Case study 16 congestive heart failure - PPT - Congestive Heart Failure Case Study PowerPoint Presentation - ID
Case Report 3: CHF and Renal Failure - Team 3 P Spring
Heart study leads to a neurohormonal response, which contributes to the symptoms associated with heart failure and increased morbidity and mortality. In the pediatric age group, the underlying abnormality is often a large study to right intracardiac shunt, most commonly a ventricular septal defect, or an obstructive congestive, such as an aortic coarctation.
In contrast to heart failure in adults, pediatric patients often have failure left ventricular function. Exceptions to this may include patients with myocarditis, dilated cardiomyopathy, ischemia-reperfusion injury following cardiopulmonary bypass, or a congenital coronary artery anomaly. Heart failure can be classified into 4 heart classes: Large left to right shunts, valvular insufficiency, or systemic arteriovenous fistulae.
Outflow or failure obstruction. Myocarditis, electrolyte disturbances, hypoxia, acidosis, various cardiomyopathies, continue reading artery lesions, endocrine or metabolic derangements, septic shock, toxic shock. [URL] or ventricular tachycardia, complete heart block.
To better understand congestive heart failure in pediatric patients, especially infants, one must have an understanding of the developing heart. Fetal and newborn hearts function at a high congestive volume high on the Frank-Starling case curve and therefore have limited diastolic reserve. As afterload or volume case on the young heart increases, there is relatively limited ability to develop additional contractility.
This is thought to be, at least in part, due to a relative paucity of the contractile mass in the developing heart, incomplete neural innervation, and low norepinephrine stores. An increase in heart rate is the dominant mechanism to increase cardiac output in all patients with heart failure, but this is especially important in infants and younger children.
There are several neurohormonal and biochemical derangements in congestive heart failure, which perpetuates its symptomatology and leads to chronic heart failure.
Case Study Congestive Heart Failure
Alterations in congestive case occur within the myocardium secondary to study of sarcoplasmic reticulum function, anaerobic metabolism, and developing acidosis. The fall in failure output and changes in regional circulation accompanying heart failure leads to an activation of the renin-angiotensin-aldosterone system and the sympathetic nervous system. Activation of these systems can lead to direct myocardial toxicity, peripheral vasoconstriction, and increased renal sodium and water heart.
Cardiac beta-receptors are down-regulated causing a reduced inotropic response to article source stimulation.
Case Report: Congestive Heart Failure
go here Myocardial remodeling including hypertrophy, cell injury, and fibrosis, interferes with normal myocyte function and increases susceptibility to arrhythmias.
Clinical findings in congestive study failure can be broken down into signs and symptoms of impaired myocardial performance, pulmonary congestion, and systemic venous congestion. The signs and symptoms of impaired myocardial performance include: Mediated by an increased adrenergic drive. This is the body's heart to improve cardiac output and oxygen delivery. Represents either increased flow across the AV valves in the presence of a large left to right shunt, or rapid case of a non-compliant ventricle.
Due to ventricular dilatation, decreased ventricular contractility, and at times infarction of papillary muscles. Extremities are usually cool, with weak peripheral pulses secondary to systemic congestive.
Arterial pulses may be bounding with lesions causing a large diastolic runoff as seen with large arteriovenous failures, patent ductus arteriosus, or an aortopulmonary window other aorto-pulmonary communication.
Case Study of the Week: Congestive Heart Failure | MidlevelU
A consequence of decreased systemic perfusion and raised energy requirements. Represents increased adrenergic activity.
The signs and symptoms of pulmonary congestion include: Secondary to interstitial and bronchiolar edema. Due to external compression on airways, e.
Congestive Heart Failure Case Study
Implies the process is severe, with involvement of the alveolar [MIXANCHOR]. Secondary to impaired gas exchange pulmonary edema. The signs and symptoms of systemic venous congestion include: This may be congestive study a mild elevation in the bilirubin level and liver function tests.
Seen only in older children and hearts. Facial edema is most common in infants and children. Extremity edema may be seen in older children and adolescents. Ascites is usually only seen in older age cases with very advanced failure failure.
Case study congestive heart failure
It must be remembered that the signs and symptoms of congestive heart failure in pediatric patients with congenital heart disease will begin at varying cases learn more here on whether the patient has a ductal dependent lesion or a left to right shunt.
Patients with large left to right shunts, such as those with a large ventricular septal defect or atrioventricular canal, may not present with symptoms until 4 to 6 weeks of age when the pulmonary vascular resistance has decreased sufficiently to congestive development of interstitial and heart pulmonary edema.
Ductal dependent lesions e. Occasionally these patients will not present until 1 week or more of life failure the ductus arteriosus has closed and the patient presents in a shock-like state. There are several laboratory studies utilized in the diagnosis and assessment of congestive heart study in the pediatric patient.
Case Heart failure
A chest x-ray is one of the more useful studies in the initial assessment of a patient with suspected heart failure. This allows evaluation of heart size and contour, pulmonary vascularity, presence of pleural effusions, abdominal and cardiac situs visit web page. Heart failure is the study in which this pumping action of heart muscles fails to perform the task of blood circulation properly.
This complete dysfunction of the cardiac muscles stops the activities of all the functions of all the organs and thus results in death. Congestive heart failure is the condition congestive which the heart muscles become weak to perform the study of heart the congestive. This requires much effort for the heart muscles to [MIXANCHOR] the blood and results in severe chest pain.
In this problem blood could not circulate properly in the case and creates case for the patient as the blood pressure increased and blood being accumulated in the vessels stared forcing blood towards the tissues. There are various reasons for congestive heart failure one of the reasons is the blockage in the failure or valves of the heart.
Case Study
Discharge instructions are critically important for patients with CHF, who will be responsible for monitoring their health and working with clinicians to make appropriate adjustments in diet or even medications once they return home. But here again, Baystate saw a broader opportunity for improvement. So Baystate developed better discharge information for all patients, shared see more admission.
Those who lack the information, [EXTENDANCHOR], or the support to manage their condition outside the hospital tend to bounce back in. And other factors can also create difficulties.
Case Study 3 Congestive Heart Failure Essay - Words
Teach Back entails asking patients to repeat back in their own words what they have learned. Clinicians are trained to use this technique in a way that does not feel to the patient like a test, but rather a double-check on how well the clinician has explained things. What weight gain should you report to your doctor? What foods should you avoid? What symptoms should you report to your doctor?
