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Nursing Management of Patients with Cardiovascular Disease Part 1:  Heart Failure Barbara Moloney DNPc, RN, CCRN
First Patient ,[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],WHAT ARE  YOUR CONCERNS? What would you like to do next?
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Listen to his lungs
Assess the heart ,[object Object],[object Object],[object Object]
Auscultating the heart ,[object Object],[object Object],[object Object],[object Object]
Listen to his heart
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Review  of  the Heart ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood flow through the heart
Valves:  Allow blood to flow in one direction ,[object Object],[object Object],[object Object],[object Object]
 
Assessing Heart Sounds
Review Murmurs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Timing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Analysis ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Review: Heart Failure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Left Ventricular Failure ,[object Object],http://www.heartfailure-europe.com/img/009333ed66ae8f1f9c77487008990cceimage001.jpg
[object Object],[object Object]
Left ventricular failure http://www.csufresno.edu/nursing/n140/studassign/studgif/chf8.gif
Left ventricular failure  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Left ventricular failure  Restless, Confused Orthopnea, Tachycardia, Cyanosis Dysponea on Exertion Paroxysmal Nocturnal Dyspnea Rales, Wheezes, Cough Blood Tinged sputum
Right Ventricular Failure ,[object Object],[object Object]
Right Ventricular Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Right Ventricular failure Fatigue Anorexia Dependent edema Distended jugular veins Ascites  enlarged liver & Spleen
Cardiomyopathy
Dilated Cardiomyopathy
Review: Valvular Heart Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.youtube.com/watch?v=XzjvV8UMEy4 http://www.youtube.com/watch?v=MJg257pyt4I
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Diagnoses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plan: Inadequate Oxygenation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Excess fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Cardiac Output ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anxiety ,[object Object],[object Object],[object Object],[object Object],[object Object]
Activity Intolerance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Knowledge Deficit ,[object Object],[object Object],[object Object],[object Object]
Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Education ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dressler, D.K. (2010).

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