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CHF (Diagnostics (Labs (Serum electrolytes, BNP, BUN and creatinine),…
CHF
Diagnostics
Labs
Serum electrolytes
BNP
BUN and creatinine
Chest X-Ray
Bilateral fluffy infiltrates
12-Lead ECG
Looks for LV or RV hypertrophy
Echocardiogram
Systolic and diastolic function
Clinical Signs and Symptoms
Advanced Disease process
Fluid retention
Pulmonary congestion
Dyspnea
Orthopnea
Paroxysmal Nocturnal Dyspnea
Additional S&S
Fatigue
Chest pain or pressure
Palpitations
Etiology
The hearts ability to pump blood is inadequate to meet the body's metabolic need
Pathophysiology
Impaired contractility of the left ventricle
CAD
MI
Dilated cardiomyopathy
Valvular heart disease
Hypertension
Differential diagnostics
Cardiac Biomarkers (Troponin, CK, CK-MB) to rule out MI
Respiratory Management
Oxygen therapy
NRBM 12 - 15 L/min
HFNC 30 - 40 L/min
CPAP or BiPAP to help push out fluid in the lungs
Intubation if severe respiratory acidosis