Kopieren und bearbeiten

Congestive Heart Failure

Beschreibung

Congestive heart failure Mindmap am Congestive Heart Failure, erstellt von Lallise Maya am 01/03/2017.
Lallise Maya
Mindmap von Lallise Maya, aktualisiert more than 1 year ago
Lallise Maya
Erstellt von Lallise Maya vor mehr als 7 Jahre
40
1
0

Zusammenfassung der Ressource

Congestive Heart Failure
  1. Pathophysiology ( Nicholson, 2014; Casey, 2013)
    1. Ventricular Failure
      1. Systolic Failure
        1. Cardiomyopathy
          1. Inability of heart to pump blood
            1. Impaired contractile function
              1. Increased afterload (hypertension)
                1. Mechanical abnormailites (valvular heart disease)
                2. Diastolic failure
                  1. Decrease in stroke volume
                    1. High filling pressure
                      1. Venous engorement
                        1. In both pulmonary and systemic vascular systems
                    2. What is Congestive heart failure?
                    3. Causes of Heart failure (Casey, 2013 ; Lewis, 2014)
                      1. F
                        1. Faulty Heart Valves
                          1. A
                            1. Arrhythmias
                              1. I
                                1. Infarction - MI, CAD,
                                  1. L
                                    1. U
                                      1. R
                                        1. E
                                          1. Evaders (viruses or infections) Myocarditis, Bacterial endocarditis
                                          2. Rheumatic heart disease, Rupture of papillary muscle, recreational use (cocaine and alcohol)
                                          3. Uncontrolled Hypertension
                                          4. Lineage Congenital,
                                  2. Types of Heart failure (Casey, 2013), (Lewis, 2014)
                                    1. Right sided heart failure
                                      1. Causes
                                        1. Left sided failure
                                          1. Cor pulmonaale
                                            1. Right ventricular infarcation
                                            2. Effects
                                              1. backward blood flow to right atrium
                                                1. Hepatomegaly
                                                  1. Jugular distension
                                                  2. Signs and symtoms
                                                    1. Peripheral edema, weight gain, ascites, JVD distension, nausea, anorexia
                                                  3. Left sided heart failure
                                                    1. Causes
                                                      1. Left ventricular dysfuncation
                                                      2. Effects
                                                        1. Blood back ups to the left atrium
                                                          1. Pulmonary congestion
                                                          2. Signs and symptoms
                                                            1. Fatigue, Dyspnea, Orthopnea, Dry hacking cough, Pulmonary edema, Nocturia, Paraoxysmal nocturnal dyspnea, LV hypertrophy, S3 & S4, crackles,
                                                        2. Risk factors (Nicholson, 2014; Riley, 2013)
                                                          1. Modifiable
                                                            1. Hypertension
                                                              1. Excessive alcohol consumption
                                                                1. Obesity
                                                                  1. Diabetes
                                                                  2. Non- Modifiable
                                                                    1. 65 years and older (DeFelice & Masucci , 2010)
                                                                      1. Family history
                                                                        1. Renal failure
                                                                          1. Women
                                                                            1. Africans
                                                                          2. Diagnosis
                                                                            1. NURSING DIAGNOSIS (Cavalcanti, & Pereira, 2014).
                                                                              1. PAST AND CURRENTMEDICAL HISTORY
                                                                                1. PHYSICAL EXAMINATION
                                                                                  1. ACTIVITY INTOLERANCE RELATED TO FATIQUE
                                                                                    1. EXCESS FLUID VOLUME AS EVIDENCE BY EDEMA
                                                                                      1. IMPAIRED GAS EXCHANGE RELATED INCREASE PRELOAD
                                                                                        1. ANXIENTY RELATED TO DYSPNEA OR PERCEIVE THREAT OF DEATH
                                                                                        2. MEDICAL DIAGNOSIS (DeFelice & Masucci, 2010)
                                                                                          1. CHEST XRAY
                                                                                            1. ECHOCARDIOGRAM
                                                                                              1. HEMODYNAMIC MONITORING
                                                                                                1. CARDIAC ENZYMES
                                                                                                  1. 12 LEAD ECG
                                                                                                    1. EXERCISE STREE TEST
                                                                                                      1. B-TYPE NATRIURETIC PEPTIDE TEST
                                                                                                    2. Treatments
                                                                                                      1. Pharmacologic (Riley, 2013; Nicholson, 2014; Casey, 2013)
                                                                                                        1. Medications that decrease the load on heart
                                                                                                          1. Diuretics
                                                                                                            1. ARBS e.g losartan
                                                                                                              1. Vasofilators
                                                                                                                1. ACE inhibtors e.g ramipril
                                                                                                                  1. Aldosterone antagonist
                                                                                                                  2. Medications that increases the function of the heart
                                                                                                                    1. Calcium channel blocker
                                                                                                                      1. Beta Blockers e.g bisoprolol
                                                                                                                        1. Intotropics
                                                                                                                          1. Digoxin
                                                                                                                          2. Medications for pain managment
                                                                                                                            1. Morphine
                                                                                                                          3. Non- Pharmacologic (Casey, 2013; DeFelice & Masucci ,2010)
                                                                                                                            1. Decrease sodium restriction - (2-3 g) per day (Lewis, 2014)
                                                                                                                              1. Fluid restriction - 1.5-2 L per day
                                                                                                                                1. Excerise Conway, 2015)
                                                                                                                                  1. Smoking cessation & Alcohol reduction if CHF is due to this (Fletcher, L., & Thomas, D. (2001)
                                                                                                                                    1. surgery
                                                                                                                                      1. ABG
                                                                                                                                        1. Heart Transplant
                                                                                                                                      2. Collaborative Care (Lewis, 2014)
                                                                                                                                        1. Physicians
                                                                                                                                          1. Cardiologists
                                                                                                                                            1. Surgeons
                                                                                                                                              1. Family doctors
                                                                                                                                              2. Nursing Interventions (Chapa et al. ,2014; Nicholson, 2014; (McLaughlin, Hoy & Glackin, 2015)
                                                                                                                                                1. Providing medications to alleviate symptoms
                                                                                                                                                  1. Fluid & Electrolyte mgt
                                                                                                                                                    1. Dietary education
                                                                                                                                                      1. Monitor daily weight
                                                                                                                                                        1. O2 theraphy
                                                                                                                                                          1. Decrease anxiety
                                                                                                                                                            1. Energy & rest mgt
                                                                                                                                                              1. Help plan end of l;ife care
                                                                                                                                                              2. Dietians provide education on required diet, fluid intake, sodium intake
                                                                                                                                                                1. Pharmacist
                                                                                                                                                                2. NURSING ASSESSMENTS (Nicholson, 2014)
                                                                                                                                                                  1. SUBJECTIVE
                                                                                                                                                                    1. Nausea, Vomiting, Orthopnea, cough, chest pain, fatique,constipation, anxiety (Chapa et al. ,2014; Nicholson, 2014)
                                                                                                                                                                    2. OBJECTIVE
                                                                                                                                                                      1. Peripheral edema,Abdominal distention,ascities, restlessness, confusion, hepatosplenomegaly, decrease memory loss (Riley, 2013 ; Lewis, 2014 ; DeFelice & Masucci, 2010)

                                                                                                                                                                    Medienanhänge

                                                                                                                                                                    Zusammenfassung anzeigen Zusammenfassung ausblenden

                                                                                                                                                                    Möchten Sie kostenlos Ihre eigenen Mindmaps mit GoConqr erstellen? Mehr erfahren.

                                                                                                                                                                    ähnlicher Inhalt

                                                                                                                                                                    Mindmap
                                                                                                                                                                    John Michael Pana
                                                                                                                                                                    Das grosse Einmaleins
                                                                                                                                                                    JohannesK
                                                                                                                                                                    Streitstände - Strafecht
                                                                                                                                                                    myJurazone
                                                                                                                                                                    Klausur Thrombose 1.3.3.b
                                                                                                                                                                    Kevin Kuncic
                                                                                                                                                                    Imperialismus Zusammenfassung
                                                                                                                                                                    Laura Overhoff
                                                                                                                                                                    Grundzüge Soziologie Richter
                                                                                                                                                                    Kamila rURKA
                                                                                                                                                                    Bevölkerungssoziologie
                                                                                                                                                                    Max H
                                                                                                                                                                    Säuren und Basen
                                                                                                                                                                    Maxima Mehner
                                                                                                                                                                    Vetie Immunologie
                                                                                                                                                                    Anne Heyne
                                                                                                                                                                    Innere Schwein Vetie
                                                                                                                                                                    Anne Käfer
                                                                                                                                                                    Tierseuchenbekämpfung 2017
                                                                                                                                                                    Birte Schulz
                                                                                                                                                                    Bibliothek durchsuchen