Congestive Cardiac Failure: Signs, Symptoms and Treatment

Congestive Cardiac Failure Signs, Symptoms and TreatmentJames Rowe judgement 2Mr Wrights admission states that he has midriff failure (Congestive Cardiac Failure). clearly define life failure. What variety meat and which body arrangements are affected by this disorder?CCF is a condition in which the center doesnt handle as it should and thitherfore has an impaired cardiac output. Causes include MI, ischaemic message disease and cardiomyopathy. Mainly includes heart and lungs out-of-pocket to fluid back up from the left ventricle. However washbowl cause problems finishedout the body.(Harris and Nagy et al., 2009)Give a brief overview of the normal function of the body systems affected by this disorder.digestive Aids in the absorption of sustentation. When a person suffers CCF an impaired blood line supply is received by the digestive system meaning nutrition imbalance is thinkable. Also constipation.Circulatory When roughone suffers from CCF fluid back up in the vent ricle can cause circulation problems. Also the fact that the heart is not pumping as effectively as it should nub a despicable circulatory system.Repertory Fluid back up in the lungs can cause respetory problems. Making it difficult to breath. Also the fluid in the lungs causes impaired gas exchange meaning poor type Oation of the blood.Renal The renal system is affected because the limited blood supply and poor blood blackmail (Before vasoconstriction) mean that there is a poor urine output. This fluid that is unremarkably eliminated from the body progress tos up as oedema in the limbs.(Hopkins and Cavaiuolo et al., 2008)Define signs and symptoms of heart failure and explain why these signs and symptoms devolve.SOB (Dyspnoea) Fluid back up in lungs causing impaired gas exchangePersistent cough/Wheezing (Cough with white or pink sputum) Due to fluid build up in lungs.Oedema (Back up of fluid) (Legs if right sided/Lung if Left sided) fatigue/Fatigue (Blood diverted to core so weakness in peripheries caused) neglect of appetite/Nausea (Due to altered blood supply to liver and digestive system) disorderliness/Impaired thinking (Lack of atomic number 8ated blood being pumped effectively) change magnitude heart rate ( knocker trying to compensate for low blood flow) s heart beat(Ucsfhealth.org, 2014)Reduced ability to exercise (Due to dyspnoea)Increase engage to urinate at nightSwelling of the abdomenHypertension (Blood vas constrict to increase the BP to increase oxygenation almost the body)Chest pain (If caused by heart attack)(Mayoclinic.org, 2014)Orthopnoea (SOB when lying flat) Caused because the heart cant cope with the overindulgence blood returning to the heartCardiomegaly Increased size of the heart muscle due to the compensation of working harder argument the information interpreted on his admission that demonstrates these signs and symptoms.A low SPO reading This is because of the decrease of oxygen in the blood. Possibly due to fluid back up in the lungs that is creating impaired gas exchange in the alveoli.Cyanotic Due to the decrease in oxygen in the blood stream this would make Pt fairly cyanoticSlight confusion Due to impaired gas exchange there could possibly be a build up of Carbon Dioxide in the blood that would lead to slight confusion in the Pt.Low BP This could be due to the fact the blood vessels have not yet compact to increase blood pressure (Blood pressure increase when CCF occurs to increase oxygenation around the body)High pulse The heart is trying to compensate for the low oxygen in the body and is as well compensating for the fluid being left in the ventricles. This means it beats faster to try and increase the rate in which the blood travels around the body.Do you think his diabetes is related to his left ulceration and amputated left toe? justify. The left ulcer may be due to poorly managed diabetes causing neuropathy. This is where the nerve is damaged. People with diabetes have a g reatly increase risk of developing neuropathy in the lower extremities. Making the Pt unaware of whatsoever trauma or damage to the infantry, also because the foot has very little sensation it is oft neglected causing ulcers to occur due to the break down in the tissue. (Nfb.org, 2014)Diabetes affects blood supply to the extrematies of the body. This results in the lower portion of the body being deprived of oxygen. In some cases the circulation croaks so bad that the limbs become necrotic and need amputation. Often the initiatory sign of a circulation problem is with the toes. This could be a contributing gene to why the Pt needed a toe amputation. (Netdoctor, 2014)Another possible reason as to why the Pt needed an amputation is because of the last take of uric acid in the blood. Due to the poor circulation the body often does not get blood through the kidneys before a high level of metabolic waste has built up in the blood. This means that high concentration levels of thes e metabolic waste build up in blood. One of the main metabolic waste is uric acid. This builds up in the blood and crystallises. This then travels to the lowest part of the body. Due to gravity. Often build up in the toes leaving it ischaemic. (Thegoutkiller.com, 2014)One of the medication he is taking is Lasix. What is the action of Lasix? Which body systems are affected by it? Explain why you think Mr Wright is ordered Lasix. (Your answer need only be brief)Lasix (Frusemide) is a drug that helps for fluid and electrolyte balance. The action of Lasix is that it inhibits resorption at the loop of Henle in the kidney. This is so that the body is not sorb the fluid passing through the loop of Henle. The reason why Mr Wright would be ordered an anti-diuretic drug is to prevent his body from absorbing water and thereof removing the risk that he will develop an oedema in his sticks.(Mckenna, 2010)List three conditions in Mr Wrights medical history that are commonly associated with age. Glaucoma This is an increased pressure in the optic that can limit blood flow. thereof the reduced blood flow causes degeneration and vision loss. The pressure also effects the optic nerve so messages from the eye to the brain become impaired. The condition is rare in younger people, but is associated with aging. (Harris and Nagy et al., 2009)Arthritis Arthritis is an umbrella term used to describe over 100 types of an illness. Arthritis affects the musclo-skeletal system at the blossom where two joints meet. Symptoms include pain, stiffness and in some cases inflammation. (Arthritisaustralia.com.au, 2014)Constipated This could be related to the CCF and the body keeping blood supply to the main organs and therefore being a decreased amount of blood exit to the digestive tract causing constipation.Using Mr Wrights admission history and assessment, run the factors that may impact his safety whilst in hospital and when he returns home. ConfusionPoor MobilityLoss of appet itePoor visionCondition of leg ulcer (On return home)What other health professionals will be voluminous in his care and what service can they provide for Mr Wright.OT Could asses Mr Wright in his mobility and assign him more support than his stick may offer. Such as a 4WW.Social Service Could asses Mr Wrights home to see if he needs any more home aids. Could also link Mr Wright into local community through community centres.Asthma Nurse Would be used to educate Mr Wright with his asthma condition. Could teach him possible early warning signs of asthma so he knows the early warning signs.Diabetic Nurse Education for his diabetes. Could teach Mr Wright shipway of managing his diabetic state.Dietician Could come up with a diabetic viands plan for Mr Wright therefore reducing the amount of self medication Mr Wright has to do. cardiologist Monitor condition of CCF.List the nursing documentation that you would expect to be used in the care of MR Wright. FBC (Fluid balance chart) For the oedema R/T CCFOBS chart Monitor oxygen levels, pulse and resp rate R/T CCFLimb Obs Monitor blood flow to lower limbs below the gratuity of trauma to check for blood supply.Medication chart Monitor what medication Mr Wright is on R/T CCF and Diabetes.ReferencesArthritisaustralia.com.au. 2014. What is arthritis. online gettable at http//www.arthritisaustralia.com.au/index.php/arthritis-information/what-is-arthritis.html Accessed 9 Apr 2014.Diabetes.co.uk. 2014. Diabetes and Amputation. online Available at http//www.diabetes.co.uk/diabetes-and-amputation.html Accessed 9 Apr 2014.Harris, P., Nagy, S. and Vardaxis, N. J. 2009. Mosbys dictionary of medicine, nursing and health professions. Chatswood, N.S.W. Elsevier Australia.Hopkins, S., Cavaiuolo, J. and Gotting, M. 2008. Diploma of nursing. Adelaide, S. Aust. DFEEST.Mayoclinic.org. 2014. tenderness failure Symptoms Diseases and Conditions Mayo Clinic. online Available at http//www.mayoclinic.org/diseases-conditions/he art-failure/basics/symptoms/con-20029801 Accessed 8 Apr 2014.Mckenna, L. 2010. Australia smart Zealand nursing midwifery drug handbook. Broadway, N.S.W. Lippincott Williams Wilkins.Netdoctor. 2014. Amputation of the toe. online Available at http//www.netdoctor.co.uk/surgical-procedures/amputation-toe.htm Accessed 9 Apr 2014.Nfb.org. 2014. diabetic FOOT PAIN. online Available at https//nfb.org/images/nfb/publications/vod/vodsum0403.htm Accessed 9 Apr 2014.Thegoutkiller.com. 2014. Diabetes and Gout . . . twins? Where you aline one, you see the other?. online Available at http//thegoutkiller.com/blog/uric-acid/diabetes-and-high-uric-acid-levels/ Accessed 9 Apr 2014.Ucsfhealth.org. 2014. Heart Failure Signs and Symptoms Conditions Treatments UCSF Medical Center. online Available at http//www.ucsfhealth.org/conditions/heart_failure/signs_and_symptoms.html Accessed 8 Apr 2014.