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CHF Related to Atherosclerosis of coronary artery without angina pectoris …
CHF Related to Atherosclerosis of coronary artery without angina pectoris
LONG TERM GOAL
Boost cardiac function and prevent complications that could happen in future such as a stroke
Pt education
Diet restrictions: Low sodium Diet; Low fat diet; more fluids (water/ electrolytes) Activity restrictions: avoid any exhaustion and minimize any cardiac complications. Understanding the symptoms and recognize them
LABS
RBC - 4.27 L
Hct - 39 L
MCHC - 30.5 L
Lymph Auto - 14.6 L
Lymph Absolute - 0.85 L
RDW - SD 48.7 H
Assessment
Edema : edema in the legs because of the fluid retention. No angina. No fatigue. No allergies
Interventions
Glucose checked 30 min after each meal Monitoring vital signs and SpO2 often
Evaluation of interventions
Assessing for decrease fluid retention and for an improvement in dyspnea Often monitor for HR, BP and no angina
evaluate for any side effect that the meds could cause
Patho Physiology
Aortic valve stenosis reduces blood flow, increasing heart's workload
Hypertension: accelerates arterial damage, further straining the heart
sick sinus syndrome and complete atrioventricular block complicates normal heart rhythms camouflaging efficient cardiac output
SHORT TERM GOAL
Relieve dyspnea and control fluid overload with 48 hours
HOSPICAL MEDS
Furosemide. Nebulized Inhalation Once. Nitroglycerin. Albuterol. Acetaminophen-hydrocodone Potassium Chloride. Isosorbide mononitrate
HOME MEDS
Aspirin Atorvastatin. Carvedilol Clopidogrel. Enoxaparin. Insuline Lispro.
HISTORY
Male, 84 years old, Full code, NKA, No cultural preferences
Dyspnea
Hyperlipidemia
Sick sinus syndrome
Syncope
Barrett's esophagus
Congestive Heart Failure
Chronic kidney disease stage 3B
Coronary arteriosclerosis
Aortic Valve stenosis
Complete atrioventricular block
Supraventricular tachycardia
Transient cerebral ischemia
Hypertensive disorder