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HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
Descripción
Nursing Mapa Mental sobre HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015), creado por Yushreen Joshep el 30/10/2016.
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nursing
Mapa Mental por
Yushreen Joshep
, actualizado hace más de 1 año
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Creado por
Yushreen Joshep
hace casi 8 años
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Resumen del Recurso
HEART FAILURE (HF): CLINICAL SYNDROME INVOLVING IMPAIRED CARDIAC PUMPING/ FILLING (HAYES, 2015)
ETIOLOGY (MCMURRAY ET AL., 2012)
MOST COMMON
HYPERTENSION
CORONARY ARTERY DISEASE
DIABETES MELLITUS
LESS COMMON
RHEUMATIC HEART DISEASE
ANEMIA
CARDIOMYOPATHY
VALVULAR DISORDERS
CONGENITAL HEART DISEASE
PRECIPITATING
MYOCARDITIS
PULMONARY EMBOLISM
PULMONARY DISEASE
PAGET'S DISEASE
HYPERVOLEMIA
INFECTION
HYPOTHORYDISM
COMPLICATIONS (MCMURRAY ET AL., 2012; HAYES, 2015)
PLEURAL EFFUSION
DYSRHYTHMIAS
LEFT VENTRICULAR THROMBUS
HEPATOMEGALY
RENAL FAILURE
TYPES
LEFT SIDED HF (LEWIS ET AL.,2010)
SIGNS
CRACKLES
TACHYCARDIA
LEFT-VENTRICULAR HYPERTROPHY
CHEYNE-STOKES RESPIRATIONS
SYMPTOMS
FATIGUE
DYSPNEA
ORTHOPNEA
DRY, HACKING COUGH
PULMONARY EDEMA
NOCTURIA
PAROXYSMAL NOCTURNAL DYSPNEA (PND)
ANXIETY
RESTLESSNESS
RIGHT SIDED HF (LEWIS ET AL.,2010)
SIGNS
RV HYPERTROPHY
MURMURS
WEIGHT GAIN
TACHYCARDIA
PERIPHERAL EDEMA/GENERALIZED EDEMA
HEPATOMEGALY
SPLENOMEGALY
ASCITES
RIGHT-SIDED PLEURAL EFFUSION
SYMPTOMS
RIGHT UPPER QUADRANT PAIN
DEPENDENT EDEMA
FATIGUE
ANOREXIA/GI BLOATING
NAUSEA
PREVALENCE (HEART & STROKE FOUNDATION, 2016a)
600,000 CANADIANS LIVING WITH HF
50,000 DIAGNOSED EACH YEAR
INCREASED HOSPITALIZATION
$ 2.8 BILLION/YEAR
PATHOPHYSIOLOGY (LEWIS ET AL, 2010)
SYSTOLIC (MOST COMMON)
DECREASED IN LEFT VENTRICULAR EJECTION
CAUSES
IMPAIRED CONTRACTILE FUNCTION (I.E. MI)
INCREASED AFTERLOAD (I.E. HYPERTENSION
CARDIOMYOPATHY
MECHANICAL ABNORMALITIES (I.E. VALVULAR HEART DISEASE
DIASTOLIC
IMPAIRED ABILITY OF VENTRICLES TO FILL
CAUSES
LEFT VENTRICULAR HYPERTROPHY
AORTIC STENOSIS
HYPERTROPHIC CARDIOMYOPATHY
PREDIMONINANTLY WOMEN
DUE TO HYPERTENSION AND MYOCARDIAL FIBROSIS
SEEN IN OLDER ADULTS
MIXED SYSTOLIC AND DIASTOLIC
COMPENSATORY MECHANISM
DILATION OF HEART CHAMBERS
HYPERTROPHY
SNS ACTIVATION
NEUROHORMONAL RESPONSE
VENTRICULAR REMODELLING
TREATMENT (MCMURRAY ET AL., 2012; HAYES, 2015)
DRUG THERAPY
ACE INHIBITORS
ANGIOTENSIN RECEPTOR BLOCKERS (ARB)
ALDOSTERONE RECEPTOR ANTAGONISTS
BETA BLOCKERS
ANGIOTENSIN II RECEPTOR BLOCKER
DIURETICS
THIAZIDE (FIRST CHOICE)
LOOP DIURETICS I.E. FUROSEMIDE
SPIRONOLACTONE (K+ SPARING)
DIGITALIS
DIGITALIZATION PROTOCOL
THERAPEUTIC LEVEL (0.8-2.0 UG/L)
MAINTENANCE DOSE (0.125-0.25 MG ONCE DAILY)
DIVIDED INTO 3 SEPARATE DOSES OVER 24 HOUR PERIOD
ACTIONS
INOTROPIC (INCREASES FORCE OF HEART)
DROMOTROPIC (PROLONGS REFRACTORY PERIOD)
CHRONOTROPIC (DECREASES HR)
NURSING IMPLICATIONS
MONITOR APICAL PULSE 1 MIN
ASSESS FOR ELECTROLYTE DEPLETION
POTASSIUM LEVELS (3.5-5.0 MMOL/L)
ASSESS FOR DIGOXIN TOXICITY
ANTIDOTE: DIGIBIND
DAILY WEIGHT + I&O
VASODILATORS
CARDIAC REHABILITATION
MEDICALLY SUPERVISED PROGRAM
IMPROVE PHYSICAL, SOCIAL AND MENTAL FUNCTION
STABILIZE, SLOW, REVERSE PROGRESSION OF HF
SURGERY & DEVICES
CARDIAC TRANSPLANTATION
BIVENTRICULAR PACING
CARDIAC RESYNCHRONIZATION THERAPY
IMPLANTABLE CARDIOVERTER DEFRIBILLATOR
LEFT VENTRICULAR ASSIST DEVICE (LIMA ET AL., 2015)
NURSING AND COLLABORATIVE MANAGEMENT (LEWIS ET AL., 2010)
EVALUATION
LESS ANXIETY
REALISTIC PROGRAM OF ACTIVITY
REDUCED OR ABSENT EDEMA
ADHERES TO MEDICATION AND DIETARY REGIMEN
AMBULATORY AND HOME CARE (LEWIS ET AL, 2010
EXPLAIN PHYSIOLOGICAL CHANGES THAT OCCURED
ASSIST CLIENT IN ADAPTING TO PSYCHOLOGICAL AND PHYSIOLOGICAL CHANGES
INTEGRATE CLIENT'S FAMILY AND SUPPORT SYSTEM IN CARE PLANS
HEALTH PROMOTION
SMOKING CESSATION
FLU AND PNEUMONIA VACCINATIONS
PACEMAKERS/ANTIDYSRHYTHMIC AGENTS
CONTTROL OF UNDERLYING HEART DISEASE (I.E. CONTROL OF HYPERTENSION OR VALVE REPLACEMENT
ACUTE INTERVENTION
CLIENT-CENTRED TREATMENT PLANS
SYMPTOM MANAGEMENT
OXYGEN THERAPY
SALT RESTRICTION
ENERGY CONSERVATION
SUPPORT SYSTEMS
SURGICAL WOUND CARE
CHEST TUBE (DRAINAGE)
NURSING DIAGNOSES
ACTIVITY INTOLERANCE
EXCESS FLUID VOLUME
IMPAIRED GAS EXCHANGE
ANXIETY
DEFICIENT KNOWLEDGE
PATIENTS WHO DO NOT SPEAK ENGLISH (BRENNAN, 2015)
INTERPRETER/TRANSLATOR
PLANNING (COEN & CURRY, 2016)
DECREASE IN SYMPTOMS I.E. SOB, FATIGUE
DECREASE IN PERIPHERAL EDEMA
INCREASE IN EXERCISE TOLERANCE
ADHERENCE TO DRUG REGIMEN
NO COMPLICATIONS R/T HF
NURSING ASSESSMENT
SUBJECTIVE DATA
PAST MEDICAL HISTORY
MEDICATIONS
SYMPTOMS
OBJECTIVE DATA
INTEGUMENTARY
COOL, DIAPHORETIC SKIN
RESPIRATORY
TACHYPNEA
BLOOD TINGED SPUTUM
CRACKLES
CARDIOVASCULAR
TACHYCARDIA
MURMURS
JUGULAR VEIN DISTENTION
GASTRONINTESTINAL
ABDOMINAL DISTENTION
ASCITES
NEUROLOGICAL
RESTLESSNESS
CONFUSION
END-OF-LIFE/PALLIATIVE CARE (MCKELVIE ET AL., 2011)
RELIEVE PAIN/SYMPTOMS
MEDICATIONS
COMPLEMENTARY THERAPIES
MASSAGE THERAPY
ACUPUNCTURE
PHYSIOTHERAPY
MANAGING DISABILITY
MEAL PREPARATION
CLEANING
TRANSPORTATION
ASSISTIVE DEVICES
ADDRESSING PSYCHOLOGICAL, SOCIAL AND SPIRITUAL ISSUES
DEPRESSION
ANXIETY
SOCIAL SUPPORT
SPIRITUAL SUPPORT
CLINICAL COUNSELLING
CAREGIVER SUPPORT
BEREAVEMENT SUPPORT
LEGAL/ETHICAL ISSUES (HEART &STOKE FOUNDATION, 2016)
ADVANCED DIRECTIVES
DO NOT RESUSCITATE (DNR)
POWER OF ATTORNEY
CULTURAL DIFFERENCES
CHAPLAINCY AND SPIRITUAL CARE
PERSONAL & FAMILY VALUES
PATIENT/CAREGIVER TEACHING (MCMURRAY ET AL., 2012)
TAILORED TO INDIVIDUAL CLIENT
HEALTH PROMOTION
EXERCISE/REST
KEEP ACTIVE
SLEEP WELL
DRUG THERAPY
BE AWARE OF ADVERSE EFFECTS
DIETARY THERAPY (WOODS, 2016)
SALT RESTRICTION: LESS THAN 2000 MG PER DAY
DAILY WEIGHTS: GAIN/LOSS ≥ 2 KG WITHIN 2 DAYS
FLUID RESTRICTION: ≤ THAN 1.5-2 L/DAY
REDUCE ALCOHOL INTAKE
REDUCE CAFFEINE INTAKE
END-OF-LIFE PLANNING
ONGOING MONITORING
BE AWARE OF S&S
RECOGNIZE COGNITIVE IMPAIRMENT
RECOGNIZE S&S OF DEPRESSION
OTHER
AVOID EXTREME COLD/HEAT
KEEP REGULAR APPOINTMENTS
SMOKE CESSATION
RESTRICT ALCOHOL CONSUMPTION
DIAGNOSTIC STUDIES (LEWIS ET AL, 2010; HAYES, 2015)
ECHOCARDIOGRAM
STRESS TESTING
CARDIAC CATHETERIZATION
EJECTION FRACTION
HEMODYNAMIC ASSESSMENT
CHEST RADIOGRAM
HISTORY AND PHYSICAL EXAMINATION
LABORATORY DATA
URINE TEST
BLOOD AND BRAIN NATRIURETIC PEPTIDE TEST
CALCIUM LEVELS
CHOLESTEROL LEVELS
GLUCOSE TEST
LEVEL OF CLOTTING COMPONENT (I.E. FIBRINOGEN)
CORONARY ANGIOGRAM
SLEEP STUDY
DOPPLER ULTRASOUND
MONITORING
HOLTER
EVENT
MOBILE TELEMETRY
Recursos multimedia adjuntos
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