When the left ventricle is unable to pump enough blood to meet the bodies demands
What is Left Sided Heart Failure?
100
Occurs when the right ventricle is unable to pump effectively against increased pressure in the pulmonary circulation.
What is Right sided heart failure?
100
Number one drug used to slow and strengthen the heart
What is Digoxin (Lanoxin)?
100
Circulatory congestion caused by the heart inability to pump effectively.
What is Heart Failure?
100
Position for someone who has orthopnea
What is Semi-Fowlers?
200
Difficulty breathing when lying down.
What is orthopnea?
200
symptoms of right sided heart failure
What is weight gain, distended jugular veins, liver enlargement, ascites, edema in feet and ankles
200
drugs used to relieve edema
What are diuretics (thiazides, sulfonamides, aldosterone agonists)?
200
Epinephrine and Norepinephrine. Chronic release of them by the sympathetic nervous system produce harmful effects on the failing heart.
What are catecholamines?
200
main goal of nursing interventions for CHF.
What is prevent disease progression and complications?
300
symptoms of left ventricular heart failure
What are dyspnea, confusion, cough, frothy sputum, orthopnea, pulmonary crackles.
300
Pitting edema scores
What are + 1 (trace), +2 (mild), +3 (moderate), +4 (severe)?
300
morphine does what?
What is relieves chest pain related to CHF?
300
side effects of beta-blockers
What are bradycardia, hypertension, depression, fatigue, lethargy?
300
Specific Nursing interventions for CHF
What are monitor vital signs, note signs of respiratory distress or pulmonary edema, monitor S & S of left vs right sided HF.
400
Two major consequences of Left sided heart failure
What are decreased cardiac output and pulmonary congestion?
400
1 liter of body fluid is how many pounds?
What is 2.2 lbs?
400
Side Effects of calcium channel blockers
What are constipation, exacerbation of CHF, hypertension, bradycardia, peripheral edema?
400
Define Ejection Fraction.
What is important measurement in determining how well your heart is pumping out blood and in diagnosing and tracking heart failure?
400
NI to decrease cardiac demand and improve cardiac function
What are limit physical activity, monitor serum electrolytes (potassium and sodium), maintain normal body temp, decrease stress and activity, urinary output, oxygen?
500
Increasing pressure in the pulmonary capillary beds causes...
What is respiratory distress?
500
Areas edema appears
What are: sacrum, feet and ankles, thighs, external genitalia, lower trunk
500
Names of some nitrate drugs
What are: nitroglycerin (sublingual, topical, translingual spray), isosorbide dinitrite (PO).
500
Define severe Heart Failure
What are: unable to perform any physical activity without discomfort, angina and symptoms of cardiac inefficiency may develop at rest; physical activity increases discomfort
500
Nursing intervention for a beta-blocker
What are: closely monitoring the patient, teach client how to decrease the effects of postural hypotension, tech client to continue medication regardless of feeling better, check pulse for bradycardia; if DM, BG may be impaired.