Download System Disorder ALT_complete 2016

ACTIVE LEARNING TEMPLATE:
System Disorder
STUDENT NAME______________________________________
ch 32
Heart Failure
DISORDER/DISEASE PROCESS___________________________________________________________
REVIEW MODULE CHAPTER__AMS
__________
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Heart failure occurs when the heart muscle is unable to
pump effectively, resulting in inadequate cardiac output,
myocardial hypertrophy, and pulmonary congestion. The
heart is unable to maintain adequate circulation to meet
tissue needs.
Heart Failure
Health Promotion and
Disease Prevention
Maintain an exercise routine to remain
physically active; consume a diet low in Na+
and restrict fluids; don't smoke; take
medications as ordered
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors
Expected Findings
HTN, CAD, MI, COPD, Anemia,
Infection or Inflammation of heart
muscle, Hyperthyroidism, Septicemia,
cancer treatments, heredity
Laboratory Tests
Dyspnea, fatigue, S3 heart sound, cough,
crackles, frothy sputum, altered mental
status, jugular vein distension, edema,
abdominal distension, polyuria, weight gain
Diagnostic Procedures
BNP (will be elevated in patients
with HF), metabolic panel (renal)
Hemodynamic monitoring (PAWP,
CVP), Ultrasound to look at
ejection fraction, TEE, CXR, ECG
PATIENT-CENTERED CARE
Nursing Care
Monitor daily weight and I&O,
assess patient, labs, assess
responses to medications,
emotional support, client
education
Therapeutic Procedures
VAD, heart transplant
ACTIVE LEARNING TEMPLATES
medication
interactions
falls risk
skin breakdown
Complications
Medications
Diuretics,
afterload-reduci
ng agents,
Inotropic
agents, Beta
blockers,
vasodilators,
hBNP's,
Anticoagulants
Client Education
watch for medication side effects,
monitor BP, weigh daily, nutritional
guidelines (sodium and fluid
restrictions), schedule regular
follow-ups, medication administration,
smoking cessation (if applicable)
acute pulmonary
edema
cardiogenic shock
perciardial
tamponade
Interprofessional Care
Cardiology and pulmonary
services, respiratory
services, cardiac rehab,
nutritional services
Therapeutic Procedure A11