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Cardiac Failure Pathophysiology

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 Shortness

of breath
 Dyspnea
 Chest pain

ND: Decreased
Cardiac Output
 Fatigue or ND: Activity
weakness Intolerance

Edema due
to fluid
ND: Fluid
volume
volume excess
excess

ND: Decreased Cardiac


ND: Activity Intolerance ND: Excess fluid volume
Output Nursing
interventions interventions
Interventions

1. Assess vital signs, 1. Provide calm 1. Assess for


cardiac rhythm, and environment and peripheral edema,
hemodynamic avoid excessive anasarca, and JVD.
measurements. noise to the 2. Monitor breath
2. Monitor skin and patient and heart sounds.
pulses 2. Teach method to 3. Monitor urine
3. Elevate the head of conserve energy output and strict
the patient such as to ask I&Os.
4. Apply oxygen on 2L assistance for help
level 3. Recommend
5. Administer medication cardiac
upon physician’s rehabilitation
prescription
6. Instruct on ways how
to reduce workload of
the heart
REFERENCES USED:
Brunner and Suddarth (2009) Textbook of Medical Surgical Nursing 14 th edition – Volume 1; Unit 7, Chapter
Cardiovascular Diseases; Chronic Heart Failure (pages 789-815)
Khand A, Gemmel I., Clark AL, Cleland JG. Disorders of the heart; normal and abnormal myocardial function. In: Fauci
AS, editor McGraw-Hill 2007-2018
Figueroa M, Peters J, (2018) Congestive heart failure: Diagnosis, Pathophysiology, Therapy, and implications for
Respiratory care

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