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CHF CAN BE WHAT TWO THINGS?

ACUTE OR CHRONIC

HEART FAILURE (HF):

OCCURS WHEN THE HEART IS UNABLE TO PROVIDE CIRCULATION ADEQUATE TO MEET THE DEMANDS OF THE BODY; HF ACCOMPANIED BY EDEMA IS CHF.

GRADING EDEMA:+1

EDEMA IN TOES AND FOOT

GRADING EDEMA:+2

EDEMA LOCATED UP TO LEVEL OF MALLEOLUS

GRADING EDEMA: +3

EDEMA OCCURS ABOVE THE ANKLE

GRADING EDEMA:+4

EDEMA UP TO THE CALF/FIBULAR HEAD

GRADING OF PITTING EDEMA: 1+

<1/4" DEPRESSION

GRADING OF PITTING EDEMA: 2+

1/4-1/2 DEPRESSION

GRADING OF PITTING EDEMA:3+

1/2-1 DEPRESSION

PRODUCTIVE COUGH, PULMONARY EDEMA, CEREBRAL HYPOXIA, FATIGUE AND MUSCLE WEAKNESS, RENAL CHANGES ARE ALL SIGNS OF WHAT?

LEFT VENTRICULAR FAILURE

LEFT VENTRICULAR FAILURE -

POOR BLOOD PUMPING TO THE BODY

DEPENDENT EDEMA, VENOUS STASIS, JUGULAR VEIN DISTENTION, AND CYANOSIS OF NAIL BEDS ARE ALL SIGNS OF WHAT?

RIGHT VENTRICULAR FAILURE (COR PULMONALE)

RIGHT VENTRICULAR FAILUE (COR PULMONALE) -

POOR RETURN OF BLOOD TO THE HEART

COMPENSATED HF -

THE HEART USES COMPENSATORY MECHANISMS TO MAINTAIN A NORMAL CO

DECOMPENSATED CHF -

PROGRESSED TO POINT COMPENSATORY MECHANISMS ARE NOT EFFECTIVE

COMPENSATORY MECHANISMS: VENTRICULAR DILATION:

HEART TRIES TO INCREASE STROKE VOLUME BY INCREASING AMOUNT OF BLOOD VENTRICLE HOLDS AND VENTRICLE LOSES FORCE OF CONTRACTION DUE TO RELATIONSHIP OF MUSCLE LENGTH AND TENSION.

HYPERTROPHY OF THE MYOCARDIUM -

HEART BECOMES ENLARGED WITH THICKENED WALLS, OVER TIME THE CORONARY ARTERIES CANOT MEET THE OXYGEN DEMANDS OF THE ENLARGED MYOCARDIUM AND ANGINA OCCURS.

SYMPATHETIC NERVOUS SYSTEM ACTIVATION - CAUSES INCREASED ______ ______ AND DECREASED BLOOD FLOW TO THE ________ AND THIS CAN RESULT IN RETENTION OF _____AND ____ RESULTING IN ______

HEART RATE; KIDNEY; WATER; SOUDIUM; EDEMA

JUGULAR VENOUS DISTENSION:

OBSERVABLE ENLARGEMENT OF THE JUGULAR VEINS IN THE NECK

HIGH FOWLER'S POSITION:

HOB ELEVATED AT LEAST 20 INCHES TO DECREASE PULMONARY CONGESTIVION AND EASE DYSPNEA.

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