1. Jacqueline Buckham AC-230
TEACHING PLAN

2. Objectives The anatomy of the heart
Fill in the Blank
What is congestive heart failure (CHF)?
How does the heart work with CHF?
Signs and Symptoms
Causes of CHF
Management of CHF
Discussion about CHF
Group skit
Questions?
Quiz

3. Click on photo to view video of the heart*

4. The Heart- Fill in the Blank
Word bank
Aorta
Superior vena cava
Inferior vena cava
Pulmonary artery
Pulmonary valve
Pulmonary veins
Right atrium
Left ventricle
Left atrium
Mitrial valve
Tricuspid valve
Septum

5. Congestive Heart Failure
What is Congestive Heart Failure (CHF)?
Condition where the heart is unable to pump blood as well as it should.
It does not mean your heart stops working.
It just means your heart is not as strong as it used to be.
The heart is unable to pump enough blood throughout the body.
Blood that is usually circulating from the heart to all parts of the body backs up into the lungs, liver, stomach and legs.
Click on photo to view video of the heart*
Click on photo to view video of the heart*

6. How does the heart work with Congestive Heart Failure?
As the heat’s pumping action weakens, the body fights back to adapt to the decreased blood flow.
The heart has four chambers.
The right atrium, left atrium, the right ventricle and left ventricle.

7. Continued- How does the heart work with Congestive Heart Failure?
When the right side of the heat does not pump blood as well as it should, blood backs up into the veins. The veins expand to attempt to hold more fluid. In time, the fluid is forced out of the veins and goes to the legs, feet, ankles, liver and/or stomach. The back-up of blood causes swelling in those areas.
When the left side of the heart’s pumping action weakens, blood returns to the lungs. This can cause symptoms of difficulty breathing and coughing. When the blood flow to the kidneys is reduced, they react by holding salt and water that would normally pass out of the body. This also causes swelling which is also causes edema.

8. Signs and Symptoms of Congestive Heart Failure
Weight gain or 2 or more pounds in one day
Gain 3 or more pounds in 1 week
Swelling of the feet, legs, ankles, hands and/or stomach
Persistent cough or chest congestion
Increasing fatigue and weakness
Poor appetite
Nausea
Confusion
Restlessness
Intermittent shortness of breath
Dizziness and light headedness
Click on picture to view video of

9. Causes of Congestive Heart Failure
There are many conditions that can cause heart failure. Some include:
Heart attack
High blood pressure
Abnormal heart valves
Irregular heart beat
Lung disease
Infection of the heart muscles by a virus or bacteria
Alcohol consumption or abuse
Exact cause of heart failure may be unknown or have no known cause

10. Management of Congestive Heart Failure
Daily weights. Weigh at the same time with the same clothes every day.
Document weight every time
Weight before you eat or drink anything
Main reason to weigh- if you develop any fluid retention, swelling and edema you can find this information out through the daily weight.

11. Continued..... Management of Congestive Heart Failure
Name____________________________ Month___________________________
Date
Time
Weight
Any Changes 1 2 3 4 5 6 7

12. Continued..... Management of Congestive Heart Failure
Reduce salt intake mo more than 2 grams of sodium each day
Limit the amount of sodium in beverages
Low salt diet
Restrict fluid intake
Drinking too much fluid makes the heart work harder
Always take medication prescribed by physician.
Some examples of medication include:
Lasik
Lisinopril
Isordil
Digoxin
Carvedilol
Losartan

13. Continued..... Management of Congestive Heart Failure
If you feel any side effects of these drugs, contact your physician immediately or go to the nearest hospital
Some side effects include:
Dizziness
Cough
Kidney problems
Low blood pressure
Weakness
Skin rashes
Altered sense of taste
High potassium levels

14. Continued..... Management of Congestive Heart Failure
Activity level
Discuss the amount of activity you can do with your physician.
What you are able to do depends on the severity of your condition
No smoking!
Rest is important
Know your heart failure zones
Keep your Doctor’s appointments

15. Ways of managing Congestive Heart Failure using “ZONE”

16. Discussion Any Questions? What is CHF?
What other organs does CHF affect?
How can you get CHF?
How do you maintain CHF?
During this discussion please make a group of 5 people and discuss these questions with one another. Create a quick skit describing a patient with congestive heart failure.
Any Questions?

17. Quiz
Congestive heart failure (or CHF) is the name for what kind of failure?
A.the heart to beat
B.the heart to pump sufficient blood to the body
C.the heart to pump 60 times a minute
D. the failure of the right ventricle to beat rhythmically
2. What is NOT characteristically one of the main symptoms of CHF?
A.Edema
B. shortness of breath
C. warm hands
D.problems with urinary output
3. Which of the following treatments is NOT a central recommendation for patients with CHF?
A.sodium reduction
B. diet modification
C.running
D.ACE inhibitors
4. What is not a primary cause of CHF?
A.cardiomyopathy
B.high blood pressure
C. coronary artery disease
D. poliomyelitis
5. One of the biggest problems people with congestive heart disease have is excess consumption of sodium (salt) because salt can exacerbate fluid retention. Which food item has the highest sodium content?
A.one teaspoon
B.baking soda teaspoon of salt
C. a saltine cracker
D.3 oz Canadian bacon