Congestive Heart Failure Case Study

ECG: sinus tachycardia with waveform abnormalities consistent with LVH, Pronounced Q waves consistent with pulmonary edema.

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

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

The patient described in this paper will be referred to as Jonathan Toews to ensure patients confidentiality. Jonathan Toews, is a sixty three year old man, born on August 23rd 1956, and lives with his eldest son. He was married two times and has three children, two children from his first marriage and one from his second. He lives in northern Ontario but originally was not born here, he moved here shortly following his second divorce. He is of Italian decent and is a practicing catholic. The patient weights 95kgs, is 178cm tall and has a body mas index (BMI) of 28.3. He said he used to play soccer when he was younger but since does not keep active or get the recommended amount of daily activity. Jonathan says he smokes around one pack or cigarettes a day and has a alcoholic drink roughly three to four drinks per week, he also describes that he eats fast food a few times a week. The patient now has congestive heart failure as a consequence of his MI. He was transferred from another hospital at the beginning of November and currently is waiting for more testing before he can be discharged from the hospital or moved to another facility. The patient has some known comorbidities that can exacerbate his CHF, this includes smoking, obesity, and noncompliance with medications.

The diagnosis is made when an ejection fraction of less than 40% is found during an echocardiogram test. Patients with known systolic heart failure and current or prior symptoms are Stage C. Most common symptoms include, shortness of breath, fatigue and reduced ability to exercise. Stage D is patients with systolic heart failure and presence of advanced symptoms after receiving optimum medical care. Other risk factors for heart failure are some diabetes medications, sleep apnea, congenital heart defects, viruses, and irregular heartbeats. Heart Failure can be treated and managed but not cured. It is a chronic condition.

Congestive heart failure (CHF) is a situation where the heart is not able to pump adequate blood to the other organs of the body. Causes of CHF are coronary artery disease, past myocardial infarction, hypertension, heart valve disease, cardiomyopathy, congenital heart defects, endocarditis and myocarditis (American heart association, 2013) .In the case scenario of Mr. P 76 year old man comes with the history of cardiomyopathy and CHF and in the past repeatedly admitted for the management of CHF symptoms. This essay discusses about approach to care, treatment plan, patient and family education and teaching plan that is given to Mr.P.

Congestive heart failure (CHF) is a type of cardiovascular diseases. CHF occurs when the efficiency of pumping the blood in the heart is decreased, which means it can no longer function properly. CHF is a prevalent disease, according to CDC, "About 5.7 million adults in the United States have heart failure" [1]. People with CHF may experience wheezing or persistent coughing, nausea, which is a lack of appetite, increased heart palpitations, and shortness of breath that is also named dyspnea. CHF has four stages, each one describes the risk factors, symptoms of CHF, and structural disorder. The stages of CHF disease sometimes can be treated. However, if CHF is not treated from the early signs, it will develop from one stage to another until

An elderly male with congestive heart failure was brought to a clinic because he was experiencing atrial fibrillation and had a ventricular response of 110 beats/min with palpitations and shortness of breath1. Medications that he was taking includes angiotensin-converting enzyme inhibitor, Lisinopril, Carvediol, Digoxin, and Furosemide1. His left ventricular ejection fraction has been reduced to 25%1. Further examinations showed that he had edema in his legs and crackles at the base of his lungs1. He was then told to increase the dosage of Furosemide by taking the drug twice daily instead of once, and doubling the dose per administration1. One week later, the electrocardiogram revealed that he had ventricular arrhythmias such as premature

Therapeutic measures for a patient with congestive heart failure would be daily weights, dietary sodium restrictions, positioning in high or semi-Fowler’s position, frequent vital signs, oxygen by cannula or mask, medical devices: pacemakers, internal cardiac defibrillator, biventricular cardiac pacemaker, ventricular assist device, medications: digoxin, diuretics, inotropes, nesiritide, beta blockers, surgery: heart valve repair or replacement, coronary

Congestive heart failure (CHF) is a commonly seen in the hospital setting. CHF results in patients having difficulty breathing and can go in to respiratory arrest. There is decreased cardiac output and labs will show increased BNP. Patients who have CHF history will have chest x-ray and EKG. Therapy for CHF is to correct the abnormal labs and keep the patient from arresting and being placed on a vent. This paper will look at the molecular make up of CHF all the way to how to take care of the patient with advanced CHF. Patients are placed on medications to help with fluid overload and blood pressures. At times patients may have to be placed on cardiac drips. Patients with CHF are prone to pulmonary complications such as pulmonary edema, and

Although it is commonly used to describe individuals with heart failure, congestive heart failure is a specific type of heart failure. Congestive heart failure is a condition where heart muscles become less effective in pumping blood, as a result insufficient amounts of oxygen and nutrients are circulated around the body to sustain the body’s needs. The decrease in effectiveness is due to damage in the heart muscles and its inability to heal itself. This causes an increase in pressure in the heart as well as slowing the rate at which blood is able to circulate through the heart. To compensate for this, the heart responds by thickening and stiffening the main pumping chambers of the heart, known as the ventricles, or by stretching the chambers

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.

Congestive heart failure (CHF) is a disorder of the cardiovascular system that occurs when the heart cannot sufficiently pump blood to meet the body’s metabolic and oxygen needs. Insufficient contractility of the heart will cause intravascular and interstitial volume overload and poor tissue perfusion. CHF is classified according to the side of the heart affected. The onset of CHF increases with age, as over the age of 50, 1% will develop CHF and 10% over the age of 80. An individual with CHF will experience a reduced exercise tolerance, quality of life and shortened life span and the prognosis depends on underlying cause and the individual’s response to treatment.

I chose my PICO question, “In patients with Congestive Heart Failure, does BNP-guided therapy result in better outcomes than Symptom -guided Therapy?” because of my interest and fascination about the heart and also because of my extensive family history of cardio-vascular issues. According to the American Heart Association and the American College of Cardiology Foundation (2013), heart failure is a “complex clinical syndrome that result from any structural or functional impairments of ventricular filling or ejection of blood” (p. e246). Heart failure is the primary diagnosis for >1 million hospitalizations annually, with > 650,000 newly diagnosed cases per year, and it costs $30 billion annually in overall care for this condition

Congestive Heart Failure (CHF) is a condition in a patient where the heart doesn’t work efficiently to provide the needed oxygenated blood to the rest of the body. This can be a result of a prior heart condition that causes the debilitated heart, like: high blood pressure or a previous heart attack. The is not a condition in which the heart stops pumping, it is just that the heart can’t pump enough blood to supply the body. In some cases, the heart cannot fill with enough blood and in other cases, the heart cannot pump blood to the rest of the body with enough force. Heart failure develops over time as the heart weakens and can’t supply enough blood. It doesn 't mean the heart has stopped or is about to stop working. It means the heart, which is a muscle that pumps blood to all parts of your body, is not working as well as it should and can 't pump as much blood as the body needs. As the heart 's pumping action lessens, blood can back up in the lungs, liver, or lower extremities which can cause shortness of breath, edema, and other problems. CHF is a chronic and irreversible condition. It is usually caused by underlying conditions, such as high blood pressure, heart disease, previous heart attacks, cardiomyopathy, and several other conditions that overwork the heart and cause it to try and compensate, unsuccessfully, over time.