Nursing Assessment for Congestive Heart Failure
Nursing Assessment for Congestive Heart Failure 1. Activity / rest Symptoms: fatigue / tiredness throughout the day, insomnia, chest pain with activity, dyspnea at rest. Symptoms: Anxiety, mental status changes such as lethargy, changes in vital signs of activity. 2. Circulation Symptoms: history of hypertension, acute myocardial infak, previous episodes of Chronic Heart Failure , heart disease, cardiac surgery, endocarditis, anemia, septic shock, swelling in the legs, feet, abdomen. Signs: blood pressure; may be low (pump failure), pulse pressure; may be narrow, heart rhythm; dysrhythmias, cardiac frequency; Tachycardia, apical pulse; PMI may spread and change in an inferior position to the left, heart murmurs; S3 (gallops) is diagnostic, S4 may, occur, S1 and S2 may be weakened, systolic and diastolic murmur, Color: blue, pale gray, cyanotic, nail backs; pale or cyanotic with a filling, capillary slow, Liver; enlargement / can be palpated, breath sounds ; crackles, rhonchi, edema; ma...