#Nclex #RN #nursing #heart
Hello hello this is registered nurse colleen welcome back for another video today we’re gonna be talking about heart failure so tune in so today we’re gonna be learning heart failure what is heart failure what do you know about heart failure your heart is unable to pump properly and not giving oxygen and blood to the needed organs so what are some causes genetics
Obesity inactivity smoking coronary artery disease and there are many drugs that can cause entreat heart couple year so there’s two types of heart failure right side and left side and each has different kinds of side effects that you must know right side has fatigue peripheral venous pressure you will also see as side and enlarged neck veins also known as distended
Jugular veins you also see spleen enlargement you will also have weight gain in in alexia and gi distress they will have edema in the extremities so that’s very important now left-sided heart failure left-sided heart failure is different you will have orthopnea which is laying down and can’t breathe so you want to elevate the head of the bed with these patients you
Don’t have confusion they’ll have a nocturnal dyspnea you know difficulty breathing at night they’ll have crackles especially crackles wheezing blood stints put’em they’ll have touchy pina so gnosis of the lower extremities they’ll be restless so these are very important to know the difference between right and left heart failure some diagnostic initial labs that
May be needed our ecg chest x-ray you know the cbc you’ll also need your analysis all those things are needed to determine if this is heart failure or if it’s another heart condition you also need cardiac troponin york renton and level and ubu in to monitor kidneys about treatment there are so many treatments so many different classes to help treat heart failure
Some are nitrates by isis or by nitroglycerin used for chest pain we have arbs ace inhibitors the ones that end in pre like the lisinopril and a lapel all that stuff we have digoxin we have lasix furosemide which is then diuretic we have dopamine we have dobutamine so there’s so many different drugs used to help treat heart failure and they work in different
Ways depending on the type of heart failure you have cardiac arrest coronary artery disease a lot of arrhythmias heart defects pericarditis you know heart murmurs peripheral artery disease myocardial infraction so there’s a lot of different diseases and types of heart diseases out there or diuretics it’s important that you monitor the potassium because it it
Lowers your potassium and that is a most dangerous electrolyte imbalance to have so we have lumet’s adeem we have furosemide we have terrassa mind those are all some types of diuretics we have found a lactone try methylene and milla ride these are all potassium sparing diuretics so when you’re on these you do not have to have potassium supplements they should
Be avoided salt substitutes should be avoided those increase your potassium and then there should review patients diet to make sure there’s not much vitamin k i’m cardiac glycoside very important drug it’s like jackson you must monitor the potassium check apical pause for one full minute before even administering the dose it must be at least 60 beats per hour
And an adult and four infant should at least be 90 beats per minute before administering dioxin the normal level is 0.5 to 2 levels above 1.8 are usually found toxic so it’s very important to monitor those drugs levels heart failure in cardiac disease is number one cause of death in african-americans so it’s important to decrease your risk of heart failure you
Need to you know eat a healthy diet low salt diet exercise at least three times a week for 30 minutes at least that no smoking avoid large amounts of alcohol maintain healthy cholesterol levels control your diabetes always monitor your blood pressure take your prescribed cardiac medication maintain a healthy weight i hope this video was helpful please comment
And subscribe and follow me on instagram for more
Transcribed from video
PASS NCLEX in 60Q // HEART FAILURE review By Registered Nurse Ali