Question

QUESTIONS:

1. What are the major sign and symptoms of congestive heart failure? Give nursing interventions for

each sign and symptoms.

2. How will you decrease the workload of the heart of the patient with heart disease?

3. Make a drug study of common medication use for heart disease.

Answer 1

ANSWERS

1.The major sign and symptoms of congestive heart failure are as follows,

i)Dyspnea:

Nursing Interventions

-Provide High fowlers positions for the client

-administer oxygen through mask

-prepare for intubation and ventilatory support

ii)Pulmonary edema

Nursing Interventions

-assess for lung sounds

-Administer oxygen

-administer diuretics to relieve edema

iii) fluid and water excess

Nursing Interventions

-monitor intake and out put

-restrict sodium diet

iv)Nausea / Vomiting

Nursing Interventions

-Provide food in a pleasing environment

-avoid noxious environment

v) Fatigue and weakness

Nursing Interventions

-Avoid physical activities which exert on the heart

-instruct client to take adequate rest

2.The following measure could be taken to reduce workload of the heart of the patients with heart diseases

i)Instruct the client to consume low fat diet, low sodium diet

ii) Instruct the client to avoid alcohol, smoking and caffeine as much as possible

iii)Instruct the client to mild to moderate exercises

iv)Instruct the client to monitor weight

v)Instruct client to take adequate rest between activities

vi)instruct client avoid stress

vii)Instruct client to have good sleep at nighttime

3.Common medications use for hart Diseases

i)Thrombolytic medications: These are used to increase blood flow to heart as in myocardial Infarction eg: Retavase

ii)Anti-coagulants-These medications are used to remove clots. eg: Heparin Sodium

iii)Anti Hypertensive medications: Theses medications are used to reduce Blood pressure: Eg: Benzathiazide

iv)ACE inhibitors: It prevents vasoconstriction eg: Captopril

v)Anti angina Medications: It is useful in angina: Eg: nitroglycerine

vi)Calcium channel Blockers: It helps in the vasodilatation of the coronary arteries: Eg: Amlodipine

vii)Antidyrhythmic Medications: These medications helps in preventing dysrhythmia of the heart. eg: cardizem

vii)Diuretics: These drugs are used to relive edema: Eg : Lasix