part 3 Flashcards
1
Q
Describe left sided heart failure.
A
- most common
- blood backs up through LA into pulmonary veins
- fluid from capillary beds into lung tissue resulting in wet lung sounds/crackles
- results in pulmonary edema
2
Q
What are the presenting S/S of left sided HF related to pulmonary edema?
A
fatigue crackles peripheral/dependent edema tachycardia increased RR decreased O2 saturation dry cough restless/ agitated nocturia
3
Q
What are the causes/risk factors for right sided HF?
A
- left-sided ventricular heart failure
- right ventricular myocardial infarction
- pulmonary problems (PE, COPD, ARDS)
- cor pulmonale
4
Q
What HF meds promote reverse remodeling and decrease M & M?
A
ACE inhibitors
ARBs
Beta blockers
5
Q
Nursing management of HF:
how would you decrease intravascular volume?
A
diuretics
6
Q
Nursing management of HF:
how would you decrease excess venous return?
A
position change
7
Q
Nursing management of HF:
how would you decrease after load
A
vasodilators
8
Q
Nursing management of HF:
how would you improve cardiac function
A
inotropic
