Heart Failure for Certified Emergency Nursing (CEN)
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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)
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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
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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.
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