Jacqueline Buckham AC-230 TEACHING PLAN

Objectives The anatomy of the heart Fill in the Blank What is congestive heart failure (CHF)? How does the heart work with CHF? Signs and Symptoms Causes of CHF Management of CHF Discussion about CHF Group skit Questions? Quiz

Click on photo to view video of the heart*

The Heart- Fill in the Blank Word bank Aorta Superior vena cava Inferior vena cava Pulmonary artery Pulmonary valve Pulmonary veins Right atrium Left ventricle Left atrium Mitrial valve Tricuspid valve Septum

Congestive Heart Failure What is Congestive Heart Failure (CHF)? Condition where the heart is unable to pump blood as well as it should. It does not mean your heart stops working. It just means your heart is not as strong as it used to be. The heart is unable to pump enough blood throughout the body. Blood that is usually circulating from the heart to all parts of the body backs up into the lungs, liver, stomach and legs. Click on photo to view video of the heart* Click on photo to view video of the heart*

How does the heart work with Congestive Heart Failure? As the heat’s pumping action weakens, the body fights back to adapt to the decreased blood flow. The heart has four chambers. The right atrium, left atrium, the right ventricle and left ventricle.  

Continued- How does the heart work with Congestive Heart Failure? When the right side of the heat does not pump blood as well as it should, blood backs up into the veins. The veins expand to attempt to hold more fluid. In time, the fluid is forced out of the veins and goes to the legs, feet, ankles, liver and/or stomach. The back-up of blood causes swelling in those areas. When the left side of the heart’s pumping action weakens, blood returns to the lungs. This can cause symptoms of difficulty breathing and coughing. When the blood flow to the kidneys is reduced, they react by holding salt and water that would normally pass out of the body. This also causes swelling which is also causes edema.

Signs and Symptoms of Congestive Heart Failure Weight gain or 2 or more pounds in one day Gain 3 or more pounds in 1 week Swelling of the feet, legs, ankles, hands and/or stomach Persistent cough or chest congestion Increasing fatigue and weakness Poor appetite Nausea Confusion Restlessness Intermittent shortness of breath Dizziness and light headedness Click on picture to view video of

Causes of Congestive Heart Failure There are many conditions that can cause heart failure. Some include: Heart attack High blood pressure Abnormal heart valves Irregular heart beat Lung disease Infection of the heart muscles by a virus or bacteria Alcohol consumption or abuse Exact cause of heart failure may be unknown or have no known cause

Management of Congestive Heart Failure Daily weights. Weigh at the same time with the same clothes every day. Document weight every time Weight before you eat or drink anything Main reason to weigh- if you develop any fluid retention, swelling and edema you can find this information out through the daily weight.

Continued..... Management of Congestive Heart Failure Name____________________________ Month___________________________ Date Time Weight Any Changes 1 2 3 4 5 6 7

Continued..... Management of Congestive Heart Failure Reduce salt intake mo more than 2 grams of sodium each day Limit the amount of sodium in beverages Low salt diet Restrict fluid intake Drinking too much fluid makes the heart work harder Always take medication prescribed by physician. Some examples of medication include: Lasik Lisinopril Isordil Digoxin Carvedilol Losartan

Continued..... Management of Congestive Heart Failure If you feel any side effects of these drugs, contact your physician immediately or go to the nearest hospital Some side effects include: Dizziness Cough Kidney problems Low blood pressure Weakness Skin rashes Altered sense of taste High potassium levels

Continued..... Management of Congestive Heart Failure Activity level Discuss the amount of activity you can do with your physician. What you are able to do depends on the severity of your condition No smoking! Rest is important Know your heart failure zones Keep your Doctor’s appointments

Ways of managing Congestive Heart Failure using “ZONE”

Discussion Any Questions? What is CHF? What other organs does CHF affect? How can you get CHF? How do you maintain CHF? During this discussion please make a group of 5 people and discuss these questions with one another. Create a quick skit describing a patient with congestive heart failure. Any Questions?

Quiz Congestive heart failure (or CHF) is the name for what kind of failure? A.the heart to beat B.the heart to pump sufficient blood to the body C.the heart to pump 60 times a minute D. the failure of the right ventricle to beat rhythmically 2. What is NOT characteristically one of the main symptoms of CHF? A.Edema B. shortness of breath C. warm hands D.problems with urinary output 3. Which of the following treatments is NOT a central recommendation for patients with CHF? A.sodium reduction B. diet modification C.running D.ACE inhibitors 4. What is not a primary cause of CHF? A.cardiomyopathy B.high blood pressure C. coronary artery disease D. poliomyelitis 5. One of the biggest problems people with congestive heart disease have is excess consumption of sodium (salt) because salt can exacerbate fluid retention. Which food item has the highest sodium content? A.one teaspoon B.baking soda teaspoon of salt C. a saltine cracker D.3 oz Canadian bacon