Sunday, April 19, 2009

Nursing interventions for Congestive Heart Failure CHF

Congestive Heart Failure CHF  is a complex disease combining the actions of several genes with environmental factors. Many Congestive Heart Failure CHF risk factors have genetic causes or are associated with genetic predispositions. These include hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM), coronary artery disease, myocardial infarction, and hypertension. Genetic polymorphisms of the reninangiotensin-aldosterone system (RAAS) and sympathetic system have also been associated with susceptibility to mitigation of Congestive Heart Failure CHF

Main Nursing interventions for Congestive Heart Failure CHF is To conserve her or his energy and to maximize the oxygen that is available for body processes, below is examples for Nursing interventions for Congestive Heart Failure CHF:
  • Place the patient in Fowler's position and give him supplemental oxygen to help him breathe more easily. Organize all activity to provide maximum rest periods.
  • Weigh the patient daily, and check for peripheral edema. Also, monitor I.V. intake and urine output especially for patient with diuretic
  • Assess vital signs and mental status. Auscultation for abnormal heart and breath sounds.
  • Frequently monitor blood urea nitrogen and serum creatinine, potassium, sodium, chloride, and magnesium levels.
  • Provide continuous cardiac monitoring during acute and advanced stages to identify and treat arrhythmias promptly.
  • To prevent deep vein thrombosis from vascular congestion, help the patient with range-of-motion exercises. Apply antiembolism stockings as needed. Check for calf pain and tenderness.
  • Monitor the patient for signs and symptoms of fluid overload, impaired gas exchange, and activity intolerance
  • explanation of the disease process helps the patient understand the need for the prescribed medications, activity restrictions, diet, fluid restrictions, and lifestyle changes.
  • Helping the patient work through and verbalize these feelings may improve psychological well-being
  • assess abnormal response to increased activity
  • Increase client activity each shift according to the indications
  • Increase of activity when no complaint Dyspnea, or not perceived Dyspnea increases
  • Increase the time down from the bed to 15 minutes per shift
  • Neurological Monitoring
  • Environmental management
  • Oxygen therapy
  • Fluid Management
  • Respiratory Management
  • Self care assistance
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