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hello and welcome back to my youtube channel my name is ongoing monkey a kenyan oncology nurse practicing right here in kenya i do videos on nursing heart lifestyle and patient teaching as well as health education so today i come back here to another video on cardiac failure and this is congestive cardiac area or ccf in short and this is quite a common condition in the cardiac field and itamp;#39;s a common cardiovascular disorder in the kenyan community and our variable cardiologists are battling this commission day in layout and if youamp;#39;re nurse practicing in the general adult with a surgical wing then you have encountered a patient with and thatamp;#39;s what i want us to learn about today so ccf has to do with the pump which is the heart that is failing and therefore we are going to have a few issues with the bps and the pulse rate so to begin with iamp;#39;ll discuss the pathophysiology the pathophysiology starts with uh less than normal or less than ideal cardiac output