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    Left-Sided Heart Failure

    Uploaded by

    jhon
    This document discusses cardiovascular disease, specifically left-sided and right-sided heart failure. Left-sided heart failure occurs when the left ventricle cannot adequately pump blood to the body, which can back up in the lungs causing shortness of breath. Right-sided heart failure is when the right side of the heart cannot efficiently pump blood, showing symptoms like jugular vein distension and edema. Both types are managed through non-pharmacological methods like diet, activity, and weight control as well as pharmacological treatments like diuretics and vasodilators. Nursing diagnoses and interventions focus on monitoring for changes in vital signs, fluid levels, and providing patient education.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Left-Sided Heart Failure

    Uploaded by

    jhon
    126 views17 pages
    This document discusses cardiovascular disease, specifically left-sided and right-sided heart failure. Left-sided heart failure occurs when the left ventricle cannot adequately pump blood to the body, which can back up in the lungs causing shortness of breath. Right-sided heart failure is when the right side of the heart cannot efficiently pump blood, showing symptoms like jugular vein distension and edema. Both types are managed through non-pharmacological methods like diet, activity, and weight control as well as pharmacological treatments like diuretics and vasodilators. Nursing diagnoses and interventions focus on monitoring for changes in vital signs, fluid levels, and providing patient education.

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    This document discusses cardiovascular disease, specifically left-sided and right-sided heart failure. Left-sided heart failure occurs when the left ventricle cannot adequately pump blood to the body, which can back up in the lungs causing shortness of breath. Right-sided heart failure is when the right side of the heart cannot efficiently pump blood, showing symptoms like jugular vein distension and edema. Both types are managed through non-pharmacological methods like diet, activity, and weight control as well as pharmacological treatments like diuretics and vasodilators. Nursing diagnoses and interventions focus on monitoring for changes in vital signs, fluid levels, and providing patient education.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    126 views17 pages

    Left-Sided Heart Failure

    Uploaded by

    jhon
    This document discusses cardiovascular disease, specifically left-sided and right-sided heart failure. Left-sided heart failure occurs when the left ventricle cannot adequately pump blood to the body, which can back up in the lungs causing shortness of breath. Right-sided heart failure is when the right side of the heart cannot efficiently pump blood, showing symptoms like jugular vein distension and edema. Both types are managed through non-pharmacological methods like diet, activity, and weight control as well as pharmacological treatments like diuretics and vasodilators. Nursing diagnoses and interventions focus on monitoring for changes in vital signs, fluid levels, and providing patient education.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 17

    Cardiovascular Disease

    Right-sided heart failure

    Left-sided heart failure

    Cardiovascular disease

    The cardiovascular disease that most


    commonly cause during the pregnancy are
    valve damage and atrial septic defect.

    Left-sided heart failure


    - Left-sided heart failure is a life-threatening
    condition in which the left side of the heart
    (left ventricle) cannot move the volume of
    blood forward that it has received by left
    atrium from pulmonary circulation so the
    heart fails to function.
    - Fluid may back up in your lungs, causing
    shortness of breath.

    Signs and Symptoms

    Cough
    Fatigue, weakness, faintness
    Pulmonary edema
    Irregular rapid pulse
    heart rate
    SOB
    Palpitations

    Classification of Cardiac Disease

    Management

    Non-pharmacologic

    Dietary sodium and fluid restriction


    Appropriate physical activity
    Attention to weight gain
    Avoid fatty foods

    Management

    Pharmacologic

    Anti-HPN
    Beta-blockers
    Diuretics
    Vasodilators
    Heparin

    Nursing Dx
    Decrease cardiac output r/t altered heart
    rate and rhythm
    Interventions:
    1.

    2.

    3.
    4.

    Assess for abnormal heart and lung


    sound.
    Monitor blood pressure and pulse.
    Assess mental status and LOC.

    Nursing Dx
    2. Excess fluid volume r/t decrease cardiac
    output of sodium and water retention
    Interventions:

    Monitor I&O every 4 hours

    Assess for presence of peripheral edema.

    Follow low-sodium diet and/or fluid


    restriction.

    Nursing Dx
    3. Ineffective tissue perfusion r/t decrease
    cardiac output
    Intervention:

    Elevate head of bed.

    Monitor vital signs, especially blood


    pressure and pulse, every 5 mins. until the
    pain subsides.

    Provide oxygen and monitor oxygen


    saturation via pulse oximeter, as ordered.

    Right-Sided Heart Failure


    Right-sided heart failure is a condition in which the
    right side of the heart loses its ability to pump
    blood efficiently.

    Signs and Symptoms

    Jugular vein distention


    Distended liver and spleen
    Extreme dyspnea
    Excessive urination at night
    Fatigue,tiredness
    Peripheral edema
    Ascites

    Classifications of Cardiac
    Diseases

    Nursing Dx
    1. Ineffective breathing pattern related to
    fatigue and decreased lung expansion and
    pulmonary congestion secondary to CHF
    Interventions :
    Monitor VS
    Observe breathing pattern for SOB
    Assist patient to use relaxation techniques

    Nursing Dx
    2. Activity intolerance r/t imbalance O2 supply
    and demand
    Encourage patient to have adequate bed
    rest and sleep
    Assist the client in a side-lying position
    Elevate the head of the bed

    Nursing Dx
    3. Knowledge deficient related to lack of
    understanding/misconceptions about
    interrelatedness of cardiac disease
    Promote rest
    Promote healthy nutrition
    Educate regarding medication

    Management

    If possible avoid pregnancy.


    Administer oxygen
    Frequent arterial blood gas assessment
    Pulmonary artery catheter
    Extreme close monitoring

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