RIGHT SIDED HEART

FAILURE
Cardiovascular Disorders
 Signs and Symptoms

 Shortness of breath
 Fatigue
 Swelling of feet and ankles
 Enlarged liver and spleen
 Hemolytic anemia
 Cardiac cirrhosis
 Internal hemorrhoids
 Jugular vein distention
 Palpitations (sensation of feeling the heart beat)
 Weight gain
 Weakness
 Fainting
 Medical Management

 Reduce myocardial workload

◦ Use of Diuretics, Vasodilators
 Elevate client’s head
◦ High Fowler’s position
 Reduce Fluid Retention
◦ ↓ Na intake
 Improve Ventricular Pump Performance
◦ Use of inotropic medications
 Dobutamine
 Milrinone
 Dopexamine
 digoxin
 Medical Management

 Supplement Oxygen
 Control dysrhythmias
 Reduce Myocardial Remodeling
◦ Use of ACE inhibitors
 Reduce Stress and Risk for Injury
 Surgical Management

 Heart Transplantation
 Cardiomyoplasty
◦ Wrapping the latissimus dorsi muscle around the heart and
electrostimulating it in synchrony with venticular systole.
 Nursing Management
 Administer medications
◦ Cardiac glycosides, Diuretics, Angiotensin-converting enzyme
inhibitors, Vasodilator theraphy, Antilipidemics
 Monitor heart rate and rhythm – through the multilumen pulmonary
artery catheter
 Weigh the client daily
 Monitor serum electrolyte levels daily
 Reduce myocardial workload
 Maintain adequate fluid balance
 Diet : low sodium
 Asses response to medical therapies