Situation: Two patients in their 70s present to the office at different times today‚ each with documented heart failure: one diastolic and the other systolic‚ and both are hypertensive. First‚ discuss the difference between systolic and diastolic heart failure‚ providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity
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Chapter 35: Nursing Management: Heart Failure Test Bank MULTIPLE CHOICE 1. While assessing a 68-year-old with ascites‚ the nurse also notes jugular venous distention (JVD) with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding indicates a. decreased fluid volume. b. jugular vein atherosclerosis. c. increased right atrial pressure. d. incompetent jugular vein valves. ANS: C The jugular veins empty into the superior vena cava and then into the right atrium‚ so JVD with
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stressor for the patient‚ but also for the family. This fact requires that nursing provide interventions to the family as well as the patient to ensure positive health and well being. The purpose of this paper is to discuss the nursing interventions of education‚ support and acting as an integrator to promote the health of a patient and family dealing with congestive heart failure. Congestive heart failure is a chronic illness that affects nearly 5.7 million Americans (Piamjariyakul
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In the conclusion‚ the results based on the data are presented and given in great detail to explain the importance of the data to the study. The data collected is sufficient enough to draw a conclusion because this study is based on the patient outlook and how they answer the questions within the different questionnaires‚ it is all based on perception and what self-care activities they are capable of. But‚ when looking at the data from questionnaire the results are solely based on the opinion of
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Fatigue associated with congestive heart failure: use of Levine’s Conservation Model Karen Moore Schaefer RN DNSc‚ and Mary Jean Shober Potylycki RN BSN Reaction: Fatigue simply defined as imbalance between energy demands to supply available. It is usually perceived as a pervasive personal problem that accompanies most illnesses. Knowing this thought‚ it is very important to consider verbal and non-verbal cues that signify that the patient is experiencing fatigue. As a nurse‚ it is our role
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Congestive Heart Failure Congestive Heart Failure‚ also known as "cardiac decompensation‚ cardiac insufficiency‚ and cardiac incompetence‚" (Basic Nursing 1111) is an imbalance in pump function in which the heart is failing and unable to do its work pumping enough blood to meet the needs of the body’s other organs. To some people‚ heart failure is defined as a sudden and complete stoppage of heart activityi.e. that the heart just stops beating. This is an inaccuracy. Heart failure usually develops
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Managing Heart Failure Carla Vossen‚ SPN Kristin Madigan RN‚ BSN NURS 1300: Research Project South Central College November 23‚ 2009 Heart failure is a chronic and progressive syndrome‚ resulting from the inability of the heart muscle to pump with enough force to meet the metabolic demands of the body. (Buckler‚13) According to the Center for Disease Control; (CDC) there are approximately five million people in the United States that have heart failure. Approximately 550 thousand people
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Scientific Basis Congestive Heart Failure is a disease in which the heart is unable to properly keep up with the amount of blood being sent to the heart. The heart muscle itself‚ in the case of heart failure‚ is unable to sufficiently pump the blood away from the heart and to the body to keep up with the incoming deoxygenated flow. This failure to pump blood can build up pressure and cause additional pumping resistance. The decreased cardiac output of heart failure causes the circulation to become
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Congestive Heart Failure Congestive Heart Failure is a condition in which the heart cannot pump enough blood to meet the needs of the rest of the body (Department of Health & Human Services‚ 2012). The failure can occur in on either side of the heart. In left-side heart failure‚ fluid backs up into the lungs‚ causing shortness of breath‚ due to the fact that the blood entering the left side of the heart comes from the pulmonary artery‚ and when the left ventricle cannot pump fluid out of the
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Congestive Heart Failure Congestive heart failure is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures‚ the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood
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