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Heart Failure

Left Sided Heart

– Failure of the left side of the heart to pump enough blood to meet the metabolic demands of the body.

  • There is an impaired oxygenation and a decrease in myocardial workload in the heart.

Assessment Findings in patients with Left Sided heart failure.

  • Crackles
  • Dyspnea
  • Gallop Rhythm: S3, S4

What we would usually find in patient with left sided heart failure  is that there is an increase in pulmonary congestion and there would be a left ventricular hypertrophy.

Management

  • Low sodium diet
  • Semi Fowlers position on pt.
  • Weight patient daily
  • Administer IV, oxygen and meds as ordered.
  • Monitor Vitals, I/O

 

 

Right Sided Failure

– Failure of the right side of the heart to pump enough blood to meet the metabolic demands of the body.

Causes:

  • Left sided heart failure
  • COPD
  • Atherosclerosis
  • Pulmonary Hypertension

 

Assessment:

  • Jugular vein distention
  • dependent edema
  • weight edema

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