Congestive Heart Failure
by maria waters
1. Neurological
1.1. LOC
1.2. cramping of extremities
1.3. confusion
1.4. weakness
1.5. fatigue
1.6. dizziness
2. Endocrine
2.1. diabetes mellitus
3. Psychological
3.1. disturbed body image
3.2. lack of social function d/t activity intolerance
3.3. anxiety
3.4. fear of death
3.5. risk factors
3.5.1. smoking
3.5.2. alcohol
4. Integumentary
4.1. peripheral edema
4.2. impaired skin integrity with risk of infection
5. Gastrointestinal
5.1. constipation
5.2. nausea
5.3. abdominal distention
5.4. GI bloating
5.5. hepatomegaly
5.6. ascites
6. Immunological
6.1. Risk of infection
6.1.1. pneumonia
6.1.2. destruction of body's first line of protection: skin
7. Nutritional
7.1. Obesity
7.2. Anorexia
8. Cardiac
8.1. HTN
8.2. CAD
8.3. arrhythmias
8.4. cardiogenic shock
8.5. myocardial ischemia
8.6. hypertrophy of myocardial muscle
8.7. pallor
8.8. cyanosis
8.9. JVD
9. Pulmonary
9.1. pulmonary edema
9.2. pulmonary emboli
9.3. dyspnea
9.4. dry hacking cough
9.5. orthopnea
9.6. affect oxygenation and circulation
9.7. risk factor:
9.7.1. smoking
10. Musculoskeletal
10.1. Bed ridden clients
10.1.1. hypotension
10.1.2. orthopnea
10.2. mobility
10.2.1. unsteady gait
10.2.2. dyspnea
10.2.3. fatigue
10.3. elasticity of smooth muscle
10.3.1. cardiac
10.3.2. blood vessels
10.3.3. alveoli sacs
10.4. Peripheral edema
10.4.1. feet
10.4.2. ankles
10.4.3. legs
10.4.4. abdomen