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Cardiovascular Diseases Management Amp Nursing Care
Cardiovascular Diseases Management Amp Nursing Care
Faculty of Nursing
Cardiovascular Diseases
Management & Nursing Care
HIV/AIDS
Fatigue
Is one of the earliest symptoms of chronic CHF.
Dyspnea
Is a common manifestation of chronic CHF. It is
caused by increased pulmonary pressures
secondary to interstitial and alveolar edema.
Tachycardia
May be the first clinical manifestation of CHF. One
of the body's' first mechanisms to compensate for
a failing ventricle is the increase the heart rate.
Edema
It may occur in the legs, liver, abdominal cavity,
lungs .
Nocturia
When the person lies down at night. Fluid
movement from interstitial spaces back into the
circulatory system is enhanced . this causes
increased renal blood flow and diuresis. The
patient may complain of having to void six or
seven times during the night .
Skin changes
Because tissue capillary oxygen extraction is
increased in a person with CHF, the skin may
appear dusky, may be cool to the touch from
diaphoresis .
Behavioral changes
- pleural effusion
- Arrhythmias
- Left ventricular thrombus
- Hepatomegaly
Classification of congestive heart failure
6- Reducing anxiety.
B-For chronic congestive heart failure:
The main goal in the treatment of CHF is to:
1-Treat the underlying cause and contributing
factors maximize CO.
2- Provide treatment to alleviate symptoms .
-Non pharmacologic therapy:
New technique is the utilization of biventricular
pacing;. Cardiac resynchronization therapy
coordinated right and lifts ventricle contractility
through biventricular pacing.
- Cardiac transplantation:
Is often the treatment of choice. However the lack
Of donor hearts
and the challenges of care make it an option for
only a small number of patients with CHF.
Drug therapy :
Nursing interventions:-