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    Patho Worksheet Right Heart Failure

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    Mindy Leigh Layfield
    Right-sided heart failure, also known as right ventricular heart failure or cor pulmonale, occurs when the right ventricle cannot efficiently pump blood into the pulmonary circulation, causing back up into the venous circulation and body. It is usually caused by left ventricular heart failure or lung disorders that cause pulmonary hypertension. Risk factors include left-sided heart failure, pulmonary hypertension from conditions like COPD, and valve problems. Expected findings include edema, hepatomegaly, dyspnea, and elevated BNP levels. Treatment focuses on reducing workload on the heart through medications like diuretics, ACE inhibitors, ARBs, beta blockers, and vasodilators to improve symptoms and quality of life.

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    Patho Worksheet Right Heart Failure

    Uploaded by

    Mindy Leigh Layfield
    48 views1 page
    Right-sided heart failure, also known as right ventricular heart failure or cor pulmonale, occurs when the right ventricle cannot efficiently pump blood into the pulmonary circulation, causing back up into the venous circulation and body. It is usually caused by left ventricular heart failure or lung disorders that cause pulmonary hypertension. Risk factors include left-sided heart failure, pulmonary hypertension from conditions like COPD, and valve problems. Expected findings include edema, hepatomegaly, dyspnea, and elevated BNP levels. Treatment focuses on reducing workload on the heart through medications like diuretics, ACE inhibitors, ARBs, beta blockers, and vasodilators to improve symptoms and quality of life.

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    Right-sided heart failure, also known as right ventricular heart failure or cor pulmonale, occurs when the right ventricle cannot efficiently pump blood into the pulmonary circulation, causing back up into the venous circulation and body. It is usually caused by left ventricular heart failure or lung disorders that cause pulmonary hypertension. Risk factors include left-sided heart failure, pulmonary hypertension from conditions like COPD, and valve problems. Expected findings include edema, hepatomegaly, dyspnea, and elevated BNP levels. Treatment focuses on reducing workload on the heart through medications like diuretics, ACE inhibitors, ARBs, beta blockers, and vasodilators to improve symptoms and quality of life.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    48 views1 page

    Patho Worksheet Right Heart Failure

    Uploaded by

    Mindy Leigh Layfield
    Right-sided heart failure, also known as right ventricular heart failure or cor pulmonale, occurs when the right ventricle cannot efficiently pump blood into the pulmonary circulation, causing back up into the venous circulation and body. It is usually caused by left ventricular heart failure or lung disorders that cause pulmonary hypertension. Risk factors include left-sided heart failure, pulmonary hypertension from conditions like COPD, and valve problems. Expected findings include edema, hepatomegaly, dyspnea, and elevated BNP levels. Treatment focuses on reducing workload on the heart through medications like diuretics, ACE inhibitors, ARBs, beta blockers, and vasodilators to improve symptoms and quality of life.

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    Pathophysiology Worksheet Expected Lab Ranges (WNL):

    Disease Process: Right-sided Heart Failure AKA Right Ventricular Heart Failure/Cor Pulmonale

    Pathophysiology
    Right ventricle does not pump efficiently into pulmonary circulation, causing back up into venous
    circulation/body and can be due to many factors – causes decreased pulmonary perfusion and
    systemic congestion – usually always from LVHF or lung disorders that produce pulmonary HTN
    ___________________________________________________________________________________
    Risk Factors
    These factors include: Left-sided or left ventricular heart failure (causes the right ventricle to work
    harder (also take note that the RV myocardial walls are not as thick as the LV myocardial walls)
    Pulmonary HTN: caused by narrowing of vessels within the lung, usually due to COPD, but can be
    from valvular heart disease, and liver disease
    Valve Stenosis/Regurgitation (causes increased BP in lungs)
    RV MI
    Expected Findings
    *Systemic/Central edema (JVD, ascites, peripheral/dependent edema, etc) *Anorexia
    *Hepatomegaly and Splenomegaly *GI distress *Weight gain
    *Venous stasis *Exertional syncope *Dyspnea/SOB
    *Cough, pink-tinged sputum
    Diagnostics/Laboratory Data
    BNP, hemodynamic monitoring to measure BP in vessels, heart, and arteries, echo for EF
    determination ( would see <45% in RV EF), ECG, CVP for right atrial pressure (norm is 2-6), PCWP ( for
    pulmonary capillary wedge pressure) normal is 4-12, coronary angiography, stress test
    Nursing Care/Interdisciplinary Care
    A main goal is to decrease workload (pre/afterload) while increasing cardiac output (contractility)
    **Monitor weight for volume status*, *Asses for worsening of symptoms, such as peripheral swelling
    and response to interventions and meds, *VS, *I/Os, *Elevate LE, *Restrict fluids and Na, *High-
    Fowlers *safety measures, watch for orthostatic hypotension and falls from ^ feet swelling,
    *Administer O2 and any ordered meds

    Interdisciplinary team: cardiologist, dietary, RT, pulmonologist, general doctor, possibly a


    nephrologist/hepatologist
    Client Education
    Exercise within capabilities, notice signs of overexertion, limit Na, limit h20 intake to 2L/day, daily
    weights, weight loss/control, smoking cessation, limit ETOH, educate them on the fact that there is no
    cure, but that medications taken as prescribed can help alleviate symptoms and increase quality of
    life
    Complications
    Organ failure, heart valve complications that may require repair or prostheses, MI, arrythmias,
    cardiogenic shock, angina
    Meds
    ACE, ARBs, Diuretic, BB, Anticoagulant, Vasodilator, *Digoxin can help the heart muscle pump more
    efficiently by increasing strength of contractions, helps restore normal rhythm, and improve blood
    circulation.) Entresto is also used for treatment and is a mixture of valsartan, which is an ARB and
    sacubitril which is a neprilysin inhibitor - it increases bioavailability of BNP, bradykinin, helping with
    vasodilation.
    MEDS: ALWAYS ADMINISTER DRUGS BEFORE A VENTRICLE DIES

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