short analysis of the right and left side congestive failure
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Language: en
Added: Aug 29, 2022
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RIGHT AND LEFT SIDE HEART FAILURE PRESENTED TO: Mr. QAMAR ZAMAN PRESNENTED BY: RAHOUL GHOURI
INTRODUCTION Heart failure is a condition where the heart can’t pump enough blood to meet the body’s demands. The heart muscles are weakened, and they can’t work as effectively as before. When this happens, tissues throughout the body are deprived of oxygen and other crucial nutrients . Heart failure is usually divided into two categories based on which side of the heart it mainly affects. The right side of the heart collects oxygen-depleted blood from the body and brings it to the lungs to be filled with fresh oxygen. The left side of the heart receives oxygen-rich blood from the lungs and sends it out to the rest of the body.
SIGN AND SYMPTOMS RIGHT SIDED HEART FAILURE LEFT SIDED HEART FAILURE Anorexia DYSPNEA Weight Gain ORTHO PNEA Hepatomegaly COUGH Edema HEMOPTYSIS Distended Neck Vein ADVENTITIOUS BREATH SOUNDS( Crackles maybe listen all over the lungs and rales at bases) Ascites Pulmonary Congestion Spleenomegaly Capillary refill more than 3 sec
COMPLICATIONS RIGHT SIDED HEART FAILURE LEFT SIDED HEART FAILURE Edema Arrhythmias Faulty Heart Valves Obstructive and central sleep apnea Damage to the Heart Muscles Systolic Heart Failure Myocarditis Kidney Damage or failure Abnormal Heart Rhythms Heart Attack High blood Pressure Coronary Artery Disease
CAUSES Allergic Reactions Any illness that affects the whole body Blood clots in the lungs Severe Infections Use of certain Medications Heart Valve disease Diabetes Genetic or congenital heart disease Alcohol Use and smoking Obesity
Nursing Management Assess the general condition of the patient Monitor the vital signs and circulation Administer oxygen Closely monitor the ECG changes of the patient Gather information about patient symptoms and activities in PQRST format Assess patient risk factors for CAD Assess patient’s family understanding about the diagnosis Monitor patient’s pulse rate and Bp
Nursing Management Monitor the oxygen saturation level frequently Monitor the lab values Keep the defibrillator and emergency tray ready at patient’s side Provide psychological support to the patient Teach the patient’s family about the compliance of the medications. Modification of the diet according to the causing factor of the disease
Medical Management Beta blockers. These drugs slow your heart rate and reduce blood pressure. Beta blockers may reduce signs and symptoms of heart failure, improve heart function, and help you live longer Diuretics. Often called water pills, diuretics make you urinate more frequently and keep fluid from collecting in your body. Diuretics, such as furosemide (Lasix), also decrease fluid in your lungs so you can breathe more easily
Medical Management Digoxin . This drug, also called digitalis, increases the strength of your heart muscle contractions. It also tends to slow the heartbeat. Digoxin reduces heart failure symptoms in systolic heart failure. It may be more likely to be given to someone with a heart rhythm problem, such as atrial fibrillation . Angiotensin-converting enzyme (ACE) inhibitors. These drugs relax blood vessels to lower blood pressure, improve blood flow and decrease the strain on the heart. Examples include enalapril ( Vasotec , Epaned ), lisinopril (Zestril, Qbrelis , Prinivil ) and captopril.