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Heart failure (Patient & Caregiver teaching (Dietary therapy (Activity…

- - - - Ongoing monitoring
        
        Health promotion
        
        Drug therapy
        
        Rest
        
        Shorter working hours
        
        Schedule rest period
        
        Diuretics
        
        ACE inhibitors
        
        Know target BP/baseline BP
        
        Tobacco sessation
        
        BP control
        
        Wt reduction/monitoring
        
        Limiting sodium
      - Daily weight
      - S&S of HF ... FACES
      - Fatigue
        
        Activity limited
        
        Chest congestion/cough
        
        Edema
        
        SOB
      - Report:
        
        Wt change >3lb
        
        Difficulty breathing
        
        Dry hacking cough
        
        Fatigue, weakness
        
        Swelling, extremities, abdomen, face
- - - - Monitor wt loss
- - - - Ability to eject into aorta decreased
        
        Over time Left ventricle becomes dilated and hypertrophies
        
        Cardiac output decreased
        
        When LV fails, blood regurgitates back to the left atrium, then the lungs
        
        Pulmonary congestion/edema
    - - Inability for ventricle to relax
        
        LV is stiff and noncompliant due to hypertension
        
        High filling pressure
        
        Decreased stroke volume and CO
        
        When LV fails, blood regurgitates back to the left atrium, then the lungs
        
        Pulmonary congestion/edema
- - - - This is due to the Right side having to work harder to pump against the blood regurgitated back into the pulmonary system from the failed left ventricle
- - - - Monitor for toxicity (visual disturbances, yellow vision)
- - - - Stage 3
        
        Stage 4