Summary - Heart Failure Transes

Heart Failure MedSurge Pg 818-833
Pathophysiolo
gy HF
SYSTOLIC
Decreased blood flow from ventricle ( output)
Increase HR, Contractility (Epinephrine, Norepinephrine)
Vasoconstriction
Decrease Renal perfusion (Renin > AI > Lungs > AII)
Increase BP, Na + Fluid retention

DYSTOLIC HF
Decreased blood flow intake ( Input)
Decreased Contractility
Increased wall thickness




Clinical Manifestations:
Left-Sided Right-Sided Nursing
 Dyspnea
Management
 Edema PROMOTE ACTIVITY TOLERANCE
 SOB  Heptomegaly Avoid for deconditioning effects and risks; Pressure Ulcers &
venous thromboembolism.
 Dry cough  Ascites MANAGING FLUID VOLUME
 Adventitious Monitor closely by auscultating the lungs, monitoring daily body
 Anorexia
breathe sounds weight, and assisting pt to adhere to low sodium diet.
 Generalized CONTROLLING ANXIETY
 Oliguria weakness Nurse should take steps to promote physical comfort and
 Altered GI, psychological support.
decreased brain MINIMIZING POWERLESSNESS
perfusion Nurses should help pts recognize their choices and positively
influence outcomes.
 Vasoconstriction ASSISTING PATIENTS AND FAMILY
 Increased heart
rate




COLLABORATION
 MEDICAL

 SURGICAL

 PHARMACOLOGICAL