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s/s of left-sided heart failure restlessness, confusion, cyanosis, orthopnea,
tachycardia, fatigue, pulmonary congestion,
paroxysmal nocturnal dyspnea, elevated capillary
wedge pressure
left ventricular failure or severe mitral elevated capillary wedge pressure
stenosis
pulmonary edema tachycardia, increased cardiac workload, crackling in
lower lobes (basilar crackles)
(on test, all options have to be correct, answer with
basilar crackles is not correct because of the other
options)
s/s of right-sided heart failure fatigue, ascites, dependent edema, increased
peripheral venous pressure, enlarged liver and
spleen, distended jugular veins, weight gain, may be
secondary to chronic pulmonary problems, anorexia,
and complaints of GI distress
medications that are given for fluid - bedrest in high fowlers positions, administer O2 as
overload needed, slow IV rate to keep vein open, diuretics,
and pain meds
- Lasix (furosemide), bumetanide, Demadex
(torsemide), and Edecrin (ethacrynic acid) Thiazide
diuretics, like Microzide (hydrochlorothiazide),
chlorthalidone, and Zaroxolyn (metolazone)
, EKG detects cardiac arrythmias
chest x-ray - can show multiple abnormalities
(pulmonary effusion, pneumothorax, pericarditis,
pleural effusion, rib fractures, tumor, enlarged heart,
atelectasis, pneumonia)
echocardiogram - noninvasive ultrasound of the heart to detect the
heart structure shape and function
- showing ejection flow of the heart
cardiac catheterization - ejection flow with detected with MRI, while the DR
inserts a catheter via the radial or femoral artery
- THIS IS AN INVASIVE PROCEDURE
- usually done outpatient can go home same day
after monitoring
- biggest risk is bleeding
- if blockage is great, then they will place a stent
- if they find the blockage to be so severe, they will
schedule for a sudden CABG
promote a healthy heart - active lifestyle
- diet (no added salt to foods, limit fast food intake,
no processed or frozen foods)
- stop smoking
- no alcohol
- maintain BP
- maintain normal sugar
- control cholesterol levels
understand steps to take if a cardiac
monitor shows an arrythmia
identify heart healthy foods that can
be recommended for a patient with
poor perfusion