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Topic Name: Right sided Heart Failure
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Statistics:About 6.5 million adults in the U.S. have heart failure. Heart failure was a contributing cause of 1 in 8 deaths in 2017
Etiology: Ischemic Heart Disease is most common etiology due to repeated episodes of hypoxia. Other major causes include, HTN
(hypertension), COPD (Chronic Obstructive pulmonary disease), and obstructive pulmonary disease
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Pathophysiology: The right ventricle is weak and has difficulty pumping all of its blood forward into the pulmonary artery. The ventricle’s
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inability to pump its contents forward causes a backup of blood, raising hydrostatic pressure within the right heart chambers. Unejected blood
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accumulates in the right ventricle, increasing pressure within the ventricle, which in turn causes increased backward pressure in the right atrium.
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Risk Factors (KJ) Sign & Symptoms (KJ) Diagnostic Labs & Radiology Tests (KJ)
● Age ● Jugular neck vein distention ● Framingham Criteria for Diagnosis of
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● Ethnicity Family history and genetics ● Swelling Congestive Heart Failure
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Diabetes Anorexia indigestion Elevated jugular venous pressure
● Obesity ● Abdominal swelling ● Elevated central venous pressure
● Lifestyle factors ● Ascites ● Dilutional hyponatremia
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● Medication ● Hepatomegaly ● Electrocardiography
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● Sleep apnea ● Splenomegaly ● Echocardiography
● Congenital heart defects ● Chest x-rays
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Medication (KJ)
Surgical & or Medical Treatment (KJ) ● Diuretics Possible Complications & Patient Edu.
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Changing to low-fat diet
Smoking cessation
Increase physical activity
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Beta-Adrenergic Blockers
ACE (Angiotensin-Converting Enzyme)
Inhibitors
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Abnormal heart rhythm
Heart valve problems
Anemia
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● Insert pacemaker ● Inotropic Agents ● Risk for morbidity mortality when not
● Intra-arterial pump devices ● Synthetic Natriuretics recognized or treated
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● Cardiac transplantation ● Nitrates
● Arterial Vasodilators
(KJ)
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https://www.coursehero.com/file/57954022/Left-Sided-vs-Right-Sided-Heart-Failure-pdf/
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Backward Effect (KJ)
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https://www.coursehero.com/file/57954022/Left-Sided-vs-Right-Sided-Heart-Failure-pdf/
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