Nursing care congestive heart failure
Monitoring includes basic observations of temperature, respiratory rate, heart rate, blood pressure, oxygenation, urinary output and serial ECGs.
Nutritional assessment, e. The aim is that the patient has a urinary output greater than 0.
For example, if your patient is taking furosemide and a potassium supplement, teach her that these two medications are related to each other. These are used to counter the effects of the sympathetic nervous system SNS.
Nursing management of cardiac emergencies ppt
A physical assessment will also be made to examine for pitting peripheral oedema, sacral, abdominal and pulmonary oedema Dickstein et al. Diuretics act on the kidneys, causing water, sodium, potassium, or other electrolytes to be lost, depending on where in the kidney the diuretic is working. If the patient is responding positively to treatment signs include an increase in blood pressure, reduction in respiratory rate and breathlessness, as well as warm peripheries. Heart Failure Core Measure Set. Reinforce your teaching with written or other materials to enhance your patient's learning. Equally, patients may be undertreated or their underlying condition may deteriorate. National and international guidelines suggest best practice in their use. Deliver reliable, evidence-based care for congestive heart failure. Transition home program reduces readmissions for heart failure patients. Is this an acute or chronic problem? If she has high BP or diabetes, she should work with her healthcare provider to keep these under control. Signs and symptoms of fluid overload or poor tissue perfusion indicate that a patient has this syndrome. Many patients with heart failure believe that they can adjust the dosage of their diuretic themselves if they gain weight. Blood pressure should be monitored continuously in the acute phase. If necessary oxygen therapy should be administered as prescribed.
Blood pressure may be elevated or reduced and cardiogenic shock can occur with a blood pressure below 90 mmHg systolic which can be seen in left ventricular failure due to myocardial infarction. A rapid increase in weight can indicate that the patient is becoming fluid overloaded.
Placement of a central venous catheter allows administration of fluids and medications as well as monitoring of the central venous pressure.
based on 103 review