Right Sided Heart Failure
What are the manifestations of heart failure?
viscera and peripheral congestion, JVD, Dependent Edema, Hepatomegaly, Ascites, Weight gain
What are the manifestations of left-sided heart failure?
pulmonary congestion, crackles S3, ventricular gallop, dyspnea on exertion, low o2 saturation, dry, nonproductive cough initially, and oliguria
How much sodium a day does the AHA recommend?
1500 mg
How can we advocate for our patients when it comes to medications?
We can advocate for generic brands to help reduce costs, and we could recommend medications with longer therapeutic effects to help encourage adherence
what occurs in right sided heart failure?
hearts right ventricle is to weak to pump enough blood to the lungs
what occurs in left-sided heart failure?
the heart loses its ability to pump blood
Why is it important to adhere to follow up care?
it produces better outcomes because it ensures worsening manifestations are caught sooner
What is the most important thing to give our patients upon discharge planning?
Education is the number one thing we as nurses can do to help reduce hospital readmissions (s/s to watch for, risk, lifestyle changes, etc.).
What are some symptoms?
fluid build up in your legs, feet, ankles, lower back, GI tract, and Liver causing ascites
what are some symptoms?
CAD, Heart Attack, High BP, Abnormal Heart rhythms, weight gain, SOB
What psychological impact can heart failure have on someone?
Anxiety, depression, and or stress. Which is linked to a worse quality of life and outs them at higher risk for complications
What are some important lifestyle changes?
smoking cessation, moderate physical activity, avoidance of alcohol, DASH diet, adequate rest
what test can be used to diagnose heart failure?
Chest x-ray, EKG, Echocardiogram, and Blood tests to monitor natriuretic peptides, stress test, MRO, CT, Cardiac catheterization
what test can be used to diagnose left-sided heart failure?
BNP, metabolic panel, EKG, ECHO, coronary angiogram, Cardiac MRI
support groups, family and friend support, healthy coping mechanisms (meditation, reading books, journaling)
Why is medication adherence important?
It is essential to patients with HF for better health outcomes.
What conditions if detected early can help prevent?
alcohol disorder, anemia, obesity, Obstructive sleep apnea, Thyroid disorders, High BP, Heart valve disorders, abnormal heart rhythms
manage BP, physical activity, healthy weight, manage stress, smoking cessation
Why is it important to initiate palliative care early?
enhance education, help with resources, and is known to reduce hospital stays in children.
What are some ways to improve medication adherence?
Pill organizer, ways to cut medication costs, set a schedule, got a longer supply, read the labels carefully, enroll in refill reminders, find a provider you trust, use a medication tracker, know when the medication will run out