Risk Factors
Obesity
HTN
DM
Smoking
Illicit drug use
PATHOPHYSIOLOLGY MAP
(Patient Specific Information)
Cues
Fatigue
Weight gain
Elevated HR
Hypo- or hypertension
SOB
Potential complications
Pulmonary Edema
Dysrhythmias
Renal failure
Angina
MI
Death
Disease Process: __Chronic Heart Failure____________________
Pathophysiology – include information about your patient
Definition: Heart failure is a progressive disease characterized by myocardial cell dysfunction, resulting in the inability of the heart to pump
enough cardiac output to meet the demands of the body.
Etiology: HF is caused Myocardial cell dysfunction and myocardial muscles become weakened and unable to pump efficiently
Chronicity: Heart failure is a chronic progressive disease.
Prognosis: HF mortality rates are declining but remain high at about 40% after five years from time of diagnosis.
Reference: Hoffman, J. J., & Sullivan, N. J. (2020). Davis advantage for medical-surgical nursing: Making connections to practice. F.A. Davis.
Nursing actions-highlight the interventions you implemented
Monitor VS (HR, BP, RR, O2, Temp)
Auscultate Breath Sounds
Assess pt for skin color, peripheral pulses, and capillary refill time
Oxygen therapy
HOB Elevation
Medication Administration (Diuretics, ARB”s)
Fluid and Sodium Restriction
In your own words, provide the rationales for the interventions you
implemented
VS can indicate if the pt has increased afterload and low CO2
Crackles can indicate pulmonary congestion
S/S of low CO2 are pale/cyanotic skin color, weak peripheral pulses,
sluggish capillary refill time.
Oxygen therapy to maintain adequate oxygenation
HOB Elevation can assist with oxygenation/comfort.
Medication can decrease volume, afterload, workload and
myocardial oxygen consumption