Utilizing Chapter 121, table 121.1 in your Buttaro text, select one symptom of h
ID: 136545 • Letter: U
Question
Utilizing Chapter 121, table 121.1 in your Buttaro text, select one symptom of heart failure (HF) and one sign of HF and answer these questions: How would you work up this finding? What other questions may you ask your patient upon finding this? How would you manage/treat this patient? Usining Primary care A collaborative practice, 5 th edition.)
Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). St. Louis, MO: Elsevier, Inc.
Explanation / Answer
HEART FAILURE: is also known as Congestive Heart Failure and is a chronic condition in which the heart dosenot pump blood as well as it should. In addition to this, certain conditions like narrowed arteries or high blood pressure gradually leave the heart too weak or stiff to filland pump efficiently. The signs and symptoms of heart failure includes a) dyspnea or shortness of breath b) fatigue and weakness c) swelling or edema in legs, ankles and feet d) rapid or irregular heartbeat e) reduced ability to exercise f) persistent cough or wheezing g) increased need to urinate at night. SHORTNESS OF BREATH: A) if a person has heart failure, the person may have difficulty in breathing when he or she is active.The other activities such as sweeping or even walking around the house may be not possible. b) when heart failure worsen , fluid backs up into the lungs and interferes with oxygen getting into the blood causing dyspnea at rest and at night.
B) The other questions relate to shortness of breath can ask to patient in heart failure includes a) orthopnea- due to fluid backs up into the lungs, the person may awaken at night to relief from shortness of breath and to get relief. This condition is known as paroxysmal nocturnal dyspnea. b) cough- as the buildup of fluid in the lungs becomes very severe, a frothy, pink liquid may be resulted in cough. c) fluid retention and swelling.
C) TREATMENT: The treatment of this based on the cause of the disease, but can be effectively treated. Symptoms can be relieved by removing the excess fluid from the body by a) improving the blood flow and b) improving heart muscle function. Treatment includes 1. less intake of salt 2. fluid restriction 3. quitting smoke 4. physical exercise and weight reduction 5. medications include a) diuretic to reduce blood pressure and to reduce swelling b) sntihypertensive drugs c) vasodilator. 3. cardioverter defribillator devices can be implantable 4. Coronary artery bypass surgery can be performed in severe cases.
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