Our heart is like a double pump mechanism where the right side pumps deoxygenated blood to our lungs and the left side pumps oxygen rich blood to circulate back through our bodies. This process provides a continuous supply of oxygen and eliminates carbon dioxide waste from our body. When there is a disturbance to this process, it causes our heart the inability to pump sufficiently to meet our body’s demands. This causes the body to accumulate blood and fluid in the organs and tissues and will lead to impaired circulation or congestive heart failure. Congestive heart failure is not only the inability to maintain the adequate oxygen delivery; it’s also systemic in attempting to compensate for inadequacy. In general, there have been many great …show more content…
The left side ventricle strength fails to pump enough blood to the body known as cardiac output and backs up into the lungs. This is due to an enlarged ventricle or damaged cardiac muscle. The diastolic failure of left ventricle is the stretching and filling where the ventricle cannot pump the same percentage of blood that is being ejected at each contraction causing it not to stretch enough take to the aorta. Consequently, right side failure is when the ventricle cannot pump its diastolic filling volume into the pulmonary artery, which causes oxygenation problems. Usually this results from left side lung disease such as COPD and fibrosis. As we know, pulmonary disease impairs the exchange of carbon dioxide and oxygen in the alveoli which leads to increase carbon dioxide in the blood. When this happens, we experience pulmonary arterial vasoconstriction resulting in hypertension. The right ventricle is pumping at an increased workload and leads to failure. The right ventricle fails to empty completely and blood is then trapped in the venous vascular system. Thus, the outcome of decreased cardiac output is congestive heart
According to the doctor, the patient might have developed congestive heart failure. Is it right-sided or
Pulmonary stenosis (PS) - Pulmonary Stenosis causes an obstruction of blood flow from the right ventricle into the pulmonary arteries. This obstruction causes the right ventricle to have more difficulty pumping the oxygen-poor blood received from the vena cava to the lungs in order to pick up the oxygen needed. Therefore causing a decrease in exchange of oxygen in the lungs, as well as a decrease of blood volume to the lungs.
The aim of this report is to provide an overview of chronic heart failure, examining signs symptoms and treatment related to the case study, and the anatomy and physiology of the heart will be discussed, and the pathophysiology of chronic heart failure.
It occurs because of repetitive electrical activity. This can occur in a patient with early or late heart failure, because there is damage to the heart tissue and the heart beats faster to try to supply the body with blood. Recommended treatment is elective cardioversion. Drugs used include an antidysrhythmic such as Mexitil or Sotalol (Ignatavicius &Workman, p. 728-729).
This systematic review conducted by Takeda A, Taylor SJC, Taylor RS, Khan F, Krum H, Underwood M, (2012) sourced twenty-five trials, and the overall number of people of the collective trials included was 5,942. Interventions were classified and assessed using the following headings.-
Systolic and Diastolic are the two types of heart failure. Systolic dysfunction occurs when the heart muscle doesn't contract with enough force, which means there is less oxygen-rich blood that is pumped throughout the body. Diastolic dysfunction is when the heart contracts normally, but the ventricle does not relax properly, reducing the amount of blood that can enter the heart and raising the blood pressure in the lungs. Heart failure is a progressive condition and can worsen over time. There are four stages of heart failure that have been classified by the AHA and ACC.
... as the heart, major blood vessels, and airways) toward the other side of the chest. The shift can cause the other lung to become compressed, and can affect the flow of blood returning to the heart. This situation can lead to low blood pressure, shock, and death.
Heart failure is a major clinical, social and economic problem in the United Kingdom according to the Department of Health [DH] (2013).The National Institute for Health and Clinical Excellence [NICE] (2010) reported that about 900,000 people suffer from heart failure in the United Kingdom. The National Institute for Cardiovascular Outcomes Research [NICOR] (2011) conducted a national audit which found that one in every 20 people over the age of 65 is diagnosed with heart failure which demonstrates that it mainly affects the elderly. As a leading cause of mortality, heart failure contributes to more than 6,000 deaths each year (NICOR, 2011). Newly diagnosed cases of heart failure have a 40% risk of dying within a year (NICOR, 2011). Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010).
“Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body's needs for blood and oxygen” (American Heart Association, 2012, para 3). What this basically means is that the body is functioning in a way that the heart cannot keep up with. Although heart failure can be acute and occur suddenly, it usually develops over time and is a long-term or chronic condition. There are two different types of heart failure, left-sided and right-sided, and they can be caused by other diseases such as diabetes, coronary heart disease, or high blood pressure (National Institutes of Health, 2012). In most cases, both sides of the heart are affected simultaneously.
The right side of the heart moves deoxygenated blood. Once heart failure occurs this causes an accumulation or damming back flow of blood into the systemic venous system. Congestive heart failure results to blood back up and drains into the inferior vena cava, and the liver become swelled. The amount of edema fluid is an indication by a gain in weight. Therefore, daily measurements of weight gained can be used to calculating fluid accumulation in congestive heart failure. The left side of the heart moves oxygenated blood. When heart failures occurs the heart shifts blood from a low-pressure pulmonary circulation into a high-pressure side of the systemic circulation. Proximate is a decrease in cardiac output that increases in the left atrial and left ventricle diastolic pressures, and congestion in the pulmonary circulation. This increase in pulmonary pressure leads to pulmonary edema. In severe pulmonary edema, capillary fluid moves into the alveoli, which impairs the respiratory passages for adequate gas
Over 670,000 people a year are informed that they have congestive heart failure, also known as CHF. At first it may be pretty scary too hear these words, so let me explain a little bit about CHF. Congestive heart failure does not mean that the heart has failed to work, it simply has started pumping weaker than normal. There are a large number of signs & symptoms including: congested lungs, edema, irregular heartbeats, dizziness, and fatigue. Numerous things can cause CHF like coronary artery disease, a heart attack, hypertension, and diabetes. In this paper I will give a case scenario about a patient I cared for, a thorough assessment, and come up with two nursing diagnosis that apply to this patient. Taking the diagnosis into account I will create two goals and two interventions for each goal.
Most often the disease starts in the left ventricle, and then often spreads to both the atrium and right ventricle as well. Usually there will also be mitral and tricuspid regurgitation, due to the dilation of the annuli. This regurgitation will continue to make problems worse by adding excessive volume and pressure to the atria, which is what then causes them to dilate. Once the atria become dilated it often leads to atrial fibrillation. As the volume load increases the ventricles become more dilated and over time the myocytes become weakened and cannot contract as they should. As you might have guessed with the progressive myocyte degeneration, there is a reduction in cardiac output which then may present as signs of heart failure (Lily).
The implementation plan targets to educate congestive heart failure (CHF) patients proficiently by applying Dorothea Orem’s theory of self-reliance and self-care management to reduce incidences of re-hospitalization. This plan is for the patients who are recently treated in a facility and now are ready for discharge from the hospital. The main purpose of this program is to teach CHF patients that how positive lifestyle changes can improve their health conditions and help them to avoid frequent re-hospitalization.
The aim of this scenario-based assignment is to discuss the therapeutic intervention in the care of a patient with Congestive Cardiac Failure (CCF). A brief summary of the patient’s medical history will be given while discussing one specific nursing problem in terms of heart rate/ rhythm. Also, an overview of aetiology will be given as well as pathophysiology in order to explain the rationale for treatment and monitoring. Relevant research relating to the literature will be utilised throughout in order to critically analyse the care provided for the patient and determine if the patient received evidence based up-to-date care. In accordance with the statement from the Nursing and Midwifery Council (2008) code of conduct regarding patient confidentiality, no personal details of the patient involved will be disclosed. Therefore, the patient will be identified as Mrs S.
blood to the lungs, and the left side of the heart has to work harder