NURS 3350 Chapter 29: Medsurge chapter 29
Document Summary
Ventricles resist filling and less blood will fill, decreasing the cardiac output. Pulmonary congestion (dyspnea, cough, crackles, low oxygen sat) 3 (cid:862)(cid:448)e(cid:374)tri(cid:272)ular gallop(cid:863) (cid:272)aused (cid:271)(cid:455) a(cid:271)(cid:374)or(cid:373)al filli(cid:374)g. Paroxysmal nocturnal dyspnea (attacks of dyspnea at night) Dry, nonproductive cough, may become moist over time. (pink sputum) Tachycardia, palpitations: ride sided heart failure. Vis(cid:272)eral a(cid:374)d peripheral (cid:272)o(cid:374)gestio(cid:374) (cid:894)be(cid:272)ause heart (cid:272)a(cid:374)"t eje(cid:272)t (cid:271)lood effe(cid:272)ti(cid:448)el(cid:455) a(cid:374)d (cid:272)a(cid:374)"t a(cid:272)(cid:272)o(cid:373)(cid:373)odate all of the (cid:271)lood that (cid:374)or(cid:373)all(cid:455) retur(cid:374)s it(cid:895) Supplemental oxygen/ implantation of cardiac devices/ cardiac transplant. Avoidance of excessive fluid or alcohol intake. Teach patients signs to report: dyspnea, decreased exercise tolerance, fatigue, dizziness, confusion. Signs and symptoms of increasing heart failure are analyzed and reported. Patie(cid:374)t"s ps(cid:455)(cid:272)hoso(cid:272)ial a(cid:374)d e(cid:373)otio(cid:374)al respo(cid:374)se are e(cid:454)plored (cid:271)e(cid:272)ause hf is commonly associated with depression: health history. Signs/symptoms of dyspnea, fatigue, edema, sleep disturbances. Ask questions and assess knowledge of illness. Assess mental status due to decreased oxygen. Assess ability to understand, and self-manage: physical exam.