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- Common nursing diagnoses related to heart failure include decreased cardiac output, fluid volume excess, impaired gas exchange, activity intolerance, and anxiety. By addressing these diagnoses holistically, nurses promote optimal patient outcomes and quality of life.
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Feb 2, 2022 · Nursing Assessment. The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. In this section we will cover subjective and objective data related to heart failure.
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- Nursing Diagnosis: Decreased Cardiac Output related to increased preload and afterload and impaired contractility as evidenced by irregular heartbeat, heart rate of 128, dyspnea upon exertion, and fatigue.
- Nursing Diagnosis: Impaired Gas Exchange related to alveolar edema due to elevated ventricular pressures as evidenced by shortness of breath, SpO2 level of 85%, and crackles upon auscultation.
- Nursing Diagnosis: Deficient Knowledge related to new diagnosis of Congestive Heart Failure as evidenced by patient’s verbalization of “I want to know more about my new diagnosis and care”
- Nursing Diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion.
- Initiating Interventions for Decrease in Cardiac Output. A decrease in cardiac output in heart failure occurs because the heart muscle weakens or becomes stiff, impairing its ability to contract and relax properly.
- Monitoring Diagnostic Procedures and Laboratory Studies. Monitoring diagnostic procedures and laboratory studies is an essential aspect of caring for patients with heart failure.
- Administering Medication and Providing Pharmacological Interventions. Administering medication and providing pharmacological interventions are critical components of caring for patients with heart failure.
- Maintaining or Improving Respiratory Function. Maintaining or improving respiratory function is necessary for the care of patients with heart failure.
Sep 12, 2018 · This guideline covers diagnosing and managing chronic heart failure in people aged 18 and over. It aims to improve diagnosis and treatment to increase the length and quality of life for people with heart failure. NICE has also produced a guideline on acute heart failure.
Nov 5, 2023 · Acute and subacute presentations (days to weeks) are characterized by shortness of breath at rest and/or with exertion, orthopnea, paroxysmal nocturnal dyspnea, and right upper quadrant discomfort due to acute hepatic congestion (right heart failure).
- Ahmad Malik, Daniel Brito, Sarosh Vaqar, Lovely Chhabra, Chaddie Doerr
- 2023/11/05
- 2021
Oct 6, 2024 · CHF occurs when the heart’s ventricles are unable to pump sufficient blood to meet the body’s needs. This leads to fluid retention and congestion in organs and tissues. CHF is commonly caused by underlying conditions such as coronary artery disease, hypertension, and myocardial infarction.
May 19, 2022 · The 2022 AHA/ACC/HFSA Guidelines for Heart Failure Management recommends quadruple therapy (ARNI, BB, MRA, SGLT2I) up-titrated to target or maximally tolerated doses for patients diagnosed with heart failure with a reduced ejection fraction to reverse, stabilize, or slow disease progression.
