Course Code NCM 104

Course Title HEART FAILURE (CONGESTIVE HEART FAILURE)

Level Offering 2ND Semester AY 2020-2021

Clinical area of assignment MEDICAL WARD
Date of Exposure FEBRUARY 8, 9 & 10, 2021
No. of hours 24 hours

DIZON, DEXIE
BSN3

Diagnostic Procedure Description Purpose Nursing Responsibilities

1. Chest X-ray >Chest X-rays produce >A chest X-ray is a fast >Promoting good fluid
images of your heart, and painless imaging test intake through the use of
lungs, blood vessels, that uses certain intravenous fluids will
airways, and the bones of electromagnetic waves to help promote release of
your chest and spine. create pictures of the secretions; humidified
Chest X-rays can also structures in and around oxygen therapy could also
reveal fluid in or around your chest. This test can be helpful. Physiotherapy
your lungs or air help diagnose and may also help to achieve
surrounding a lung monitor conditions such sputum samples and
as pneumonia, heart promote recovery.
failure, lung cancer,
tuberculosis, sarcoidosis,
and lung tissue scarring,
called fibrosis.

2. Glucose Test >A blood sugar test is a >A blood glucose test >There are no restrictions
(Glocumeter test) procedure that measures measures the amount of for the random glucose
the amount of sugar, or glucose in your blood. test. Instruct the patient
glucose, in your blood. Glucose, a type of simple to fast for at least 8 hr
Your doctor may order sugar, is your body's main before specimen
this test to help diagnose source of energy. Your collection for the fasting
diabetes. People with body converts the glucose test and not to
diabetes can also use this carbohydrates you eat consume any caffeinated
test to manage their into glucose. Glucose products or chew any
condition. testing is primarily done type of gum before
for people with type 1 specimen collection;
diabetes, type 2 diabetes, these factors are known
and gestational diabetes. to elevate glucose levels.
Instruct the patient to
follow the instructions
given for 2-hr
postprandial glucose test.
Some health-care
providers (HCPs) may
order administration of a
standard glucose
solution, whereas others
may instruct the patient
to eat a meal with a
known carbohydrate
composition.
3. CBC test >A complete blood count
(CBC) is a blood test used
to evaluate your overall
health and detect a wide
range of disorders,
including anemia,
infection and leukemia. A
complete blood count
test measures several
components and features
of your blood, including:
Red blood cells, which
carry oxygen.
4. ECG >An electrocardiogram
(ECG) is a medical test
that detects cardiac
(heart) abnormalities by
measuring the electrical
activity generated by the
heart as it contracts. The
machine that records the
patient's ECG is called an
electrocardiograph.
5. 2DECHO >A non-invasive heart
investigation that creates
images of the sections of
the heart using sound
vibrations. It presents the
various parts of the heart
as in pictures so that it
becomes easy to check if
there is any damage or
blockages, and blood flow
rate.
6. Holter Monitor >A type of portable
electrocardiogram (ECG).
It records the electrical
activity of the heart
continuously over 24
hours or longer while you
are away from the
doctor's office. A
standard or "resting" ECG
is one of the simplest and
fastest tests used to
evaluate the heart.
>Evaluate the cells that
circulate in blood,
including red blood cells
(RBCs), white blood cells
(WBCs), and platelets
(PLTs). The CBC can
evaluate your overall
health and detect a
variety of diseases and
conditions, such as
infections, anemia and
leukemia.
>An ECG
(electrocardiogram)
records the electrical
activity of your heart at
rest. It provides
information about your
heart rate and rhythm,
and shows if there is
enlargement of the heart
due to high blood
pressure (hypertension)
or evidence of a previous
heart attack (myocardial
infarction).
>Shows how well blood
flows through your
heart's chambers and
valves. Echo can detect
possible blood clots inside
the heart, fluid buildup in
the pericardium (the sac
around the heart), and
problems with the aorta
>Used to determine how
the heart responds to
normal activity. The
monitor may also be
used: After a heart attack.
To diagnose heart rhythm
problems that may be
causing symptoms such
as palpitations or syncope
(passing out/fainting)
>Explain test procedure.
Explain that slight
discomfort may be felt
when the skin is
punctured.
>Small areas of hair on
the client's chest or
extremities may be
clipped; clipping usually is
not necessary.
>The responsibilities of a
nurse during
echocardiography
includes explanation of
the procedure to the
patient, monitoring
during transesophageal
and stress examinations,
and establishing
intravenous access for
sonicated saline,
microsphere contrast,
and medication
administration.
> Advise the patient to
wear loose-fitting
clothing. Provide
precautionary measures.
Apply electro paste or
conductive paste to the
skin sites. Explain the
importance of
maintaining a diary to
record activities.
Reference/s: Textbooks /Online resources are allowed but should not come from blogs or Wikipedia
FEEDBACK: That’s the spirit keep going.
You might want to have a few minutes break before proceeding to the areas of the module.

Prepared by:

HILARIO A. SANGLAY
Clinical Instructor

Noted by:

GINA L. CASI, RN.Ph.D

Dean-CNC