Congestive Heart Failure
Congestive Heart Failure
Information Covered:
- Past medical history
- Coronary artery disease
- Atherosclerotic heart disease
- Abnormal lipid metabolism or excessive intake or saturated fats and cholesterol
- Subendothelial accumulation of fatty streaks
- Altered endothelial function
- Disruption of endothelium
- Formation of mature fibrous plaque
- Resultant diseases:
- angina
- previous MI
- hypertension
- congestive heart failure
- Related terminology
- Preload
- Afterload
- Congestive heart failure
- Left to right shunt
- Coarctation of the aorta (CoA)
- Atrial septal defect (ASD)
- Ventricular septal defect (VSD)
- Patent ductus arteriosus (PDA)
- Truncus arteriosus
- Congestive heart failure
- Congestive heart failure
- Myocarditis
- Cardiomyopathy
- Congenital heart disease as underlying cause
- Management
- Congestive Heart Failure and Congenital Heart Disease
- Oxygen (caution with ductal dependent systemic flow due to pulmonary steal)
- Use of prostaglandin for ductal dependent cardiac lesions
- Use of furosemide diuretic for fluid overload
- Cautious use of IV fluids if cardiogenic shock suspected
- Congestive Heart Failure and Congenital Heart Disease
- Specific conditions that occur more frequently in the elderly
- Myocardial infarction
- Patient will usually have atypical chest pain or NO pain
- May present with only dyspnea, acute confusion (delirium), syncope, weakness or nausea and vomiting
- Congestive Heart Failure
- A frequent condition of elderly
- May present with dyspnea, orthopnea, or mental status alteration
- Peripheral edema is frequently present in elderly patients with or without failure and may signify a variety of conditions
- Fluid balances are sometimes difficulty to achieve
- Biliary disease is disorders of the liver and gallbladder.
- Evaluation of pathophysiology through history, possible risk factors, and current medications.
- Liver disease
- Congestive heart failure
- Gallstones
- Cholecystitis
- Medications that cause adverse affects on the liver
- Evaluation of pathophysiology through history, possible risk factors, and current medications.
- Myocardial infarction
Content Creator: Joyce Lockwood
CAPCE Course Number: 18-EMTP-F3-7207
Total CE Hours: 1
Level: Advanced
NJ Course Number: 1553773877372
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.