Patient History: Henry Felton, 69, HPI: Shortness of breath, heartbeat racing, swelling of ankles and feet.
The patient says they have been experiencing shortness of breath and a racing heartbeat for a couple of months, but recently it worsened. He is having trouble sleeping at night and can only sleep comfortably if propped up. The patient was a smoker and quit after experiencing a heart attack five years ago, he also drinks alcohol occasionally. The patient suffers from high cholesterol and gout. There is family history of heart problems, with his father passing away from a heart attack and his mother passing away from a stroke. The predisposing risk factors for development of congestive heart failure in the patient are a history of myocardial infraction and high cholesterol. The patient also had a double coronary bypass done six months after his heart attack which may be putting extra pressure on his heart. From the X-Rays and ECG results, the nurse concludes it’s right-sided heart failure due to the LDL levels, restriction of blood flow, and chest pain.
Heart failure (HF) is the end stage of many cardiac disorders (Banasik & Copstead, 2018) .It occurs when the heart is unable to provide sufficient cardiac output to meet normal metabolic functions of the body (Banasik & Copstead, 2018). The most common clinical manifestations of heart failure are jugular vein distention, dyspnea, and edema. Chronic heart failure is classified in various ways, it may be categorized as right sided, left sided or bi-ventricular according to the ventricles that are failing (Banasik & Copstead, 2018).Clinical features of coronary heart disease are differentiated by angina pectoris, myocardial ischemia, and elevated LDL levels. Left sided heart failure causes blood to build up in the pulmonary veins which can cause breathing symptoms (Yetman, 2021). Right sided heart failure causes blood to buildup in the veins which may lead to fluid retention and swelling (Yetman, 2021). Fluid retention and swelling is seen in the patients ankles and feet. In the case of the patient, the first step in treatment was a low dosage diuretic.
Banasik, J., & Copstead, L. (2018). Pathophysiology (6th ed.). Elsevier.
Yetman, D. (2021, October 28). Left- vs. right-sided heart failure. Healthline. https://www.healthline.com/health/heart-failure/left-vs-right-sided-heart-failure#about-heart-failure
The postfirst appeared on .
The postappeared first on .