Saturday, March 30, 2019

Impacts of Heart Failure on the Body

Impacts of fondness Failure on the BodyHelen McHughClearly Define feeling Failure.Heart distress occurs when both side of the effect stopnot keep up with the arise of downslope.It can involve left or right side of the look or both.It is a combination of decreased cardiac output attach to by afflicted utilization of the failing emotional state and the compensatory mechanisms that preserve the cardiac reserve.Usually the left is mired firstWhat organs and which corpse brasss atomic number 18 affected by the disorder?cardiovascular system The Heart The respiratory organic structure The lungs, shortness of glimmer, chronic, non productive cough.digestive system Liver becomes enlarged, unable(p) to filter toxins and produce needed proteins. , stomach imp ventilateed gastrointestinal function due to slimy rake supply and malnutrition, accumulation of silver-tongued in peritoneal cavity.Urinary arranging Kidneys unstable volume, oedema, imp conveyed rennin,- angiotensin-aldosterone mechanism, nocturia(early in process) and oliguria(late sign) integumentary system Skin and nail bed cyanosis. Pale and sweaty skin neuronal system Brain confusion( due to want of oxygen to brain), sympathetic ill at ease(p) system activation, bang, restlessness, insomniaEndochrine frame Pituatory gland (anti diuretic hormone), and adrenal glands (aldestorone) associated with water and sodium retentionLymphatic system lymphoedema ca utilize by oedema of chronic partiality failureMuscular System vim fatigue, impaired exercise security deposit due to myopic oxygen supply to muscles.(Porth Matfin, 2009)Give a draft overview of the principle function of the body systems affected by this disorderCardiovascular/Circulatory systemComprised of centre of attention, blood vessels and blood which spirt to raiseher to rear necessary nutrients to the body, removes excretory products from the body, protects the body from infection and maintains body heat.(Human body-build, 2010)The Respiratory SystemThe respiratory system, comprised of lungs, passages and muscles which are responsible for exchange of gases within the body and in addition from outside of the body. Oxygen is breathed into the body and transported to all of the parts and therefore carbon dioxide is breathed out.(Human Anatomy, 2010)The Nervous systemThe nervous system is the surmount centre of the body. It controls and regulates the functions of the body. The system is made of of voluntary and involuntary functions. The nervous system, comprised of the brain, spinal cord, nerves and neurons manages the body systems to work together and to a fault for the organs to work together to create a finely tuned human body.(Human Anatomy, 2010)The Urinary SystemThe urinary system filters and removes waste from the body and also maintains the right sense of equilibrium of salt and electrolytes in the body.The urinary system is very important in controlling homeostasi s in the body. It can control the volume of blood in the body to control blood squash.The kidneys produce and interact with several hormones that are involved in the control of systems outside of the urinary system (Taylor, 2013)Digestive systemThe digestive system is responsible for the process by which forage and drink are broken tear down into their smallest parts so the body can use them to build and nourish cells and to provide energy.Integumentary SystemSkin forms the bodys outer covering and forms a roadblock to protect the body from chemicals, disease, UV light, and physical violate. Hair and nailsextend from the skin to strengthen the skin and protect it from environmental damage. Theexocrine glands of the integumentary system produce sweat, oil, and uprise to cool, protect, and moisturize the skins surface (Taylor, 2013)Endocrine SystemThe endocrine system is made up of the glands of the body and the hormones produced by these glands. The hormones are used to regula te the body to maintain homeostasis.Lymphatic Systemthe lymphatic system carries interstitial fluid from cells and winds back to the heart, Elements of the lymphatic system find and get rid of foreign bodies and invaders in the body.Muscular systemThis is responsible for the deed of and within the body. Comprised of three types of muscle Visceral muscles found inside the organs of the body(involuntary) cardiac muscle found in the heart otiose muscle attached to the skeleton and are the voluntary muscles.Define the signs and omens of heart failure and explain wherefore these signs and symptoms occur.Fatigue /Weakness Often experienced as heaviness of limbs and can be due to poor tissue perfusion of skeletal muscles due to poor cardiac output. (Medscape, 2014)Cardiac fatigue is different from normal fatigue as often progresses through the day and is not endow in the morning. due(p) to reduced cardiac output throught the day and lack of oxygen.Confusion/memory impairment/anx iety/restlessness/insomnia. Due to impaired cardiac output throughout the day the brain may not receive enough oxygen and lead to these symptoms.Nocturia (early stage heart failure)Caused by increased blood return to the heart when person is duplicity down which causes increased cardiac output, renal blood flow and glomerular filtration.Oliguria (Late stage heart failure) caused by decreased cardiac output and successive renal failure.Orthopnea Due to decreased pooling of blood in lower extremeties and also due to ascites, too much blood rushes back to the heart and it cannot care with it through several processes the result is increased airway resistance leading to dyspnoea.(Medscape, 2014)Paroxysmal Nocturnal dyspnoea This is a sensation of shortness of breath that awakens the patient, possibly due to increased airway resistance (See Orthopnea)(Mukerji., 1990)Abdominal dilatation Due to AscitesAbnormal Heart beat Atrial and Ventricular arrhythmias insurrectionist puls e Due to disturbance in contractions of the heartNausea Due to gastrointestinal problems with the digestive system not receiving enough blood and with the digestive system and liver becoming congested.Increase in blood pressure Because the heart is not able to pump the blood around the body as effectively and an increase in fluid build up in the body the blood pressure increases.Shortness of breath/gasping for air Due to crisp pulmonary oedema where capillary fluid has move into the alveoli.Chest Pain/Pressure Can be due to either primary or secondary myocardial ischemiaCyanosis due to acute pulmonary oedmea lack of oxygen throughout the body due to poor gas exchange.Palpitations It can be secondary to sinus tachycardia due to decompensated heart failure, or more commonly, it is due to atrial or ventricular tachyarrhythmias. (Medscape, 2014) weightiness gain rapid weight gain is often observed in patients with heart failure due to fluid retention.Crackles in lungs Can be Due to acute pulmonary oedema where capillary fluid has travel into the alveoli.Chronic Dry, non productive cough which becomes worse when patient is lying down Congestion of the bronchial mucosa may causes bronchospasm which may cause wheezy and difficulty in breathing. Condition is sometimes called cardiac asthma. listing the teaching taken on his admission that demonstrates these signs and symptoms.Sa02 87% on room air this is too low and sign of poor oxygen saturation.B/P 90/40 This is low, but may be due to his furosemide medication.Pulse High indication his heart may be operative too hard or may be due to anxiety of admission and needs to be kept monitoredResps very high could be indication of potential cardiac arrest. lower-ranking Temperature 35.8C can be associated with heart failure and worsening conditions (Medscape, 2013)(Cretikos, et al., 2008)To be noted the above vital signs could also be indicative of asthma attack(Patient.co.uk, 2012)Circulation He is hypertensive which, he has CCF and PVDSkin Integrity Ulcer Lower leg, this could be a symptom of poor nutrition and circulation, which is a symptom of diabetes which is a risk cypher of Heart failure.Nutrition Diabetes and firing of appetite. Diabetes is key risk factor of CCF and loss of appetite is indicative of GI problems associated with heart failureElimination clog This could be a sign of the digestive system not working(a) properly due to lack of blood supplyMental accede Confusion could be a sign of lack of oxygen reaching the brain.Emotional Status Anxiety of his condition could exascerbate his other feelings of anxietyDo you think the diabetes is related to the leg ulcer and amputated left toe? explain.Yes. The around common cause of chronic leg ulcers is poor circulation. Diabetics may pass on poor circulation due to the increased glucose in the blood and hardening of the blood vessels. This poor blood supply may lead to neuropathy and the nerve damage affect s the condition of the skin.A non healing ulcer that causes severe damage to tissue and bone may need amputation.Mr Wrights amputated left toe may ware been due to a non healing ulcer.(Mcnair, 2014)(American Diabetes Association, 2014)One of the medications he is taking is furosemide. What does furosemide do? Which body systems are affected by it? Explain why Mr Wright is ordered LasixLasix is a diueretic and is used to treat fluid retention in people with heart failure.Lasix is stops the body absorbing too much salt and rids the body of excess fluid and this can help the heart to pump more easily and can help regulate the blood pressure.Body Systems affected by Lasix are Cardiovascular system and Urinary system.List three conditions in Mr Wrights relevant medical history that are commonly associated with agingArthritisGlaucomaType 2 DiabetesWhat factors may impact on Mr Wrights sentry duty in hospital and when he returns home.HospitalConfusion Wandering with poor mobility(Patie nt.co.uk, 2011)Mobility Falls riskMRSAHomeFalls RiskConfusionDiabetes careAsthma perplexityAllergies(Confusion)Medications (Confusion)What other Health professionals will be involved in his care and what services can they provide for Mr Wright.Cardiologist Management/ treatments for his CCFRheumatologist vex for his ArthritisOpthamologist Care for his GlaucomaDiabetes Educator Education and support for his DiabetesDietician suspensor with his diet in relation to his diabetesPodiatrist Care for his feet, re. diabetesPhysiotherapist helper with mobilityNurse (RDNS) Help with care in the communityGP Treatment, consultations and advice in the communityRespiratory Specialist Consultations, and treatment re, respiratory issues.Phlebotomist Re. regular blood monitoringCounsellor Re. Mental healthSocial Worker Re. viable support in the community i.e. meals on wheels, community involvementList the nursing documentation you would expect to be used in the care of Mr WrightAdm ission FormPain Observation ChartFluid equipoise ChartMedication ChartNeurovascular ChartNeurological ChartCare PlanAllergies Alert Record FormReferencesAmerican Diabetes Association, 2014. Foot Complications. Online accessible at http//www.diabetes.org/living-with-diabetes/complications/foot-complications/ Accessed 9th swear out 2014.Cretikos, M. A. et al., 2008. Respitory rate the neglected vital sign. Online Available at https//www.mja.com.au/journal/2008/188/11/respiratory-rate-neglected-vital-sign Accessed 9th environ 2014.Human anatomy, 2010. Cardiovascular System. Online Available at http//www.mananatomy.com/body-systems/cardiovascular-system Accessed seventh knock against 2014.Human Anatomy, 2010. Nervous System. Online Available at http//www.mananatomy.com/body-systems/nervous-system Accessed 7th March 2014.Human Anatomy, 2010. Respiratory System. Online Available at http//www.mananatomy.com/body-systems/respiratory-system Accessed 7th March 2014.Mcnair, D. P., 2014. F oot and Leg Ulcers. Online Available at http//www.netdoctor.co.uk/diseases/facts/footandlegulcers.htm Accessed 9th March 2014.Medscape, 2013. Association of Low Body Temperature and Poor Outcomes in Patients Admitted With Worsening Heart Failure. Online Available at http//www.medscape.com/viewarticle/814981_4 Accessed 9th March 2014.Medscape, 2014. Heart Failure and Clincial Presentation. Online Available at http//emedicine.medscape.com/article/163062-clinical Accessed 9th March 2014.Mukerji., V., 1990. Dyspnea, Orthopnea, and Paroxysmal Nocturnal Dyspnea. Online Available at http//www.ncbi.nlm.nih.gov/books/NBK213/ Accessed 9th March 2014.Patient.co.uk, 2011. Delirium. Online Available at http//www.patient.co.uk/doctor/delirium Accessed 9th March 2014.Patient.co.uk, 2012. Acute-severe asthma and status asthmaticus. Online Available at http//www.patient.co.uk/doctor/acute-severe-asthma-and-status-asthmaticus Accessed 9th March 2014.Porth, C. M. Matfin, G., 2009. Chapter 26, Heart F ailure and Circulatory Shock. In H. Surrena, ed. Pathophysiology Concepts of neutered Health States. China Wolters Kluwer Health/Lippincott Williams and Wilkins, pp. 606-637.Taylor, T., 2013. Integumentary system. Online Available at http//www.innerbody.com/anatomy/integumentaryfull-description Accessed 9th March 2014.Taylor, T., 2013. Urinary System. Online Available at http//www.innerbody.com/image/urinov.htmlfull-description Accessed 9th March 2014.1

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