Congestive Heart Failure (CHF) for Nursing & NCLEX

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A diagnosis of Heart failure is identified by the following:
- High BNP lab value (brain natriuretic peptides) (9:19)
- Low ejection fraction (EF) below 40 - 55% (using an echocardiogram) (9:25)
- Hemodynamic Monitoring can also be used to measure central venous pressure (CVP) using a Swans Ganz Cath, also called a pulmonary artery catheter, but this is typically only used in severe heart failure (9:39)

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Pharmacology treatment of Congestive Heart Failure includes:
- Ace inhibitors (16:24)
- Beta Blockers (19:50)
- Calcium Channel Blockers (22:47)
- Digoxin | Cardiac Glycoside) (25:58)
- Diuretics like loop diuretics & thiazides like Furosemide, & Hydrochlorothiazide (29:34)

CHF is a progressive condition that affects the pumping power of the heart, meaning that the heart is failing to meet the body’s demands, and fluid begins to back up in the lungs, and/or body. The pathophysiology of right-sided heart failure is different than that of the pathophysiology of left-sided heart failure. In right-sided heart failure, fluid backs up into the body causing peripheral edema, JVD, and hepatomegaly, while in left-sided heart failure, fluid builds up in the lungs causing dyspnea, crackles, orthopnea, and paroxysmal nocturnal dyspnea.

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