Slide chapter in CCF smoothly

Aug 6th, 2022
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How to Slide chapter in CCF

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okay so this is chapter 20 and were going to talk about heart failure and circulatory shock okay so a couple of quick first of all heart failure is just that its heart failure a lot of times we talk about heart failures being a lack of perfusion but initially even though you have heart failure so even though the heart is failing the there compensatory mechanisms that will keep the perfusion going which a lot of times can mask a lot of the heart failure thats going on in a patient and they dont realize it until until much much later stages so so during heart failure the heart does not adequately pump blood okay so pumping or does not adequately fill with blood so what were saying here is thats going to be systolic because systolic is or systole is is the contraction so that may be affected or it could be a valve issue so but somehow its not pumping on enough blood or it does not adequately fill with blood so thats going to be diastole diastole and so that means that when its re

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The common symptoms of congestive heart failure include fatigue, dyspnoea, swollen ankles, and exercise intolerance, or symptoms that relate to the underlying cause.
After a clinical diagnosis has been established, an echocardiogram should be ordered to determine left ventricular ejection fraction. This is the single most important test for a HF patient.
The patients general appearance should be assessed for evidence of resting dyspnea, cyanosis and cachexia. BLOOD PRESSURE AND HEART RATE. JUGULAR VENOUS DISTENTION. POINT OF MAXIMAL IMPULSE. THIRD AND FOURTH HEART SOUNDS. PULMONARY EXAMINATION. LIVER SIZE AND HEPATOJUGULAR REFLUX. LOWER EXTREMITY EDEMA. VALSALVAS MANEUVER.
Initial laboratory evaluation of patients presenting with HF should include complete blood count, urinalysis, serum electrolytes (including calcium and magnesium), blood urea nitrogen, serum creatinine, glucose, fasting lipid profile, liver function tests, and thyroid-stimulating hormone.
Loop diuretics should be used as first-line agents, with thiazides added for refractory fluid overload. Diuretic treatment should be combined with a low-salt diet,8 a -blocker, and an ACE inhibitor. The practitioner should begin with oral furosemide, 20 to 40 mg once daily.
Assessment of CHF: Vital Signs. Baseline vital signs are important here as well as for our other assessments, including an apical pulse; history is also important. Cardiovascular. Assess heart rhythm, and strength of the heartbeat. Respiratory. Assess lung sounds for congestion, rales. General Medical.
ACE inhibitors or ARB drugs improve heart function and life expectancy. Digitalis glycosides strengthen the hearts contractions. Anticoagulants or antiplatelets such as aspirin help prevent blood clots. Beta-blockers improve heart function and chances of living longer.
Prompt assessment by the medical team is indicated in the following situations: Worsening symptoms of fluid overload. Worsening hypoxia. Uncontrolled tachycardia regardless of the rhythm. Change in cardiac rhythm. Change in mental status. Decreased urinary output despite diuretic therapy.

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