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Congestive Heart Failure

Care Plan

Care Plan for Congestive Heart Failure (CHF)

Category / Primary Body System

  • Cardiovascular System

Problem

  • Patient is at risk for complications due to Congestive Heart Failure (CHF).

Goal

  • Patient will not have CHF exacerbation for the next 90 days.

Plan/Approach

  1. Medication Management

    • Administer medications as ordered to manage CHF and prevent exacerbations.

  2. Laboratory Monitoring

    • Check labs as ordered to monitor electrolyte levels, renal function, and BNP levels.

  3. Dietary Management

    • Provide diet as ordered, including low sodium and fluid restriction if prescribed.

  4. Patient Education

    • Educate patient about energy conservation techniques to prevent fatigue and manage daily activities effectively.

  5. Diagnostic Monitoring

    • Check X-ray as needed to monitor for changes in heart size and pulmonary congestion.

  6. Activity Management

    • Encourage rest periods during activities to prevent overexertion and reduce the risk of exacerbation.

  7. Symptom Monitoring

    • Notify MD/RNP for signs of CHF exacerbation such as increased edema, wheezing, or shortness of breath.

Rationale

  1. Medication Management

    • Proper medication administration is crucial to control symptoms and prevent CHF exacerbations.

  2. Laboratory Monitoring

    • Regular lab checks help monitor the effectiveness of treatment and detect potential complications early.

  3. Dietary Management

    • A heart-healthy diet, low in sodium, can help manage fluid retention and reduce the workload on the heart.

  4. Patient Education

    • Educating patients on energy conservation helps them manage their condition and avoid exacerbation triggers.

  5. Diagnostic Monitoring

    • X-rays provide visual evidence of heart and lung status, aiding in the detection of complications.

  6. Activity Management

    • Balancing activity with rest periods helps prevent fatigue and reduces cardiac workload.

  7. Symptom Monitoring

    • Early detection of symptoms allows for timely intervention, preventing severe exacerbations.

Actions

  1. Medication Management

    • Administer prescribed medications on time and monitor for effectiveness and side effects.

  2. Laboratory Monitoring

    • Collect and analyze blood samples as ordered, paying close attention to key indicators such as electrolytes, renal function, and BNP levels.

  3. Dietary Management

    • Provide meals according to dietary restrictions and educate the patient on maintaining this diet at home.

  4. Patient Education

    • Teach energy conservation techniques, such as sitting while performing tasks and avoiding unnecessary physical exertion.

  5. Diagnostic Monitoring

    • Schedule and review chest X-rays as needed to monitor heart and lung status.

  6. Activity Management

    • Encourage the patient to take frequent rest breaks during activities and provide assistance as needed.

  7. Symptom Monitoring

    • Monitor for signs of exacerbation such as increased swelling, wheezing, or shortness of breath, and notify the MD/RNP immediately.
Tags
Congestive Heart Failure
CHF Management
Medication Administration
Laboratory Monitoring
Dietary Management
Patient Education
Symptom Monitoring
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