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Congestive heart failure, or heart failure, is a condition in which the heart is unable to
adequately pump blood throughout the body and/or unable to prevent blood from "backing
up" into the lungs.
In most cases, heart failure is a process that occurs over time, when an underlying condition
damages the heart or makes it work too hard, weakening the organ.
• systolic dysfunction occurs when the heart can't pump enough blood to supply all
the body's needs
• diastolic dysfunction occurs when the heart cannot accept all the blood being sent
to it.
Heart failure is a chronic, long-term condition, although it can sometimes develop suddenly.
The condition may affect only the right side or only the left side of the heart. These are
called right-sided heart failure or left-sided heart failure. More often, both sides of the heart
are involved.
Most common cause of heart failure is coronary artery disease (CAD), a narrowing of the
small blood vessels that supply blood and oxygen to the heart.
Heart failure can also occur when an infection weakens the heart muscle. Such a disorder is
called cardiomyopathy.
Heart failure is most common in people over age 65, African Americans, and women.
Clinical manifestations:
a. Sweating
b. Weakness and fatigue
c. loss of appetite resulting in weight loss
d. Weight gain from edema, ascites and pleural effusion
e. Irritability
f. Pallor and Cyanosis
g. Dyspnea, tachypnea, orthopnea, wheezing, cough
h. Tachycardia and gallop rhythm
i. Hepatomegaly
j. Distended neck and peripheral veins.
Anatomy and Physiology
The Heart
Systemic
circulation
Superior and
Inferior vena Aorta
cava
Right
atrium Aortic valve
Tricuspid
Left ventricle
valve
Right
ventricle Mitral valve
Pulmonary
valve Left atrium
Pulmonary
artery Pulmonary
vein
Lungs
Heart muscle
Bacterial weakens
invasion
Tachycardia and
Myocardial
ventricular
hypertrophy
dilatation to
Decreased Decreased
renal cardiac output
perfusion
Increased
sodium
retention
Edema, weight
gain,
distended Fluid
neck and overload
peripheral
veins Dyspnea,
tachypnea,
Pleural orthopnea,
effusion cough
Nursing Management
a. Pulmonary edema
5. Prevent Infection
6. Reduce cardiac demands by scheduling nursing interventions to allow patient for rest