Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of Systolic heart failure is a failure in the heart’s inability to adequately contract the blood into circulation. Diastolic heart failure is far more prevalent in females and is characterized by an inability of the ventricles to adequately fill with enough blood volume. This decrease in stroke volume released into circulations will lead to decreased tissue perfusion throughout the body. The ventricles’ inability to properly fill is due to a decrease in the size of the chamber due to an enlargement in thickness of the myocardium in an attempt to push more blood from the heart (Lehne, 2010). The thickness causes the ventricles to become stiffer and not expand properly for filling. Diastolic HF essentially causes the blood to not be able to pump as much blood and causes back up of fluid into the atria and eventually the lungs, causing pulmonary edema. Pulmonary edema can, in turn, cause peripheral edema. Obesity can also play a role due to the fact that there is an increase in vasculature feeding this increase in body mass and the heart cannot adequately supply it with blood (Mayo Clinic, 2011). The heart is able to pump normally, but has less volume of blood to push out. Heart failure causes the body to react with compensatory mechanisms to counteract the heart’s reduced cardiac output. These responses are activated to help the body cope, but essentially
current patient with heart failure being nursed in a community setting. Due to confidentiality and patient privacy, the patient discussed will be referred to as John¹. John is an 82 year old gentleman who lives alone in sheltered accommodation. John’s son and daughter live close and take it in turns to visit daily. John is an ex-smoker who gave up 20 years ago, has long standing hypertension and is overweight having a BMI of 30 kg/m. John was diagnosed with heart failure a year ago after being…
Congestive Heart Failure Rebecca Bielen According to Center for Disease Control, “Epidemiology is the study of patterns of disease and injury in human populations and the application of this study to the control of health problems. Epidemiologists study the variation of disease in relation to age, sex, race, occupational and social characteristics, and place of residence, susceptibility, exposure to specific agents or other pertinent characteristics. Epidemiologists develop and evaluate hypotheses…
utilization data Heart Failure Conditions that commonly cause Heart Failure Coronary Artery Disease Heart Attack Diabetes COPD Kidney Disease HTN High Cholesterol Anemia Signs Of Heart Failure Shortness of breath or inability to breathe lying down. Sudden weight gain: 2-3 lbs/day or 5 lbs or more in a week. Swelling of feet, legs, ankles, or abdomen. Side effects from medications Irregular heart rate. When Heart failure The heart can’t move as much blood…
Congestive Heart Failure (CHF) The most common cause of Heart Disease is, coronary artery disease. Heart failure happens when there is not enough blood pumping through the heart to the rest of the body. Coronary artery disease is the narrowing of the blood vessels and it does not allow enough blood to flow through them, (cdc.gov/CAD). This weakens the heart muscle itself and can cause damage over a period of time or it can cause death in an instant. The heart is actively failing so it is going…
Case Study 1 Heart Failure M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can't catch my breath and my legs are as big as tree trunks.” After further questioning, you learn she is strictly following the fluid and salt restriction ordered during her last hospital admission. She reports gaining 1 to 2…
Heart Failure “I pledge my honor that I have neither given nor received inappropriate aid on this assignment” _______________________________________________ Abstract Heart Failure is a serious problem affecting millions of American’s. This paper focuses on describing Heart Failure and the patient that I cared for at Newark Beth Israel Hospital. Several different non-pharmacological interventions are discussed that can be used by nurses in the clinical or home care setting…
Heart Failure What is heart failure? Heart failure (HF) can be caused by any heart condition where the heart’s pumping ability becomes impaired, either because of an abnormality in cardiac structure or function. This results in inadequate perfusion- the inability of the heart to supply adequate oxygenated blood flow to fulfil the body’s needs (the workload). HF can be acute or chronic. Acute HF develops rapidly (over hours or days). Chronic HF develops over month or years and is a long-term condition…
An Analysis of Standford et al.’s Study 1|P a ge An Analysis of Sanford, Townsend-Rocchicciolli, Horigan, & Hall’s Study A Process of Decision Making by Caregivers of Family Members With Heart Failure A research critique submitted by Thelma Augustin, Melody Alexander, Ashley Breaux, Nissa Fisher, Kamaria Harris, Thao Huynh, Jeris Jensen, Leslie King, and Susan Livengood, Master of Science in Nursing Research College of Nursing 2012 An Analysis of Standford et al.’s Study 2|P a ge…
Definition of Heart Failure Nursing Heart failure nursing is the provision of holistic care to the specific individual with Stage A through D Heart failure due to any etiology. Heart failure nursing care can take place in any inpatient or outpatient setting and address the acute or chronic needs of patients and their support systems/ Prevention can be viewed in relation to individuals, high risk families, the community and population. Who is a Heart Failure Nurse Since heart failure (HF) is the…
assignment is 3/1/15, 11:55 p.m. Preventing and Treating Heart Failure: http://webcast.jhu.edu/Mediasite/Play/396c1aba3f954a869d6c8f3423e52c8e Stuart D. Russell, M.D. and Ashish S. Shah, M.D. (Johns Hopkins Medicine Health Seminar). 55 min 36 sec Questions: Whom does Dr. Russell call the “father of cardiology?” Dr Eugene Braunwald What is the definition of Heart Failure (as per the presentation)? Re-state this in YOUR OWN WORDS. The heart is unable to pump blood at a rate needed by the body’s metabolism…
