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)
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
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.
Adaptive Brain SIMCLEX Study Plan – 6 Apr 2026
Concepts Covered:
- Cardiac Disorders
- Neurologic and Cognitive Disorders
- Postoperative Nursing
- Noninfectious Respiratory Disorder
- Postpartum Complications
- Fundamentals of Emergency Nursing
- Cardiovascular
- Disorders of the Posterior Pituitary Gland
- Endocrine
Study Plan Lessons
Heart Failure – Live Tutoring Archive
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Obstetric Trauma for Certified Emergency Nursing (CEN)
Discharge Planning for Certified Emergency Nursing (CEN)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Asthma for Certified Emergency Nursing (CEN)
Myocardial Infarction Nursing Mnemonic (MONATAS)
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review