CHF EXACERBATION REFERENCE SHEET


HELPFUL HINTS FOR NCLEX

  • Know signs and symptoms of a patient who is in CHF exacerbation (some examples: orthopnea, lower extremity swelling, sudden weight gain, crackles…)
  • Know some common nursing diagnoses that would be top priority for these patients (always remember A-irway, B-reathing, C-irculation)
  • Know the general side effects on electrolytes when taking furosemide (ex: hypokalemia). Have a general idea of the normal potassium range
  • Know the importance of a low sodium diet for these patients and know foods that would not fit this criteria
  • Know common meds used in CHF- ex digoxin. Also know general side effects & mechanism of action for each

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Helpful Video on Ejection Fraction

Abbreviations:

BNP: Brain natriuretic peptide (a lab level)

CHF: Congestive heart failure

CXR: Chest X-ray

EF: Ejection fraction (found on echo- how well heart pumps)

I/O: Intake & Output

JVD: Jugular vein distension

K: Potassium

LE: Lower extremity

Tx: Treatment

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