Right-Sided Heart Failure

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Causes of right sided heart failure include, sustained pulmonary hypertension from chronic pulmonary disease, pneumonia, pulmonary embolism or aortic or mitral stenosis. Additionally, right ventricular infarction, cardiomyopathy, tetralogy of Fallot, ventricular septal defect, decreased blood flow or pumping action to the right ventricle is said to cause right ventricular dysfunction. The nurse will find symptoms of right sided heart failure to include, peripheral edema, viscera congestion, hepatomegaly, engorged spleen, jugular venous distention and weight gain. A weight gain of 2 pounds or greater in 24 hours or greater than 5 pounds in one week is said to be worsening CHF.
Left ventricular dysfunction or left sided heart failure involves

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