Case Study 3 Congestive Heart Failure Essay

6. What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)? (Select all that apply)

When CHF starts to become worse, fluid can start to fill up in a person’s lungs and sometimes even throughout a person’s body. The fluid could cause a person to feel out of breath even while resting, swelling in the legs, ankles, or feet, weight gain, feeling bloated, and coughing, wheezing, and having to use the bathroom more at night. There is also a possibility that CHF can happen all of a sudden. When it starts to happen, it is called sudden heart failure. It will eventually cause congestion from fluid building up in the lungs. Symptoms can start to happen by having severe shortness of breath, an irregular or maybe even a fast heart beat and it may even cause coughing up foamy, pink mucus (Heart-Failure

1. Which type of heart failure (left or right sided) is usually associated with dyspnea?

Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,

Congestive heart failure is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures, the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood over intervals. If the volume of blood reimbursed to the heart develops more than both ventricles can manage, the heart can no longer be an efficient pump.

Elevated urine microalbumin/creatinine ratio. His last labs in January did show a mild increase. I will recheck that along with a basic metabolic panel and inform him of those results. A copy of them will be sent to Dr. Dourdoufis, as

The increased resistance of blood flow through the pulmonary semilunar valve from the right ventricle backs up the pressure of blood

DKA is presented with three major physiological disturbances which are hyperosmolality due to hyperglycemia, metabolic acidosis because of the buildup of ketoacids, and hypovalemia from osmotic diuresis. Diabetic ketoacidosis is caused by a profound deficiency of insulin, its most likely occur in people with type 1 diabetes, inadequate insulin dosage, poor self management, undiagnosed type 1 diabetes, illnesses and infections. In type 1

Congestive heart hailure, also known as CHF or heart failure, affects the lives of 5 million Americans each year with 550,000 new cases diagnosed yearly. (Emory healthcare, 2013) CHF is a medical condition in which the heart has become weak and cannot pump enough blood to meet the need for oxygen rich blood required by the vital organs of the body, less blood is pumped out of the heart to the organs and tissues in the body and pressure in the heart increases, it does not mean the heart has stopped working. (Murphy, 2013) Once the heart has become weakened by conditions such as hypertension, abnormal heart

Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart

Nonsurgical treatment usually involves medications such as diuretics, ACE inhibitors, angiotensin II receptor blockers (ARBs), nitrates, digitalis, potassium, aspirin, calcium channel blockers, blood thinners, and beta blockers. Some surgical treatments include pacemakers, implantable cardioverter defibrillators (ICDs), intra-aortic balloon pump, ventricular assist devices (VADs), an implantable artificial heart, angioplasty and coronary bypass surgery, heart-valve surgery, heart transplantation, and myocardial replacement therapy. Some alternative medicines include antioxidants, homocysteine metabolism, magnesium, taurine, carnitine, essential fatty acids, diet, herbs, acupuncture, massage, biofeedback, and

According to Center for Disease Control, one in nine people die from Congestive Heart Disease. Patients who have been diagnosed with Congestive Heart Disease are more likely to have one of these other disorders; Diabetes, Hypertension, or Coronary Artery Disease. Patient who have hypertension are at an increased risk for developing congestive heart failure during their lifetime. This is because it puts more workload on the heart than is needed. My patient has been diagnosed with Congestive Heart Disease with a secondary diagnosis of hypertension (Center for disease control and prevention, 2013).

I worked with a 97-year-old female patient admitted to our skilled nursing facility due to frequent falls at home and exacerbation of Congestive Heart Failure. She was born and brought up in a small town in Texas. Her husband was in navy when they moved to Alameda (California) during the second world war. Ms. Jones (Pseudonym) was a homemaker and took care of the family most of her life. She lived with her son and grandchildren. She was independent in basic activities of daily living, cooking, light household chores prior to hospitalization. She used to cook and bake until a few weeks ago when her condition started to deteriorate.

Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Affecting the elderly, and their family the adjustment is a challenge. Daily life skills include the monitoring of daily weights, intake and output, and a low sodium diet. The person with congestive heart failure is generally admitted to the hospital for medication adjustments when their symptoms increase. The patient is often times short of breath, with a decrease in energy and an increase in their weight. The patients are generally elderly 60-65 years of age or older, and when comparing African Americans to Caucasians the African Americans have a 1.5 greater chance of developing heart failure ("Heart Failure," 2017). The

Diagnosed with Congestive cardiomyopathy implies that the patient’s heart muscle has been debilitated by ailment and cannot sufficiently pump blood through the heart, which can lead to heart failure (“Columbia University Medical Center”, 2016). In this case study, the current situation of a male patient Mr. P., who is 76 years old, and frequently hospitalized with CHF is given. The purpose of this paper is to describe an approach to care with treatment plan recommendation, provide education to both the patient and his family, and a teaching plan.