Question

how to monitor and asses CHF

how to monitor and asses CHF

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Answer #1

How to monitor and assess CHF

CHF means Congestive Heart Failure.

History collection:

  • Consider the history of heart failure, risk factors for congestive heart failure.
  • Collects the history of orthopnea, paroxysmal nocturnal dyspnea

Physical Examination:

  • Monitor the vital signs. Baseline vital signs are important including an apical pulse.
  • Cardiovascular: Assess heart rhythm and strength of heart beat
  • Respiratory: Assess lung sounds for congestion, rales.
  • Assess for increase in body weight
  • Examine pitting edema
  • Observe jugular venous pressure, jugular venous distension

Laboratory investigations

  • Laboratory studies of CHF includes complete blood cell count. The CBC aids in the assessment of severe anemia, which may cause or aggravate heart failure.
  • Serum electrolyte levels (calcium and magnesium).
  • Renal and liver function studies.
  • Echocardiogram (ECG): ECG measures the ejection fraction, an important measurement of pumping of heart, which helps to classify heart failure and guide treatment.
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