needed oxygen to keep them functioning well. The size of the heart is usually the same as the size as one’s fist. This mechanical organ has 4 chambers and is supplied by a complex array of blood vessels that bring blood to and from the heart. Heart failure is a term to describe the condition where the heart cannot do it’s work or does not manage its workload properly. Heart 's a muscle and heart failure leads to the weakening or deformation of that muscle, making it unable to supply enough blood.

    Read More

  • Morbidity Research Paper

    1775 Words  | 8 Pages

    In this sense, patients with associated comorbidity presented more frequently atypical symptoms at presentation, whereas in patients with an active functional status chest pain was the common initial symptom. Moreover, the impact of these factors on the coronary care decisions were different. Although comorbidity had no effects in the decision-making, dyspnea and basal functional status were major factors to determine CCU admission. Consequently, to detect patients with an active functional status and atypical presentation represents a challenge for clinicians, mainly in relation to patients with comorbidity in which this presentation is commonly observed. , Furthermore, AMI in nonagenarians patients would be correctly assessed from a holistic point of view (biopshycosocial), due to the risk of misdiagnosis, mistreatment and prognosis repercussion.

    Read More

  • Holistic Heart Disease Essay

    1559 Words  | 7 Pages

    A holistic approach to heart disease treatment is essential for comprehensive and effective management of the condition. Heart disease is a complex condition influenced by various factors, including lifestyle choices, genetics, underlying health conditions, and psychosocial factors. A holistic approach recognizes the interconnectedness of these factors and aims to address the patient's physical, emotional, and social well-being. 1. Comprehensive Disease Management:

    Read More

  • Failure Performance Measures

    2893 Words  | 12 Pages

    Implication of performance measures for patients with heart failure: A Review Abstract: The strain of heart failure (HF) has become one of the cardinal public health complication, with constantly higher rates of serious morbidity and mortality. The American College of Cardiology (ACC) /American Heart Association (AHA) and the European Society of Cardiology (ESC) have developed evidence-based guidelines for the treatment of heart failure (HF) to help practitioners to ensure appropriate and consistent treatment for patients and improved clinical outcome. Performance measures are standards of care that imply that physicians are in error if they do not properly care for patients according to these standards and definitive diagnostic or therapeutic

    Read More

More about Heart Failure: A Case Study

Open Document