Heart Failure for Certified Emergency Nursing (CEN)

You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz

Included In This Lesson

Study Tools For Heart Failure for Certified Emergency Nursing (CEN)

Heart Failure Pathochart (Cheatsheet)
R v L Heart Failure (Cheatsheet)
Heart Failure Symptoms (Image)
Pulmonary Edema in Heart Failure (Image)
Heart Failure CHF Cardiac Xray (Image)
Heart Failure-Origin (Mnemonic)
Heart Failure – Right Sided (Mnemonic)
Heart Failure-Left-Sided (Mnemonic)
Left Heart Failure Assessment (Picmonic)
Right Heart Failure Assessment (Picmonic)
NURSING.com students have a 99.25% NCLEX pass rate.

Outline

Heart Failure

Definition/Etiology:

Left ventricular ejection fraction (EF) is typically below 40%

  • Systolic heart failure: inability to pump effectively
  • Diastolic heart failure: inability to adequately fill

Can be a complication of any type of cardiac disease

Most commonly caused by CAD, chronic HTN, and diabetes

 

Pathophysiology:

Inadequate cardiac output and oxygen delivery to tissues

 

LV failure -> pulmonary HTN -> RV failure -> venous congestion

 

Rt sided HF most often caused by Lt sided

Clinical Presentation:

Right-sided Failure Left-sided Failure
Peripheral edema Shortness of breath
JVD Dyspnea
Ascites Crackles
Hepatomegaly S3 heart sound
Increased CVP Pulmonary edema

 

Collaborative Management:

Assessment:

  • Chest X-ray (fluid), 12-lead EKG, labs, BNP (>100), echo

Interventions:

  • Support ABCs
  • continuous cardiac monitoring
  • O2 (SpO2 >90%), may need BiPAP
  • Initiate IV access
  • Caution with fluids! Watch out for Sepsis Pts

Medication Management:

  • Administer loop diuretics (get fluid off!)
  • vasodilators (morphine, nitroprusside, nesiritide, ACE inhibitors) as needed (less stress on heart to push against BP)
  • cardiogenic shock = positive inotropes

 

Evaluation | Patient Monitoring | Education:

  • Level of consciousness
  • Hemodynamic status
  • Breath sounds and pulse ox
  • Cardiac rate and rhythm
  • Respiratory effort
  • Intake and output

 

Linchpins: (Key Points)

  • The pump is not pumping effectively
  • Think fluid back up
  • RV failure = back up right atrium to vena cava
  • LV failure = back up left atrium to lungs

 

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

  • Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
  • Nelson, N. (2017). Cardiovascular Emergencies. In CEN Online Review. Emergency Nurses Association.

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.