Nursing Intervention for Rheumatic Heart Failure

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RHEUMATIC HEART FAILURE

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Contents
Introduction-....................................................................................................................................3
Discussion on the pathophysiology -...............................................................................................3
Recording of the vital signs for a patient with a Rheumatic heart failure.......................................5
Blood pressure –...........................................................................................................................5
Pulse pattern –..............................................................................................................................6
Saturation point-...........................................................................................................................6
Respiration-..................................................................................................................................6
Body temperature –......................................................................................................................6
Nursing Intervention to address the identified abnormal findings-.................................................7
Independent nursing Intervention-...............................................................................................7
Nursing Rationale –.....................................................................................................................8
Collaborative intervention-..........................................................................................................9
Ascites-.........................................................................................................................................9
Nursing Intervention to address the recognized unusual abnormalities-.......................................10
Nursing Rationale-.....................................................................................................................11
Conclusion-....................................................................................................................................12
Reference-......................................................................................................................................12

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Introduction-
In the case of Reggie it has been found that Reggie is a 42 years old indigenous
Australian. As a child Reggie was diagnosed with a Rheumatic heart disease. In Rheumatic heart
disease is the condition of the rheumatic fever in which heart valve are damaged with the time.
The rheumatic fever is an inflammatory disease that begins with strep throat caused due to
streptococcal infection. It affects the connective tissue throughout the body primary attack on
heart, joint, brain and skin. Because of this disease he has the chance of the heart failure.
Afterwards he has been transferred to Brisbane for management of an acute decomposition of the
heart failure. Decompensate heart failure can affect your overall health. It causes the congestion
in the lungs that make it difficult to inhale when you cough and wheeze. Decompensate heart
rate make you fatigue. That’s why Reggie appears and heart becomes fatigued. Due to this
people may have abnormal heart rate as he has 28 beats per minute. Due to developed congestion
in the heart oxygen saturation decreased upto 92%. Besides that he has also bilateral pitting
oedema of the legs to knee height.
Discussion on the pathophysiology -
After the detailed analysis it has been found that the patient is suffering from the multiple
diseases that is correlated to each other. The most prior disease is the Rheumatic Heart disease
and ascites. It is the primary responsibility of a nurse to see the report of patient and attend the
patient with great care as the patient is the suffering from the rheumatic heart disease. The
Rheumatic heart disease is the autosomal immune disorder. Rheumatic heart disease develops in

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the childhood and adolescents and causes the pharyngitis. The infection is caused by the
streptococcus bacteria. After entry in the body bacteria start to attach to the epithelia cells of the
upper respiratory tract and start to produce a group of enzymes, which help them to damage and
invade the tissues (Butcher et al., 2018).. After the 2-5 days the invading bacteria induce the
acute inflammation which cause scarlet fever, headache, malaise and increased WBC count. The
rheumatic heart disease symptoms vary according to the patient and always damage the patient
heart valve. The antibiotics give relief from the certain problems but in the pharynx the
organism’s remains unstable and act as reservoir for infecting the parts of the body. Severe and
chronic Rheumatic fever can damaged the heart valve progressively. The Organism most
commonly affects the mitral valve in the 60-70% of the patient and aortic valve get affected in
the approx. 25% ( Perry, Potter & Ostendorf, 2015). A nurse must obtain a complete history
from the developing the first sign to till today from the patient and the family member. In the
case of the rheumatic disorder sore throat is the treated with the antibiotics abut in the severe
case antibiotics doesn’t properly and the patient have the episodic rheumatic fever within a
month will become a cause for him about the sore throat or URI (upper respiratory infection).
The nurse will look for the hen the first sing and symptom start to develop? Also, find out about
the treatment if he taken. After taking the present and past history the nurse will proceeded to the
next step i.e. physical examination. Start with the review of the all systems in the body from the
head-to-toe. If there will any physical symptoms found then it will examined it as major or
minor. The next steps are check the increasing body temperature and heart rate and examine
whole body for any kind of infection, inflammation and joint pain. The nurse need to find out the
other affected area due to Rheumatic disease (Callaghan, 2016). Although it is clear that the
patient is the suffering from the rheumatic heart diseases but to confirm the diagnostic I required