Acute Exacerbation of Heart Failure Aetiology The higher value of blood pressure is termed as hypertension and is termed as one of the significant factor in causing heart failure and other cardiac disturbances. hypertension Irregular pulse The abnormality in heart rhythm or breathing rate can cause fluctuations in pulse rate. Extreme low or higherpulserateor irregularitiessignifiesthe cardiacdysfunctionor the failure. Pathogenesis The decreased SpO2% and higher respiratory rate indicates the lowered cardiac output. Systolic heart failure Activation- vasopression Bilateral basal crackles on lung auscultation Left ventricular function Atrial fibrillation leads to abnormal heart rhythm which leads to complications of storke, heart failure or even blood clot. Treatment Drugssuchasfurosemide and glyceryle trinitrate are giventothepatientsso whichrelaxesand maintain blood and atrial pressure as well as smooth functioningofheart muscles. Pharmacotherapy Nursing interventions Nurses must use interventions such as clinical governance of heart rate, BP, pulse rate and oxygen saturation so that abnormalities can be identified and accurate treatment can be provided. Diagnosis Exacerbation of systolic heart failure DysnoeaBilateral basal crackles in lungs The patient had high blood pressure (170/95 mm Hg), respiratory rate (24 breaths/ min) and pulse rate (120 beats / min) BreathlessnessAbnormal body parameters Course of the DiseasePrevention The patient had medical history of heart failure, and she is 78 years old which is also critical factor. The liquid intake, pulse rate, respiratory rate, skin colour and blood pressure must be monitored regularly. In this acute condition the heart muscles fails to supply necessary blood to lungs and other organs due to ineffective pumping action of heart muscles. Atrial Fibrillation
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