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CONGESTIVE HEART FAILURE (CHF)
MELVIN
PIOUS
CONGESTIVE HEART FAILURE (CHF)
Congestive Heart Failure (CHF) happens when blood
backs up, or congests, into the liver,
ab...
Congestive Heart Failure
describes a condition where
the heart
muscle is weakened and
cannot pump as
strongly as before.
CONGESTIVE HEART FAILURE –
refers to
the state in which abnormal
circulatory
congestion exists a result of heart
failure
T...
Signs and symptoms of CHf
Shortness of breath often with
activities or while
lying flat
Weakness and fatigue
Awakening sho...
Causes of CHF
• Hypotension
• Fluid retention & worsening
CHF
• Bradycardia & heart block
• Contraindication in pts with
CHF
exacerbatio...
1. History Taking.
2. Physical Examination
3. Vital parameters
4. 12 lead ECG monitoring.
5. Measure oxygen saturation.
6....
A • ACE Inhibitors
B • Beta Blockers
C • Calcium Channel Blo
D • Diuretics
E • Inotropic Agents
Treatment (Medication)
ACE inhibitors lower blood
pressure, improve blood flow
and decrease your hearts
workload
Examples: Captopril, Ramipril
A ...
B • Beta Blockers
Beta Blockers slow the
heart
rate, lower blood
pressure and
lessen the risk of some
abnormal heart rhyth...
C • Calcium Channel
Blockers
D • Diuretics
Diuretics prevent fluid from collecting in your
body and decrease fluid in your lungs, making
breathing easi...
E • Inotropic Agents
It is a substance that influences the force of
muscular contractions; an agent that increases the
for...
• Lifestyle changes
• Monitoring for
changes
• Medications
• Surgery
Patient Education
 • Stop smoking
 • Loose weight
 • Avoid or limit alcohol
 • Avoid or limit caffeine
 • Eat a low-fat, low-sodium
die...
Call your doctor‟s office if:
◦ Short of breath. ◦ Swelling in your feet, ankles,
legs and stomach.
◦ Feeling tired, no en...
A)Go to the emergency room
B) Struggling to breath or unrelieved
shortness
of breath while sitting still.
C) Weight gain o...
?
CHF (CONGESTIVE HEART FAILURE)
CHF (CONGESTIVE HEART FAILURE)
CHF (CONGESTIVE HEART FAILURE)
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CHF (CONGESTIVE HEART FAILURE)

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CONGESTIVE HEART FAILURE

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CHF (CONGESTIVE HEART FAILURE)

  1. 1. CONGESTIVE HEART FAILURE (CHF) MELVIN PIOUS
  2. 2. CONGESTIVE HEART FAILURE (CHF) Congestive Heart Failure (CHF) happens when blood backs up, or congests, into the liver, abdomen or lungs. This typically happens when the heart muscle is damaged, weakened, enlarged. One may also notice swelling of their legs or ankles or possibly even the whole body if left untreated.
  3. 3. Congestive Heart Failure describes a condition where the heart muscle is weakened and cannot pump as strongly as before.
  4. 4. CONGESTIVE HEART FAILURE – refers to the state in which abnormal circulatory congestion exists a result of heart failure This means less oxygen is reaching the organs and muscles which can make feel
  5. 5. Signs and symptoms of CHf Shortness of breath often with activities or while lying flat Weakness and fatigue Awakening short of breath at night Need for increased pillows at night – helps lungs drain of excess fluid Coughing or wheezing Swelling of feet and legs or other “dependent” Areas
  6. 6. Causes of CHF
  7. 7. • Hypotension • Fluid retention & worsening CHF • Bradycardia & heart block • Contraindication in pts with CHF exacerbation Risk Factors
  8. 8. 1. History Taking. 2. Physical Examination 3. Vital parameters 4. 12 lead ECG monitoring. 5. Measure oxygen saturation. 6. Obtain initial serum cardiac markers Nursing assesment
  9. 9. A • ACE Inhibitors B • Beta Blockers C • Calcium Channel Blo D • Diuretics E • Inotropic Agents Treatment (Medication)
  10. 10. ACE inhibitors lower blood pressure, improve blood flow and decrease your hearts workload Examples: Captopril, Ramipril A • ACE Inhibitors re meals B) Do not use salt substitutes C) Choose foods low in salt and potassium A) Take on an empty stomach, one hour before Meals B) Do not use salt substitutes C) Choose foods low in salt and potassium Side Effects: Nausea/Vomiting/Diarrhea,Dizziness/Hypotens ion Skin Rash High Potassium Swelling in face, neck or tongue
  11. 11. B • Beta Blockers Beta Blockers slow the heart rate, lower blood pressure and lessen the risk of some abnormal heart rhythms Examples: Propanolol, Metoprolol, Atenolol,Sotalol Frequently prescribed medications to treat HTN and a primary CHF medication Can be taken at any time of day with or without food Taking with food slows absorptio and minimizes side effects Side Effects:Low heart rate Take your pulse everyday and get medication parameters from your doctor Dizziness/Hypotension Be careful when standing up from a seated position ◦ Fatigue/Lethargy, Sudden weight gain, Impotence ◦ Vomiting/Diarrhea
  12. 12. C • Calcium Channel Blockers
  13. 13. D • Diuretics Diuretics prevent fluid from collecting in your body and decrease fluid in your lungs, making breathing easier Examples: Lasix, Bumex, Hydrochlorothiazide. an antidiuretic such as vasopressin (antidiuretic hormone), •Side effects: •dry mouth, •thirst, weakness, lethargy, •drowsiness, restlessness, •muscle pains or cramps, •confusion, seizures, •muscular fatigue, hypotension,
  14. 14. E • Inotropic Agents It is a substance that influences the force of muscular contractions; an agent that increases the force of muscular contractions of the heart.
  15. 15. • Lifestyle changes • Monitoring for changes • Medications • Surgery Patient Education
  16. 16.  • Stop smoking  • Loose weight  • Avoid or limit alcohol  • Avoid or limit caffeine  • Eat a low-fat, low-sodium diet  • Exercise Lifestyle changes
  17. 17. Call your doctor‟s office if: ◦ Short of breath. ◦ Swelling in your feet, ankles, legs and stomach. ◦ Feeling tired, no energy. ◦ New or increasing cough. ◦ Dizziness. ◦ Chest pain. ◦ Feeling uneasy. ◦ It becomes harder to breath lying down or you must sleep in a chair. ◦ Weight gain of 3 pounds in a day or 5 pounds in a
  18. 18. A)Go to the emergency room B) Struggling to breath or unrelieved shortness of breath while sitting still. C) Weight gain or loss of 5 pounds in 2 days. D) Unrelieved chest pain. E) Confusion. EMERGENCY
  19. 19. ?

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