Question

Jessica is a nurse and works in the Emergency room department at the nearby hospital . On her last shift, a 70 year old man was brought by the EMT with various complaint or symptoms. These included : severe shortness of breath on exertion, and for relief he had needed to sleep on three pillows at night. Jessica with the ER physician did a physical assessment and it was obvious that the man’s ankles, feet and even his fingers were quite swollen. Several tests were done which included an EKG, oximetry, and various blood tests. The man was admitted and diagnosed with left Side Heart Failure

Put these steps in order BY SELECTING A LETTER and writing it next to each NUMBER below, These steps are related to his symtoms and left side of the heart fails,

1-

2-

3-

4-

5-

6-

7-

8-

STEPS A-H

A. As a result too much blood remains in right pump.

B. Blood stagnates or pools within body organs

C. Consequently, this widespread pooling of fluid impair the ability of body cells to obtain adequate nutrients and oxygen and to rid themselves of wastes.

D Oxygen poor blood returning in Right Atrium/ventricle cannot exit fast enough to Lungs

E. Peripheral Edema occurs.

F.Pooled blood leads to fluid leaking in the tissue spaces.

G. This swelling or congestion will be most noticeable in the extremities (feet, ankles, and fingers

H. Thus, Venae Cavae have difficulty bringing blood within the heart chambers

Answer 1

The edema is one of the major symptoms of cardiac failure. The steps of symptoms of this patient include

1)oxygen poor blood returning in right atrium/ventricle can not exit fast enough to lungs.

2)as a result too much blood remain in right pump.

3)thus venae cavae have difficulty bringing blood with in the heart chamber .

4)blood stagnate or pool with in the body organs.

5)pooled blood leads to fluid leaking in the tissue  space.

6)peripheral edema occur.

7)the swelling or congestion will be most noticeable in the extremities (feet, angles and fingers)

8)consequently,this widespread pooling of fluid impair the ability of the body cell to obtain adequate nutrients and oxygen and to rid themselves of waste.

These all are the order of events that are happened in the left side heart failure .edema is the common signs. These events explain how the edema occur during heart failure.