NURS 287 Lecture Notes - New York Heart Association Functional Classification, Cardiac Resynchronization Therapy, Morphine
28 Apr 2013
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The goals of therapy for both adhf and chronic hf are to decrease patient symptoms, reverse ventricular remodeling, improve quality of life, and decrease mortality and morbidity. Administration of oxygen improves saturation and assists greatly in meeting tissue oxygen needs and helps relieve dyspnea and fatigue. Physical and emotional rest allows the patient to conserve energy and decreases the need for additional oxygen. The degree of rest recommended depends on the severity of hf. Involves pacing both the right and left ventricles to achieve coordination of right and left ventricle contractility: cardiac transplantation. Strict criteria are used to select the few patients with advanced hf who can even hope to receive a transplanted heart: intraaortic balloon pump (iabp) therapy. The iabp can be useful in the hemodynamically unstable hf patient because it decreases svr, pawp, and. Pap as much as 25%, leading to improved co.
