Congestive Cardiac Failure (CCF) Case Study

Congestive Cardiac reverse (CCF) Case StudyStudent Name Shinderpal KaurUnit of Competence discerp Health in frame of referenceationAssessment Title Analyse Health development Case Study Mr. WrightQ1- Mr. Wrights access states that he has CCF (congestive cardiac ruin). understandably define CCF. What organs and which body systems be unnatural by this unhealthiness?Heart failure, too kn experience as congestive amount failure (CHF), go throughs when your nervus muscle doesnt pump course as well as it should. Conditions such as narrowed arteries in your sum of money (coronary artery disease) or high crease pressure gradu exclusivelyy leave your heart likewise weak or stiff to fill and pump efficiently. Heart failureis configuration in which thehearthaslosttheabilitytopump f expression to middling storetothebodystissues. The organs and otherwise tissues do not receive enough group O and nutrients to function mightily. The major affected organs atomic number 18 Brain , Kidneys and Lungs.The systems affected by this disorder-The cardiovascular systemUrinary systemdigestive systemRespiratory system head-in-the-clouds organizationQ2- Give a brief overview of the function of the body systems affected by this disorder.Respiratory musical arrangementThe respiratory system brings give vent into the body and removes carbon dioxide. It includes the nose, trachea, and lungs. When you jote in, air enters your nose or mouth and goes down a long tubing called the trachea. The trachea branches into two bronchial tubes, or immemorial bronchi, which go to the lungs. The primary bronchi branch off into up to now slenderer bronchial tubes, or bronchioles. The bronchioles annihilate in the alveoli, or air sacs. Oxygen follows this path and passes through the walls of the air sacs and blood vessels and enters the blood stream. At the same time, carbon dioxide passes into the lungs and is exhaled.Nervous SystemThe nervous system is made up of the promontory , the spinal cord, and nerves. One of the some important systems in your body, the nervous system is your bodys control system. It sends, receives, and processes nerve impulses passim the body. These nerve impulses tell your muscles and organs what to do and how to respond to the environment. There are three parts of your nervous system that work together the commutation nervous system, the peripheral nervous system, and the autonomic nervous system.Thecentral nervous systemconsists of the headway and spinal cord. It sends out nerve impulses and analyzes information from the sense organs, which tell your whiz about things you see, hear, smell, taste and feel.Theperipheral nervous systemincludes the craniospinal nerves that branch off from the brain and the spinal cord. It carries the nerve impulses from the central nervous system to the muscles and glands.Theautonomic nervous systemregulates unconscious action, such as heart beat and digestion.Digestive SystemThe digestive syst em is made up of organs that break down sustenance into protein, vitamins, minerals, carbohyd posts, and fats, which the body needs for energy, growth, and repair. After pabulum is chewed and swallowed, it goes down the esophagus and enters the stomach, where it is get on broken down by powerful stomach acids. From the stomach the food travels into the small intestine. This is where your food is broken down into nutrients that basin enter the blood stream through tiny hair-like projections. The excess food that the body doesnt need or seatt digest is turned into thieve and is forefendd from the body.The circulatory systemIt is the bodys transport system. It is made up of a group of organs that transport blood throughout the body. The heart pumps the blood and thearteriesandveinstransport it. Oxygen-rich blood leaves the left side of the heart and enters the biggest artery, called theaorta. The aorta branches into smaller arteries which then branch into even smaller vessels that travel all over the body. When blood enters the smallest blood vessels, which are calledcapillaries, and are found in body tissue, it gives nutrients and oxygen to the cells and takes in carbon dioxide, water, and waste. The blood, which no longer contains oxygen and nutrients, then goes back to the heart through veins. Veins carry waste products onward from cells and bring blood back to the heart, which pumps it to the lungs to pick up oxygen and consume waste carbon dioxide.Urinary SystemThe urinary system eliminates waste from the body, in the form of urine. The kidneys remove waste from the blood. The waste combines with water to form urine. From the kidneys, urine travels down two thin tubes called ureters to the bladder. When the bladder is full, urine is fulfill through the urethra.Q3- Define the signs and symptoms of CCF, and explain why these signs and symptoms occur. affix heart rate- The heart beats faster to make up for the loss in pumping functionTiredness, fati gue-Heart whoremastert pump enough blood to meet needs of bodys tissuesOedema- abated blood break away out of the weak heartBlood returning to the heart from the veins backs up causing fluid to build up in tissues omit of propensity-The digestive system receives less blood causing problems with digestionMuscle impuissance- overdue to lean blood supply and oxygen to the muscles.Chronic cough or wheezing-due to the fluid in the lungs and the lungs need to work harder.Swelling in ankles, feet, hands or abdomen-due to the veins filling up with excess fluid. sloppiness-Changing levels of substances in the blood ( sodium) can cause confusionweight learn -because of fluid in the body and kidneys are not working properlySleep apnoea.The inability to breathe properly at wickedness results in low blood oxygen levels and additiond risk of ab convening heart rhythms.Shortness of breath Blood backs up in the pulmonary veins because the heart cant keep up with the supply an fluid leaks int o the lungsLung congestion-The lungs whitethorn become congested with fluid (pulmonary oedema)Nausea and vomiting-as peristalsis slows and bile and fluid back up in the stomach infarct- may be cause of decreased cardiac outputDecreased urine output- kidneys are not working properly because not getting enough blood for filtrationSkin pale or cyanotic -Because of insufficient oxygen in the bloodHeart enlargement-Heart pumps the blood with to a greater extent force than usual, which puts the strain on the heart muscles and the heart muscles become enlarged.Increased urination at night-When you lie down at night time, the fluid that is build up in your legs can move up into your bloodstream and is taken to your kidneys to be eliminated as waste urine.Cool extremities-because of woeful circulation in the body and heart is trying to send more blood to the major organs of the body such as brain.Orthopnea-In general, brusqueness of breath is a common symptom of congestiveheart failure. Th is is because increased fluid in thelungs can interfere with the exchange of oxygen, resulting in not enough oxygen stint the tissues, this is most typically noticed during exercise, but it can also occur when a someone is lying down.Exercise intolerance-A person may be ineffectual to tolerate exercise or even mild physical exertion that he or she may grow been able to do originally. The body needs oxygen and other nutrients during physical activity. A failing heart cannot pump enough blood to house these nutrients to the body.The ability to exercise, or even to walk at a normal pace, may be limited by tactile sensation tired and having shortness of breath.Q4- List the information taken on his admission that demonstrates these signs and symptoms.Temperature-35.8CPulse 124 public discussion 32Hypotension 90/40Cyanosis lack of oxygenSaO2 87% on room airDyspnoeaConfusionAge (77)Constipation difference of appetiteSmokingQ5- Do you say his diabetes is related to his leg ulc eration and amputated left toe? ExplainPeople with diabetes are prone to having root word problems, often because of two complications of diabetes nerve damage (neuropathy) and poor circulation. Neuropathy causes loss of belief in your leg, taking away your ability to feel ail and discomfort, so you may not detect an injury or irritation. Poor circulation in your feet reduces your ability to heal, making it hard for even a tiny shock to resist infection. Tissue in the leg will die due to lack of oxygen and nutrients, which leads to infection and gangrene.Q6-One of the medicaments he is taking is furosemide. What is the action of Lasix? Which body systems are affected by it? Explain why you think Mr Wright is ordered Lasix. (Your answer need only be brief.)Lasix is also known as Furosemide. It is a potent diuretic (water pill) that is used to eliminate water and salt from the body. In the kidneys, salt (composed of sodium and chloride), water, and other small molecules normally a re filtered out of the blood and into the tubules of the kidney. The filtered fluid ultimately becomes urine. to the highest degree of the sodium, chloride and water that are filtered out of the blood are reabsorbed into the blood before the filtered fluid becomes urine and is eliminated from the body. Furosemide works by blocking the submerging of sodium, chloride, and water from the filtered fluid in the kidney tubules, causing a profound increase in the output of urine (diuresis).Mr. Wright is ordered Lasix because of oedema.The body systems are affected by it-Urinary systemDigestive systemNervous systemCardiovascular systemRespiratory systemIntegumentary systemSpecial sensesQ7-List three conditions in Mr. Wrights relevant medical storey that are commonly associated with ageing.Arthritis Osteoarthritis (OA), at one time called degenerative joint disease, is the most common type of arthritis in older populate. Symptoms can range from stiffness and mild pain that comes and goes to severe joint pain and even disability.Glaucoma Glaucoma is a term describing a group of ocular disorders with multi-factorial etiology united by a clinically characteristic intraocular pressure-associated optic neuropathy. Also, flock over the age of 60 years have a high risk of developing the glaucoma disease.Diabetes type 2 Diabetes mellitus type 2 (formerly noninsulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes) is a metabolic disorder that is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiencyQ8- Using Mr. Wrights admission history and estimate, lists the factors that may impact on his safety whilst in infirmary and when he returns home base.Mobility.Diabetes type 2 increase the risk of falls when Mr. Wright returns home as people with type 2 diabetes mellitus may rarely bring in with nonketotic hyperosmolar coma (a condition of very high blood sugar associated with a decreased level of consciousness a nd low blood pressure).Asthma Mr. Wright may feel very difficult to breathe when he returns home as asthma symptoms includes shortness of breath and struggling to breathe.Arthritis arthritis can decrease Mr. Wright mobility and increase the risk of falls when he returns home. It is because the symptoms of arthritis are pain, stiffness and inflammation (heat and swelling) in the joints.Hypotension abnormally low blood pressureDecreased appetite Lack of appetiteis the feeling that you are not hungry. When he returns home may be he wouldnt eat much because he is not feeling hungry, it can effect on his health.Vision impairment risk for falls, unable to read medication labels properlyLow SaO2 lack of oxygen can make him dizziness.Mental Confusion Unable to understand that how and when to take the medicine.Q9-What other health professionals will be involved in his care and what serve can they domiciliate for Mr. Wright.Dietician Dieticians are professionals with qualification and ski ll to nominate expert nutrition and dietary advice. So Dietician can provide information and dietary needs for his diabetes.Support workers They are supporting people to complete everyday tasks that they are unable to complete on their own due to illness, disability.Psychiatrists-A psychiatrist who specialized in the diagnosis, treatment and prevention of psychic health and emotional problems. So psychiatrist can help Mr.wright to decrease his anxiety level.Local GP is amedical practitionerwho treatsacuteandchronic illnessesand providespreventive careandhealth educationto patients. He can assist with medication refills and refer to specialist if needed.Physiotherapist help with some exercises that can modify his mobility.Q10-List the nursing documentation you would be expect to be used in the care of Mr Wright.Fluid Intake and output mapPain assessment chartWound chartMobility assessment chartBowel chartObservation chartFood chartAdmission formsAllergy tags weight down chartM edication chartProgress notesNursing notesCare meanReferences-http//www.factmonster.com/ipka/A0774536.htmlhttp//www.foothealthfacts.org/footankleinfo/diabetic-amputations.htmhttp//www.medicinenet.com/furosemide/article.htmhttp//www.netdoctor.co.uk/heart-and-blood/medicines/lasix.htmlhttp//www.abc.net.au/health/consumerguides/stories/2005/10/15/1836929.htm http//www.rightdiagnosis.com/h/heart_failure/intro.htmhttp//www.emedicinehealth.com/congestive_heart_failure/page4_em.htmShinderpal KaurID-000208825Page 1