Congestive Heart Failure Essay

642 Words Mar 12th, 2014 3 Pages
Congestive Heart Failure 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. Circumstances that trigger heart failure might involve one or both of the heart’s …show more content…
Diastolic dysfunction is a problem with the ventricle’s ability to relax and fill. Mixed systolic and diastolic dysfunction is a combination of the two defects (Williams and Hopper).
To understand the signs and symptoms of left-sided versus right-sided heart failure, remember that left-sided signs and symptoms are found in the lungs. Left begins with L, as does lung. Any signs and symptoms not related to the lungs are caused by right-sided failure (Williams and Hopper). Some signs and symptoms of heart failure are shortness of breath (dyspnea), fatigue, chronic cough or wheezing, rapid or irregular heartbeat, lack of appetite or nausea, mental confusion or impaired thinking, fluid buildup and swelling, and rapid weight gain, and the need to urinate more at night. In order to determine heart failure the physician will do a diagnostic test which includes a chest x-ray, echocardiogram, ejection fraction (EF), and electrocardiogram (EKG or ECG).
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
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