The Patient with Heart Failure

Morphine decreases pain and anxiety, helps with vital signs, and promotes vessel dilation. Oxygen given to the patient to increase oxygen in lungs and bloodstream, makes it easier for the patient to breathe, and can reduce the heart’s workload. Cardiograms is used to measure the patient’s ejection fraction and determine the degree of HP. The no added salt diet is to reduce water retention and prevent worsening of edema. Daily weights and are used to monitor the patient’s fluid status and determine if any more water is being retained. help to monitor kidney function. 5. What should the nurse include in the discharge instructions for self-care for patients with heart failure? Teach the patient to ingest foods and drinks that are high in potassium to counter the effects of hypoglycemia, monitor daily weights, regularly check BP, follow up with PC and follow provider’s instructions on medication dosage and regime. What will the nurse teach about the dioxin therapy?

Instruct the patient to take the medication as directed, same time every day, take missed doses within 12 hours of scheduled dose, or omit, do not double dose, do not discontinue med, take pulse and do not take if pulse is or >100, do not share medication, keep tabs in their original container and do not mix meds, review AS of dig toxicity with patient and family members and to notify emergency personnel at start of these symptoms, review fall prevention strategies with patient and their families, caregivers. Emphasize important of routine F/IS exams. . The home health nurse is making an initial visit to the patient. What would the nurse include in the home care assessment? Patient vitals, neuron/cardiac/ skin/Gel/Gel assessment, home safety check, assess opt support system, go over patient medications and medication regime/dosing, ask question about the patient’s diagnosis and medication to determine the patient’s understanding of the diagnosis and determine adherence to medication, determine if patient needs any other resources (transportation, financial, psychosocial), go over diet regimen.

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