Congestive Heart Failure (CHF)

 

The heart does not pump with enough force or pump a large enough volume of blood to adequately perfuse the tissues and the organs of the body. This results in a black log of fluid pooling in the lungs and other tissues of the body.

 

Etiology

 

  • chronic poor blood flow to the heart (may or may not be accompanied by angina)

  • heart muscle damage from previous heart attack

  • high blood pressure

  • heart valve disease

  • cardiopathology infection of the heart

  • excessive use of alcohol or drugs

  • Idopathologic cardiopathology

 

Signs and Symptoms

 

  • Shortness of breath (SOB)

  • Swollen ankles or legs

  • Sudden weight gain

  • Tiredness or loss of energy

  • Sudden loss or change in appetite

 

Tx/Management

 

  • fluid restriction

  • limit alcohol intake or abstain

  • medications

  • diet/ behavior modification

  • low levels of physical activity (walking, swimming) – increase muscle fitness, no strenuous excercise

 

  • symptom control

  • preventing disease progression

  • goal to prevent development of acute decompensated heart failure (ADHF) (causes respiratory distress)

 

medications:

 

 

 

 

Bedard, Dale, Hoeschen, R, J, Klassen, Linda, Kertland, H, Savage, Marlene, and Tam, J. 2006. Congestive Heart Failure. Heart and Stroke Foundation.

Bloomington Hospital. CHF. Retrieved October 2, 2009 from http://www.bloomingtonhospital.org/oth/Page.asp?PageID=OTH001027

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