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Jacqueline Buckham AC-230

Jacqueline Buckham AC-230. TEACHING PLAN. Objectives. The anatomy of the heart Fill in the Blank What is congestive heart failure (CHF)? How does the heart work with CHF? Signs and Symptoms Causes of CHF Management of CHF Discussion about CHF Group skit Questions? Quiz. The Heart.

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Jacqueline Buckham AC-230

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  1. Jacqueline BuckhamAC-230 TEACHING PLAN

  2. Objectives • The anatomy of the heart • Fill in the Blank • What is congestive heart failure (CHF)? • How does the heart work with CHF? • Signs and Symptoms • Causes of CHF • Management of CHF • Discussion about CHF • Group skit • Questions? • Quiz

  3. The Heart Click on photo to view video of the heart*

  4. The Heart- Fill in the Blank Word bank Aorta Superior vena cava Inferior vena cava Pulmonary artery Pulmonary valve Pulmonary veins Right atrium Left ventricle Left atrium Left ventricle Mitrial valve Tricuspid valve Septum

  5. Congestive Heart Failure What is Congestive Heart Failure (CHF)? • Condition where the heart is unable to pump blood as well as it should. • It does not mean your heart stops working. • It just means your heart is not as strong as it used to be. • The heart is unable to pump enough blood throughout the body. • Blood that is usually circulating from the heart to all parts of the body backs up into the lungs, liver, stomach and legs. Click on photo to view video of the heart*

  6. How does the heart work with Congestive Heart Failure? • As the heat’s pumping action weakens, the body fights back to adapt to the decreased blood flow. • The heart has four chambers. • The right atrium, left atrium, the right ventricle and left ventricle.

  7. Continued-How does the heart work with Congestive Heart Failure? • When the right side of the heat does not pump blood as well as it should, blood backs up into the veins. The veins expand to attempt to hold more fluid. In time, the fluid is forced out of the veins and goes to the legs, feet, ankles, liver and/or stomach. The back-up of blood causes swelling in those areas. • When the left side of the heart’s pumping action weakens, blood returns to the lungs. This can cause symptoms of difficulty breathing and coughing. When the blood flow to the kidneys is reduced, they react by holding salt and water that would normally pass out of the body. This also causes swelling which is also causes edema.

  8. Signs and Symptoms of Congestive Heart Failure • Weight gain or 2 or more pounds in one day • Gain 3 or more pounds in 1 week • Swelling of the feet, legs, ankles, hands and/or stomach • Persistent cough or chest congestion • Increasing fatigue and weakness • Poor appetite • Nausea • Confusion • Restlessness • Intermittent shortness of breath • Dizziness and light headedness

  9. Causes of Congestive Heart Failure There are many conditions that can cause heart failure. Some include: • Heart attack • High blood pressure • Abnormal heart valves • Irregular heart beat • Lung disease • Infection of the heart muscles by a virus or bacteria • Alcohol consumption or abuse • Exact cause of heart failure may be unknown or have no known cause

  10. Management of Congestive Heart Failure • Daily weights. Weigh at the same time with the same clothes every day. • Document weight every time • Weight before you eat or drink anything • Main reason to weigh- if you develop any fluid retention, swelling and edema you can find this information out through the daily weight.

  11. Continued..... Management of Congestive Heart Failure

  12. Continued..... Management of Congestive Heart Failure • Reduce salt intake mo more than 2 grams of sodium each day • Limit the amount of sodium in beverages • Low salt diet • Restrict fluid intake • Drinking too much fluid makes the heart work harder • Always take medication prescribed by physician. • Some examples of medication include: • Lasik • Lisinopril • Isordil • Digoxin • Carvedilol • Losartan

  13. Continued..... Management of Congestive Heart Failure • If you feel any side effects of these drugs, contact your physician immediately or go to the nearest hospital • Some side effects include: • Dizziness • Cough • Kidney problems • Low blood pressure • Weakness • Skin rashes • Altered sense of taste • High potassium levels

  14. Continued..... Management of Congestive Heart Failure Activity level • Discuss the amount of activity you can do with your physician. • What you are able to do depends on the severity of your condition • No smoking! • Rest is important • Know your heart failure zones • Keep your Doctor’s appointments

  15. Ways of managing Congestive Heart Failure using “ZONE”

  16. Discussion • What is CHF? • What other organs does CHF affect? • How can you get CHF? • How do you maintain CHF? During this discussion please make a group of 5 people and discuss these questions with one another. Create a quick skit describing a patient with congestive heart failure. Any Questions?

  17. Quiz

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