definitions
Your pt has an ejection fraction of 30% this is a decrease of 25% from the last time it was checked what is this indicative of?
heart failure
Right sided heart failure is also referred to as _____ ____
cor pulmonale
Left sided heart failure is related to what organs
lungs- Left is Lung
What lab is a key indicator for heart failure?
BNP
What type of diet will your pt be ordered for heart failure?
2mg sodium restriction diet
Your pt heart is not able to pump properly due to contraction problems what type of heart failure is this associated with?
systolic heart failure
What is the hallmark sign of right sided heart failure?
JVD
Your pt with left sided heart failure is experiencing orthopnea what should you teach them about the HOB?
keep it at at least 45 degrees to decrease preload
Your pt diagnosed with heart failure has slight limitation when performing ordinary activity but is comfortable at rest, what stage is this?
stage 2
stage 1- no limitation
stage 2- slight limitation
stage 3- marked limitation
stage 4- uncomfortable at rest and with limited activity
When in patient in the hospital you should expect to see your pt on a ___ ____
cardiac monitor
Your pt with diastolic heart failure has a proble with what in their heart?
ventricles filling
Your pt comes in with weight gain, edema and fatigue as the nurse you suspect R. sided heart failure. What actions should you take as the nurse?
teach them to restrict sodium intake, monitor labs for BNP, creatinine, BUN, electrolytes and weigh them daily
What can you see in a pts fingers and toes that are experiencing chronic left sided heart failure?
cyanosis
increase levels of BNP show an increase of ____ ____ ____
cardiac filling pressure
What type of antiplatelet would you suspect your pt to be on?
aspirin
Your pt is in a state of fluid overload what type of heart failure is this related to?
congestive heart failure
What would you suspect the Blood pressure trend to look like with right sided heart failure?
decreased blood pressure
What should the nurse do for a pt that is admitted with left sided heart failure that is experiencing dyspnea?
apply oxygen, monitor Oxygen sat, auscultate lungs
Your pt is ordered an EKG this is to look for what?
dysrhythmias
Your pt should also be educated to quit ____ and increase ____
smoking and increase exercise as possible
What type of heart failure is the most common related to the pumping of the heart?
systolic
A pt with Right sided heart failure will be ordere an accurate ____
I&O
What are some s/s of pulmonary congestion? select all that apply
A. headache
B. blood tinged sputum
C. fluid overload
D. crackles/wheezes
E. cough
B. blood tinged sputum\
D. crackles/wheezes
E. cough
Echocardiogram measures the ____ ___ which indicates the amount of in the ventricles at the end of diastole that is ejected during systole
ejection fraction
What is our main goal when treating a pt with heart failure?
improve cardiac function