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Congestive Cardiac Inability (CCF) Case Study

Student Name: Shinderpal Kaur

Unit of Competence: Analyse Health information

Assessment Subject: Analyse Health Information RESEARCH STUDY Mr. Wright

Q1:- Mr. Wright's entrance states that he has CCF (congestive cardiac failure). Obviously define CCF. What organs and which body systems are afflicted by this disorder?

Heart failure, also called congestive heart inability (CHF), occurs when your heart muscle doesn't pump blood vessels as well as it will. Conditions such as narrowed arteries in your heart (coronary artery disease) or high blood circulation pressure slowly but surely leave your heart and soul too poor or stiff to load and pump proficiently. Heart and soul failureis condition where thehearthaslosttheabilitytopumpenoughbloodtothebody'stissues. The organs and other tissue do not get enough air and nutrients to function properly. The major damaged organs are Brain, Kidneys and Lungs.

The systems damaged by this disorder:-

  • The cardiovascular system
  • Urinary system
  • Digestive system
  • Respiratory system
  • Nervous System

Q2:- Give a brief overview of the function of the body systems affected by this disorder.

Respiratory System

The respiratory system brings air into the body and cleans away carbon dioxide. It includes the nose area, trachea, and lungs. While you breathe, air gets into your nasal area or mouth and goes down a long tube called the trachea. The trachea branches into two bronchial tubes, or key bronchi, which go directly to the lungs. The principal bronchi branch off into even smaller bronchial pipes, or bronchioles. The bronchioles end in the alveoli, or air sacs. Oxygen follows this route and moves through the surfaces of the air sacs and blood vessels and gets into the blood stream. At exactly the same time, carbon dioxide goes by in to the lungs and is also exhaled.

Nervous System

The stressed system comprises of the mind, the spinal cord, and nerves. One of the main systems in your body, the anxious system is your own body's control system. It delivers, receives, and operations nerve impulses throughout the body. These nerve impulses inform your muscles and organs what to do and the way to respond to the environment. You can find three parts of your stressed system that interact: the central anxious system, the peripheral anxious system, and the autonomic nervous system.

Thecentral stressed systemconsists of the mind and spinal-cord. It transmits out nerve impulses and analyzes information from the sense organs, which inform your brain about things you see, hear, smell, taste and feel.

Theperipheral nervous systemincludes the craniospinal nerves that branch faraway from the mind and the spinal cord. It provides the nerve impulses from the central stressed system to the muscles and glands.

Theautonomic stressed systemregulates involuntary action, such as pulse and digestive function.

Digestive System

The digestive tract comprises of organs that breakdown food into protein, vitamins, minerals, sugars, and fats, that your body needs for energy, growth, and repair. After food is chewed and swallowed, it falls the esophagus and enters the abdominal, where it is further divided 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 can type in the blood vessels through very small hair-like projections. The surplus food that the body doesn't need or can't digest is converted into waste and is also eliminated from the body.

The circulatory system

It is your body's transport system. It really is composed of a group of organs that travel blood throughout the body. The heart pushes the bloodstream and thearteriesandveinstransport it. Oxygen-rich blood vessels leaves the kept aspect of the center and enters the largest artery, called theaorta. The aorta branches into smaller arteries which then branch into even smaller vessels that travel all around the body. When blood enters the tiniest blood vessels, which can be calledcapillaries, and are located in body structure, it gives nutrition and oxygen to the cells and consumes carbon dioxide, normal water, and waste. The blood vessels, which no more contains air and nutrition, then goes back to the heart through veins. Blood vessels carry waste material away from skin cells and bring bloodstream back again to the center, which sends it to the lungs to get oxygen and eliminate waste material skin tightening and.

Urinary System

The urinary system eliminates waste products from the body, by means of urine. The kidneys remove waste material from the blood. The waste combines with normal water to form urine. From kidneys, urine travels down two skinny pipes called ureters to the bladder. Once the bladder is full, urine is discharged through the urethra.

Q3:- Define the signs and symptoms of CCF, and clarify why these signs and symptoms occur.

  1. Increased heartrate:- The heart is better than faster to "replace" the loss in pumping function
  2. Tiredness, tiredness:-Center can't pump enough bloodstream to meet needs of body's tissues
  3. Oedema:-Decreased blood flow from the weak heart
  1. Blood returning to the heart from the veins "backs up" causing fluid to build up in tissues
  • Lack of urge for food:-The digestive system receives less blood causing issues with digestion
  • Muscle weakness:-due to insufficient blood supply and oxygen to the muscles.
  • Chronic coughing or wheezing:-anticipated to the substance in the lungs and the lungs need to work harder.
  • Swelling in ankles, toes, hands or abdomen:-due to the veins filling with excess fluid.
  • Confusion:-Changing levels of chemicals in the blood ( sodium) can cause confusion
  • weight gain :-because of liquid in the body and kidneys aren't working properly
  • Sleep apnoea. The inability to breathe properly at night leads to low blood oxygen levels and increased risk of abnormal center rhythms.
  • Shortness of breathing: Blood "backs up" in the pulmonary blood vessels because the heart can't match the source an fluid leakages in to the lungs
  • Lung congestion:-The lungs may become congested with fluid (pulmonary oedema)
  • Nausea and vomiting:-as peristalsis slows and bile and liquid regress to something easier in the stomach
  • Infarct:- may be reason behind reduced cardiac output
  • Decreased urine output:- kidneys aren't working properly because not getting enough bloodstream for filtration
  • Skin pale or cyanotic :-Because of inadequate oxygen in the blood
  • Heart enlargement:-Center pumps the bloodstream with more make than regular, which puts any risk of strain on the center muscles and the heart and soul muscles become enlarged.
  • Increased urination at night:-When you lay down at night time, the substance that is build up in your thighs can progress into your blood vessels and is taken to your kidneys to be eliminated as waste urine.
  • Cool extremities:-because of poor blood circulation in the torso and heart is wanting to send more blood vessels to the major organs of your body such as brain.
  • Orthopnea:-In general, shortness of breath is a common warning sign of congestiveheart failure. This is because increased fluid in thelungs can hinder the exchange of air, resulting in insufficient oxygen reaching the tissues, this is most typically noticed during exercise, but additionally, it may occur whenever a person is lying down.
  • Exercise intolerance:-
  • A person may struggle to tolerate exercise or even gentle physical exertion that he / she may have been in a position to do before. Your body needs air and other nutrients during exercise. A failing center cannot pump enough blood to provide these nutrients to your body.
  • The ability to exercise, or even to walk at a normal tempo, may be tied to feeling worn out and having shortness of breath.

Q4:- List the information used on his admission that shows these signs and symptoms.

  • Temperature-35. 8C
  • Pulse - 124
  • Respiration - 32
  • Hypotension - 90/40
  • Cyanosis - insufficient oxygen
  • SaO2 - 87% on room air
  • Dyspnoea
  • Confusion
  • Age (77)
  • Constipation
  • Loss of appetite
  • Smoking

Q5:- Do you think his diabetes relates to his leg ulcer and amputated kept toe? Explain

People with diabetes are prone to having ft. problems, often because of two issues of diabetes: nerve damage (neuropathy) and poor circulation. Neuropathy causes loss of sense in your calf, taking away your ability to feel pain and discomfort, so you might not exactly detect a personal injury or soreness. Poor flow in your feet reduces your ability to heal, which makes it hard for even a tiny slice to resist disease. Muscle in the knee will die anticipated to lack of oxygen and nutrition, which contributes to infections and gangrene.

Q6:-One of the medications he is taking is Lasix. What's the action of Lasix? Which body systems are affected by it? Explain why you think Mr Wright is bought Lasix. (Your answer need only be brief. )

Lasix is also known as Furosemide. It is a potent diuretic (normal water pill) that is utilized to eliminate water and sodium from your body. Inside the kidneys, salt (made up of sodium and chloride), water, and other small molecules normally are filtered from the blood and in to the tubules of the kidney. The filtered fluid finally becomes urine. Most of the sodium, chloride and drinking water that are filtered from the blood vessels are reabsorbed into the blood before the filtered liquid becomes urine and it is eliminated from the body. Furosemide functions by blocking the absorption of sodium, chloride, and drinking water from the filtered fluid in the kidney tubules, creating a profound increase in the output of urine (diuresis). Mr. Wright is ordered Lasix because of oedema.

The body systems are afflicted because of it:-

  • Urinary system
  • Digestive system
  • Nervous system
  • Cardiovascular system
  • Respiratory system
  • Integumentary system
  • Special senses

Q7:-List three conditions in Mr. Wright's relevant health background that are commonly associated with ageing.

Arthritis: Osteoarthritis (OA), at one time called degenerative osteo-arthritis, is the most typical kind of arthritis in older people. Symptoms can range from stiffness and moderate pain that comes and goes to severe joint pain and even impairment.

Glaucoma: Glaucoma is a term describing several ocular disorders with multi-factorial etiology united by the clinically characteristic intraocular pressure-associated optic neuropathy. Also, people over the age of 60 years have an increased risk of producing 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 seen as a high blood glucose in the context of insulin amount of resistance and relative insulin deficiency

Q8:- Using Mr. Wright's admission history and assessment, lists the factors which could effect on his protection whilst in hospital so when he profits home.

Mobility-. Diabetes type 2 improve the risk of falls when Mr. Wright earnings home as people with type 2 diabetes mellitus may rarely present with nonketotic hyperosmolar coma (a problem of very high blood sugar levels associated with a decreased level of awareness and low blood pressure).

Asthma: Mr. Wright may feel very hard to breathe when he profits home as asthma symptoms includes shortness of breathing and battling to inhale.

Arthritis: arthritis can decrease Mr. Wright range of motion and boost the risk of comes when he returns home. It is because the symptoms of arthritis are pain, stiffness and infection (heating and swelling) in the joints.

Hypotension: abnormally low blood vessels pressure

Decreased appetite: Lack of appetiteis the sensation that you will be not eager. When he comes back home may be he wouldn't eat much because he is not feeling eager, it can influence on his health.

Vision impairment: - risk for comes, unable to read medication product labels properly

Low SaO2: lack of air can make him dizziness.

Mental Confusion- Unable to understand that how so when to consider the medication.

Q9:-What other health professionals will be involved in his care and attention and what services can they offer for Mr. Wright.

Dietician: - Dieticians are specialists with qualification and skill to provide expert nourishment and nutritionary advice. So Dietician can provide information and dietary needs for his diabetes.

Support staff: - They may be supporting people to complete everyday tasks that they are unable to complete independently due to disorder, disability.

Psychiatrists:-A psychiatrist who specialized in the prognosis, treatment and prevention of mental health and psychological problems. So psychiatrist can help Mr. wright to decrease his stress and anxiety level.

Local GP: - is amedical practitionerwho treatsacuteandchronic illnessesand providespreventive careandhealth educationto patients. He can help with medication refills and refer to specialist if needed.

Physiotherapist: - help with some exercises that can improve his mobility.

Q10:-List the medical documentation you'd be expect to be used in the care of Mr Wright.

  • Fluid Consumption and output chart
  • Pain evaluation chart
  • Wound chart
  • Mobility assessment chart
  • Bowel chart
  • Observation chart
  • Food chart
  • Admission forms
  • Allergy tags
  • Weight chart
  • Medication chart
  • Progress notes
  • Nursing notes
  • Care plan

References:-

  • http://www. factmonster. com/ipka/A0774536. html
  • http://www. foothealthfacts. org/footankleinfo/diabetic-amputations. htm
  • http://www. medicinenet. com/furosemide/article. htm
  • http://www. netdoctor. co. uk/heart-and-blood/medicines/lasix. html
  • http://www. abc. net. au/health/consumerguides/stories/2005/10/15/1836929. htm
  • http://www. rightdiagnosis. com/h/heart_failure/intro. htm
  • http://www. emedicinehealth. com/congestive_heart_failure/page4_em. htm

Shinderpal Kaur

ID:-000208825Ptime 1

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