Congestive Heart Failure

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Congestive Heart Failure

PATIENT NAME ________________________________SOC___________________

INITIAL

Define congestive heart failure.

______ ______ A. It is a chronic, progressive syndrome characterized by the inability of the heart to act as a pump.

______ ______ B. The heart is unable to pump an adequate supply of blood to meet the oxygen and nutritional needs of the body.

Anatomy and physiology of the heart.

______ ______ A. The heart consists of four chambers

—the right and left ventricles and right and left atria.

______ ______ B. The upper chambers, the atria, receive the blood from various parts of the body and pump it into the ventricles.

______ ______ C. The right ventricle pumps blood into the lungs, and the left ventricle pumps blood into all parts of the body.

Factors that may increase risk.

______ ______ A. Myocardial infarction.

______ ______ B. Coronary artery disease.

______ ______ C. Hypertension.

______ ______ D. Congenital heart defects.

______ ______ E. Anemia.

______ ______ F. Obesity.

Signs and symptoms.

______ ______ A. Left-sided failure:

______ ______ 1. Fatigue.

______ ______ 2. Shortness of breath.

______ ______ 3. Restlessness.

______ ______ 4. Excessive urination at night.

______ ______ 5. Wheezing.

______ ______ 6. Elevated blood pressure.

______ ______ B. Right-sided failure:

______ ______ 1. Dry cough.

______ ______ 2. Swelling in feet and ankles.

______ ______ 3. Abdominal swelling.

______ ______ 4. Abdominal pain.

______ ______ 5. Loss of appetite.

______ ______ 6. Unexplained, rapid weight gain.

______ ______ 7. Nausea and vomiting.

Measures to prevent congestive heart failure.

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Congestive Heart Failure

PATIENT NAME ________________________________SOC___________________

______ ______ A. Avoid stress. (Give “Stress Management” and “Relaxation Techniques” teaching guides.)

______ ______ B. Avoid fatigue. (Give “Energy Conservation” teaching guide .)

______ ______ C. Eat a low sodium diet. (Give “Low Sodium Diet” teaching guide .)

______ ______ D. Restrict fluids if ordered by physician.

______ ______ E. Take medication exactly as prescribed.

______ ______ F. Avoid tobacco and alcohol.

______ ______ G. Weigh daily to detect fluid retention.

______ ______ H. Take pulse rate daily.

______ ______ I. Elevate legs to decrease swelling.

______ ______ J. Dress warmly in cold weather.

______ ______ K. Report the following symptoms immediately:

______ ______ 1. Weight gain of two to three pounds in a day or five pounds in a week.

______ ______ 2. Loss of appetite.

______ ______ 3. Increased shortness of breath.

______ ______ 4. Swelling in feet and ankles.

______ ______ 5. Persistent cough.

______ ______ 6. Frequent urination at night.

______ ______ 7. Pulse rate greater than 100 or less than 60.

______ ______ L. Keep follow-up appointments with physician.

Possible complications.

______ ______ A. Acute pulmonary edema.

______ ______ B. Damage to organs, such as liver, kidney, or brain.

______ ______ C. Pneumonia.

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