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    Heart Failure COncept Map

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    JrBong Semanero
    The document presents a concept map about a 74-year-old patient with congestive heart failure (CHF). It includes predisposing factors for CHF like age, gender, and genetics. Precipitating factors included nutritional status, activity/stress, and lifestyle. The patient presented with symptoms of difficulty breathing, productive cough, phlegm, malaise, and inability to perform activities of daily living. The x-ray showed pulmonary edema. The nursing interventions were to monitor vital signs, place the patient in a semi-Fowler's position, and monitor for improved ventilation and oxygenation.

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    Heart Failure COncept Map

    Uploaded by

    JrBong Semanero
    271 views2 pages
    The document presents a concept map about a 74-year-old patient with congestive heart failure (CHF). It includes predisposing factors for CHF like age, gender, and genetics. Precipitating factors included nutritional status, activity/stress, and lifestyle. The patient presented with symptoms of difficulty breathing, productive cough, phlegm, malaise, and inability to perform activities of daily living. The x-ray showed pulmonary edema. The nursing interventions were to monitor vital signs, place the patient in a semi-Fowler's position, and monitor for improved ventilation and oxygenation.

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    Heart failure COncept map

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    The document presents a concept map about a 74-year-old patient with congestive heart failure (CHF). It includes predisposing factors for CHF like age, gender, and genetics. Precipitating factors included nutritional status, activity/stress, and lifestyle. The patient presented with symptoms of difficulty breathing, productive cough, phlegm, malaise, and inability to perform activities of daily living. The x-ray showed pulmonary edema. The nursing interventions were to monitor vital signs, place the patient in a semi-Fowler's position, and monitor for improved ventilation and oxygenation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    271 views2 pages

    Heart Failure COncept Map

    Uploaded by

    JrBong Semanero
    The document presents a concept map about a 74-year-old patient with congestive heart failure (CHF). It includes predisposing factors for CHF like age, gender, and genetics. Precipitating factors included nutritional status, activity/stress, and lifestyle. The patient presented with symptoms of difficulty breathing, productive cough, phlegm, malaise, and inability to perform activities of daily living. The x-ray showed pulmonary edema. The nursing interventions were to monitor vital signs, place the patient in a semi-Fowler's position, and monitor for improved ventilation and oxygenation.

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    “CONCEPT MAP”

    Predisposing Factor: Precipitating Factor:


     Age  Nutritional Status
     Gender  Activity / Stress
     Genetics  Lifestyle
    CHF

    74 years old

    S/sx:  Outcome: Monitor


    vital sign q1.
     With difficulty of breathing
     Appeared
     With productive cough comfortable.
     With phlegm green in color  Assume the pt. In
     Body Malaise semi-fowlers
    position.
     Unable to perform like ADL
     Monitor the
     With x-ray result pulmonary respiratory rate and
    edema. pulse rate.

    Decreased cardiac output Activity Intolerance related to Impaired gas exchange


    related to disease process as imbalance between oxygen related to lack of altered
    manifested by laboratory supply and demand as oxygen supply as evidenced
    result (pulmonary edema). evidenced by weakness and by dyspnea secondary to
    dyspnea. CHF.
    Report decreased The patient will be able to
    episodes of weakness The patient will be able demonstrate improve
    dyspnea and participation to reduce weakness ventilation and adequate
    activities that reduce and maintain mobility oxygenation of tissues by
    cardiac workload. at the highest possible ABG’s, pulse oximetry
    level. progress and improve
    respiratory distress.

     Check vital sign


    before and  Explain to patient the
     Place the patient in immediately after disease process and
    semi-fowler’s activities especially management of
    if patient is symptoms
     Monitored vital receiving
    signs  Assist the patient in a
    vasodilators comfortable position,
    diuretics or b- sitting or semi-
     Monitor cardiac
    blocker. fowler’s
    rhythm
    continuously  Instruct client to  Monitor respiratory
    avoid increasing status, including rate,
     Provide quiet and pattern of
    abdominal pain.
    comfortable respirations, and
    environment  Provided assistance breath sounds
    with self-care  Demonstrate and help
     Provided assistance the patient perform
    activities as
    with self-care diaphragmatic and
    indicated.
    activities as pursed lip breathing.
    indicated.  Assess for other  Advise the patient to
    precipitators/ allow the patient to
    causes of fatigue. rest and limit
    activities.

    Report decreased episodes The patient was able to The patient will be able to demonstrate
    of weakness dyspnea and reduce weakness and improve ventilation and adequate
    participation activities that maintain mobility at the oxygenation of tissues by ABG’s, pulse
    reduce cardiac workload. highest possible level. oximetry progress and improve
    respiratory distress.

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