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Congestive Heart Failure - Coggle Diagram
Congestive Heart Failure
Characteristics
Fluid accumulation in varying body parts (ie: lungs, legs)
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Assessments
Respiratory
RR, SpO2, Lung sounds (pulmonary crackles), dyspnea, cough
Cardiovascular
Pulse, BP, Postural/Orthostatic Hypotension
Integumentary
Skin colour, integrity & breakdown, turgor, mucous membranes
Fluid Balance
Daily weights, s&s of foo (ie: dyspnea, edema high BP r/t excess fluid retention etc.)
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Electrocardiogram
Identify acute or prior MI, acute schema, rhythm abnormalities
Labs
Electrolyte imbalances -hyponatremic, hypokalemia, hypomagnesemia (reduced cardiac output --> reduced renal blood flow and water/electrlytes are unable to be excreted properly)
Elevated B- type natriuretic peptide (associated with HF) and elevated troponin (cardiac muscle damage)
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Signs & Symptoms
Fatigue, dyspnea, weakness, difficulty breathing when long down, resided exercises tolerance and fluid retention in the form f pulmonary and peripheral edema
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Interventions
Maintain strict fluid input and output measurements, maintain strict fluid restrictions as ordered monitor daily weights, assess for edema and severe diaphoresis, monitor electrolyte values, promote adequate nutrition (low sodium)
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CHF occurs when the heart can't pump enough blood as it should to meet the body's requirements. The heart muscle's contractility has decreased over time or it has a mechanical problem that is limiting it's ability to fill with blood
Due to an impairment in ventricular filling or left sided deception of blood to the systemic circulation.
Risk Factors: high cholesterol and blood triglyceride levels, hypertension, untreated hyperglycemia related to diabetes, coronary artery disease, myocardial infarction, as well as many congenital heart diseases.
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Diagnosis: decreased cardiac output related to impaired contractility of heart as evidenced by (irregular heart rate,, dyspnea, fatigue etc.)