Our heart is like a double pump mechanism where the right side pumps deoxygenated blood to our lungs and the left side pumps oxygen rich blood to circulate back through our bodies. This process provides a continuous supply of oxygen and eliminates carbon dioxide waste from our body. When there is a disturbance to this process, it causes our heart the inability to pump sufficiently to meet our body’s demands. This causes the body to accumulate blood and fluid in the organs and tissues and will lead to impaired circulation or congestive heart failure. Congestive heart failure is not only the inability to maintain the adequate oxygen delivery; it’s also systemic in attempting to compensate for inadequacy. In general, there have been many great …show more content…
The left side ventricle strength fails to pump enough blood to the body known as cardiac output and backs up into the lungs. This is due to an enlarged ventricle or damaged cardiac muscle. The diastolic failure of left ventricle is the stretching and filling where the ventricle cannot pump the same percentage of blood that is being ejected at each contraction causing it not to stretch enough take to the aorta. Consequently, right side failure is when the ventricle cannot pump its diastolic filling volume into the pulmonary artery, which causes oxygenation problems. Usually this results from left side lung disease such as COPD and fibrosis. As we know, pulmonary disease impairs the exchange of carbon dioxide and oxygen in the alveoli which leads to increase carbon dioxide in the blood. When this happens, we experience pulmonary arterial vasoconstriction resulting in hypertension. The right ventricle is pumping at an increased workload and leads to failure. The right ventricle fails to empty completely and blood is then trapped in the venous vascular system. Thus, the outcome of decreased cardiac output is congestive heart
Pulmonary stenosis (PS) - Pulmonary Stenosis causes an obstruction of blood flow from the right ventricle into the pulmonary arteries. This obstruction causes the right ventricle to have more difficulty pumping the oxygen-poor blood received from the vena cava to the lungs in order to pick up the oxygen needed. Therefore causing a decrease in exchange of oxygen in the lungs, as well as a decrease of blood volume to the lungs.
It occurs because of repetitive electrical activity. This can occur in a patient with early or late heart failure, because there is damage to the heart tissue and the heart beats faster to try to supply the body with blood. Recommended treatment is elective cardioversion. Drugs used include an antidysrhythmic such as Mexitil or Sotalol (Ignatavicius &Workman, p. 728-729).
The aim of this report is to provide an overview of chronic heart failure, examining signs symptoms and treatment related to the case study, and the anatomy and physiology of the heart will be discussed, and the pathophysiology of chronic heart failure.
Heart disease is the leading cause of death in the United States and the estimated cost of treatment is $32 billion yearly. Approximately 5 million people living in the United States suffer from congestive heart failure (CHF) and half of those diagnosed will die within 5 years. An individual may present to the hospital with weakness, short of breath (SOB), swelling of the extremities, ascites, and breathing difficulties while lying down. The quality and length of life for someone suffering from heart failure can be improved with early diagnosis, medication, physical activity, and diet modification (CDC, 2013).
This systematic review conducted by Takeda A, Taylor SJC, Taylor RS, Khan F, Krum H, Underwood M, (2012) sourced twenty-five trials, and the overall number of people of the collective trials included was 5,942. Interventions were classified and assessed using the following headings.-
... as the heart, major blood vessels, and airways) toward the other side of the chest. The shift can cause the other lung to become compressed, and can affect the flow of blood returning to the heart. This situation can lead to low blood pressure, shock, and death.
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart failure, and they are Coronary artery disease, Heart attack, Cardiomyopathy, and conditions that overwork the heart.
Heart failure is a major clinical, social and economic problem in the United Kingdom according to the Department of Health [DH] (2013).The National Institute for Health and Clinical Excellence [NICE] (2010) reported that about 900,000 people suffer from heart failure in the United Kingdom. The National Institute for Cardiovascular Outcomes Research [NICOR] (2011) conducted a national audit which found that one in every 20 people over the age of 65 is diagnosed with heart failure which demonstrates that it mainly affects the elderly. As a leading cause of mortality, heart failure contributes to more than 6,000 deaths each year (NICOR, 2011). Newly diagnosed cases of heart failure have a 40% risk of dying within a year (NICOR, 2011). Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010).
Over 670,000 people a year are informed that they have congestive heart failure, also known as CHF. At first it may be pretty scary too hear these words, so let me explain a little bit about CHF. Congestive heart failure does not mean that the heart has failed to work, it simply has started pumping weaker than normal. There are a large number of signs & symptoms including: congested lungs, edema, irregular heartbeats, dizziness, and fatigue. Numerous things can cause CHF like coronary artery disease, a heart attack, hypertension, and diabetes. In this paper I will give a case scenario about a patient I cared for, a thorough assessment, and come up with two nursing diagnosis that apply to this patient. Taking the diagnosis into account I will create two goals and two interventions for each goal.
Congestive heart failure represents the end product of the many conditions that reduce the thrusting ability of the heart. Congestive heart failure is not a detailed disease but a illness that is measured by the inability of the heart to pump blood adequate with the metabolic needs of the body. Heart failure is accompanied by overcrowding of the body tissues. For instance, heart failure may be shown as an acute condition as in pulmonary edema or as a chronic condition as in congestive heart
“Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body's needs for blood and oxygen” (American Heart Association, 2012, para 3). What this basically means is that the body is functioning in a way that the heart cannot keep up with. Although heart failure can be acute and occur suddenly, it usually develops over time and is a long-term or chronic condition. There are two different types of heart failure, left-sided and right-sided, and they can be caused by other diseases such as diabetes, coronary heart disease, or high blood pressure (National Institutes of Health, 2012). In most cases, both sides of the heart are affected simultaneously.
Most often the disease starts in the left ventricle, and then often spreads to both the atrium and right ventricle as well. Usually there will also be mitral and tricuspid regurgitation, due to the dilation of the annuli. This regurgitation will continue to make problems worse by adding excessive volume and pressure to the atria, which is what then causes them to dilate. Once the atria become dilated it often leads to atrial fibrillation. As the volume load increases the ventricles become more dilated and over time the myocytes become weakened and cannot contract as they should. As you might have guessed with the progressive myocyte degeneration, there is a reduction in cardiac output which then may present as signs of heart failure (Lily).
The implementation plan targets to educate congestive heart failure (CHF) patients proficiently by applying Dorothea Orem’s theory of self-reliance and self-care management to reduce incidences of re-hospitalization. This plan is for the patients who are recently treated in a facility and now are ready for discharge from the hospital. The main purpose of this program is to teach CHF patients that how positive lifestyle changes can improve their health conditions and help them to avoid frequent re-hospitalization.
According to the doctor, the patient might have developed congestive heart failure. Is it right-sided or
The aim of this scenario-based assignment is to discuss the therapeutic intervention in the care of a patient with Congestive Cardiac Failure (CCF). A brief summary of the patient’s medical history will be given while discussing one specific nursing problem in terms of heart rate/ rhythm. Also, an overview of aetiology will be given as well as pathophysiology in order to explain the rationale for treatment and monitoring. Relevant research relating to the literature will be utilised throughout in order to critically analyse the care provided for the patient and determine if the patient received evidence based up-to-date care. In accordance with the statement from the Nursing and Midwifery Council (2008) code of conduct regarding patient confidentiality, no personal details of the patient involved will be disclosed. Therefore, the patient will be identified as Mrs S.