5 Congestive Heart Failure

1.Excess fluid volume

Objectives:

Body weight remained within the normal range
Electrolyte level will normally
Demonstrate knowledge of the disease.
It will be an optimal moisture balance
ERP is less wheezing and more comfortable.

Interventions:

Give oxygen as ordered
Ases Weaknees symptoms such as dizziness, / fatigue, nausea and vomiting, confusion, sweating, cyanosis. Ask the doctor if necessary.
Evaluation of the presence of edema
Check breath sounds, and the evaluation of heavy breathing.
Check the vital signs
Keep the head of the bed elevated
Watch your fluid intake to reduce sodium intake as recommended.
Monitor lab work, K +, Na, urea, creatinine
Take the signs of malnutrition, living to eat. Offer small frequent feedings. Assessment of food preferences.
Weigh patient daily
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2.Reduced cardiac output

Objective:

It will be an optimal performance of the heart AEB to maintain vital signs were within acceptable limits, it is not / SX reduction in cardiac output.
Interventions:

MD administer medications as prescribed and check side effects.
Assess and document respiratory sounds like a wheezing, coughing, spread over, breathless.
Assess and document fetal heart rate, apical pulse, the presence of abnormal heart sounds.
Make sure that the symptoms associated with reduced cardiac output, such as chest pain, shortness of breath, orthopnea, dependent edema, JVD, trapping.
Reducing smoking. Negotiations to allergens as possible.
Promote activities as tolerated, the rest as needed.
Promote good posture (state / sit up, raise your head, if necessary) to maximize air circulation and comfort.
Check breathing, including rate, rhythm, depth, pursed his lips, burning nose, fatigue.
Recipient laboratory / diagnostic work and follow the instructions on the results Dr
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3. Potential for fluid volume overload.

Objectives:

They will no S/SX or complications associated with the liquid.

Interventions:

Serve as a diuretic and ordered the monitoring of side effects.
Encourage adequate fluid intake in fluid restrictions ordered by MD
Make sure that food and beverages are offered in the activities in compliance with all orders food and fluid restrictions.
Monitor and record fluid intake
Monitor for S / SX (edema, difficulty breathing, shortness of breath, jugular vein pulse expansion drive) and report to MD
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4. Episodes of dyspnoea

Objective (s)

Episodes of breathlessness is reduced to less than [day / week / month] of ___
Interventions

Administer oxygen _L per minute, as recommended.
Elevate the head of the bed, if required, more comfort
Check and report signs of respiratory distress
Reduce stress and anxiety, if possible
Report symptoms of respiratory distress or infection, MD
Talk with the patient in a calm and quiet, to help reduce anxiety.
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5. Potential resistance decreases due to low cardiac output

Interventions

Rest between activities
Identify factors that contribute to intolerance (ie, sleep)
Encourage the patient to save energy
Where applicable, non-smokers.
Watch food intake, the activities supported.
Monitor vital signs during surgery.
Slowly increasing the level of activity. Monitor is noble.