[N-clex] HF(heart failure)

- congestive HF : 물이차고 늘어나면서 혈중 방출 : B-type nutriuretic peptide

diet)

- fluid, Na↓, K↑

worse sign)

- rapid wt gain (1~2Ib/d, 3Ib/wk↑, Ib = 0.45kg

- exercise tolerance↓ in 2~3d

- cough 3~5d

- nocturia, angina, swelling feet & ankle & sarcum, dyspnea at rest

RHF vs LHF

RHF(Right heart failure)	LFT(Left heart failure)
systemic congestion peripheral edema JVD distress hepatomegaly ascites(복수) dependent edema nocturia	pul. congestion dyspnea crackles hacking, cough↑ at night nocturia paroxysmal nocturnal dyspnea angina : murmurs frothypink tinged sputum mental change dizziness, pallor cold extrimity weak peripheral pulse

 

Tx)

- Acute : IV, diuretics, morphine

- following access : digoxin diuretics, ACE inhibitor(~pril), β-blocker(~lol), vasodilator