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Congestive Heart Failure Interventions. 16 heart failure nursing care plans. About 80 of chf cases occur before 1 year of age. To accomplish this aim 53 terms were identified in the focus axis of the international classification for nursing practice icnp which guided t. The aim of this descriptive exploratory study was to construct nursing diagnosis and intervention statements for patients with congestive heart failure.
This nursing care plan guide contains 18 nanda nursing diagnosis and some priority aspects of clinical care for patients with heart failure. Congestive heart failure chf patients often wait too long to seek medical treatment and arrive in the ed in an acutely exacerbated state says eileen swailes rn nurse manager of the ed overflow unit at good samaritan hospital medical center in west. Most commonly used diuretics in congestive heart failure are loop and sometimes thiazides are used with loop diuretics. Some congestive heart failure patients are candidates for a type of pacemaker called biventricular pacing therapy which helps both sides of the heart work in concert or an implantable cardioverter defibrillator which shocks the heart into converting a potentially fatal fast rhythm to a normal one. 3 4 5 however mechanical circulatory devices such as ventricular assist devices vads and total artificial hearts tahs can bridge the patient to transplantation. Nurses should use standing orders.
The care plan necessary for hf focuses on.
Congestive heart failure drugs there are several medications that can be used to treat chf including ace inhibitors beta blockers and more. Congestive heart failure or chf is a severe circulatory congestion due to decreased myocardial contractility which results in the heart s inability to pump sufficient blood to meet the body s needs. Heart transplantation has been the criterion standard for therapy when progressive end stage heart failure occurs despite maximal medical therapy when the prognosis is poor and when there is no viable therapeutic alternative. Encouraging the patient to verbalize his or her ability to make decisions and influence outcome. Relieving fluid overload symptoms. The primary cause of chf in the first 3 years of life is chd.