1. CONGESTIVE HEART FAILURE
Open this link to view a video on CHF

2. TREATMENT: Medications Restriction of fluids Life style changes
SYMPTOMS: Edema
Lung congestion
Abdominal discomfort
Shortness of Breath
Fatigue
TREATMENT: Medications
Restriction of fluids
Life style changes
Monitor I&O
Valve surgery
COMPLICATIONS: Weakness
Hypotension, arrhythmias
Pulmonary edema
Skin breakdown
EMOTIONAL EFFECTS:
Depression, Life Stress
Pneumonia, Fear of Dying
Loss of work, Poor sleep
Intimacy changes
CONGESTIVE HEART FAILURE:
HEART IS WEAK
Right side=back up of blood into blood veins
Left side=back up of blood into lungs

3. -Improve heart strength -Control the beat Common Medications Used
What are they used for?
-Treat angina
-Treat hypertension
-Improve heart strength
-Control the beat
Common Medications Used
-Nitroglycerin: for angina
-Digoxin: strengthen
-Diuretics (water pills)
Expected Effect of drug:
-Lower B/P
-Relieve pain
-Improve function
-Decrease fluid overload
Possible side-effects:
-Dizziness (Low B/P)
-Loss of too much fluid
-Kidney failure
-Sun burn
HEART MEDICATION:
Monitor I&O
Daily weights

4. ANTI-COAGULANT MEDICATIONS
What are they used for?
-Prevent clots>stroke or heart attack
-Treat DVT
Common Medication That is Used
-Warfarin
Expected Effect of drug:
-Increase the time it takes for the blood to clot
-Prevent stroke and heart attack
Possible side-effects:
-Bleeding
-Fall risk > bleeding risk
-Watch for nose bleeds, bruising, blood in urine:
ANTI-COAGULANT
MEDICATIONS

5. Open this link to view a video on Osteoarthritis

6. SYMPTOMS: Pain, worse in morning, Swollen & Stiff joints, Loss of function, Grating sound in joint, Usually on weight bearing joints
TREATMENT:
Pain medication, Acupuncture, Hot & cold applications, Exercise, PT, OT, Massage, Joint replacement surgery
COMPLICATIONS: Disability, Falls, Immobility, Life stress,, Depression, Chronic pain, Isolation, Intimacy loss, Need help with ADLs
EMOTIONAL EFFECTS:
Loss of social contacts, Can’t get to church, Loss of intimacy and independence, Depression, Anger
OSTEOARTHRITIS: Wear and tear from age, History of injury, Cartilage wears away, Joints become inflamed, Bone spurs develop, Loss of shock absorber effect

7. MEDICATIONS TO TREAT PAIN
Why are they used?
-Injury
-Arthritis
-Surgical pain
-Cancer pain
-Fever
Common Medications Used
-Acetaminophen, Ibuprofen (for mild pain)
-Narcotics (for moderate to
severe pain)
Expected Effect of drug:
-Decreased pain and inflammation
-Lower fever
-Improve comfort
Possible side-effects:
-Dizziness-falls
-Overdose
-Constipation
-Over-sedation
MEDICATIONS
TO TREAT PAIN

8. Open this link to view a video on COPD
CHRONIC OBSTRUCTIVE
PULMONARY DISEASE
Open this link to view a video on COPD

9. COPD: Usually caused by smoking
SYMPTOMS: Cough, Need to sit up to breath, Chest tightness, Shortness of breath, Fatigue, Cyanosis, Intolerant of activity
TREATMENT: Oxygen, Stop smoking, Position upright, Medications, Inhalers, Pulmonary rehab
COMPLICATIONS: Confusion, Falls, Pneumonia, Tachycardia, Lack of sleep, Muscle wasting, Inability to care for self, Clubbing of fingers
EMOTIONAL EFFECTS: Depression, Anxiety, Frustration, Family stress, Fear of suffocation
COPD: Usually caused by smoking
Emphysema: air trapped in lungs, barrel chest
Chronic Bronchitis: irritated bronchi, mucus forms

10. Breathing Medications
What are they used for?
-Improve breathing with COPD, Asthma
-Decrease inflammation in lungs
Common Medications Used
-Inhalers
-Nebulizer
-Oral medications (steroids)
Expected Effect of drug:
-Improve comfort
-Promote rest & sleep
-Open air passageways
Possible side-effects:
-Shaking, nervousness
-Sore mouth
-Increased chance of infections
Breathing
Medications

11. Open this link to view a video on Diabetes

12. DIABETES: Pancreas does not produce insulin (Type 1)
SYMPTOMS: Hunger, Thirst, Frequent urination, Drowsiness, Confusion, Shaking, Loss of consciousness
TREATMENT:
Injectable insulin, Oral medication, Planned diet, Scheduled meals & snacks, Regular exercise, Pancreas Transplant
COMPLICATIONS:
Heart disease, Blindness, High blood pressure, Kidney disease, Stroke, Atherosclerosis, Unstable blood sugar, Coma, Death
EMOTIONAL EFECTS
Depression, Anger,
Feel deprived of diet choices, Social isolation, Feel self-conscious due to medication use and diet requirements
DIABETES: Pancreas does not produce insulin (Type 1)
Not enough or resistant insulin (Type 2)

13. DIABETIC MEDICATIONS What are they used for? -Replace insulin
-Promote insulin production
-Allow body to use food properly
Common Medications Used
-Insulin injections
-Oral medications
Expected Effect of drug:
-Increase the amount of insulin in the body
-Help the body use food properly
Possible side-effects:
-Too much insulin in blood
-Affected by illness, exercise, food intake
-Report intake changes!
DIABETIC MEDICATIONS

14. Open this link to view a video on stroke

15. STROKE: Irregular heart beat causing a clot to the brain
SYMPTOMS: Paralysis on one side of the body, Loss of feeling on one side, Aphasia, Dysphagia, Slurred speech, Loss of consciousness
TREATMENT: Clot busting drugs, Surgery, Blood thinners, PT, OT, Speech Therapy, Rehabilitation, Range of Motion, Pace maker
COMPLICATIONS: Aspiration pneumonia, Permanent disability, Unable to communicate, Pain syndromes, Vascular dementia
EMOTIONAL EFFECTS: Financial loss, Depression, Frustration, Anger, Intimacy loss, Loss of Socialization, Feel you are a burden
Dependency on others
STROKE: Irregular heart beat causing a clot to the brain
Ruptured blood vessel in the brain
Birth control pills increase risk

16. Open this link to view a video on MS
MULTIPLE SCLEROSIS
Open this link to view a video on MS

17. SYMPTOMS: Tingling sensation, Dizziness, Paralysis, Loss of feeling, Loss of vision, Memory changes, Symptoms may come and go
TREATMENT: Medications, Injections, Physical Therapy, Lower stress, Avoid heat, Natural remedies, Diet
COMPLICATIONS: Falls, Immobility, Disability, Loss of ability to work, Swallow problems, Pneumonia, Medication side effects, Incontinence
EMOTIONAL EFFECTS: Depression, Anger, Frustration, Stress from loss of income and self care abilities, Loss of social contact, Feel a burden
MULTIPLE SCLEROSIS (MS): Destruction of myelin sheath from body attacking nerves. Heredity may be factor
Considered autoimmune disease