Collaborative+CHF

[fabiusgile]

My pt is a 97 year old F. with CHF hypertension L. vent hypertrophy, mitral valve stenosis, stable angina borderline DM managed by diet. Her H&H is low 7.3 and 21.5 she has +1 pitting adema, crackles bilatterally systolic BP from 140-180.

My question is. she is set to receive a transfusion. The transfusion should reduce some of the third spacing and reduce the adema... But will it also decrease her crackles.. or is that caused by back flow.

Also can someone go over care for none nursing collaboratives...

I know to expect dieretics, (other heart meds) daily weights, telemetry, SOB on exhertion, LS I & O's, BP, Heart sound quality, low sodium diet. Monitor labs...

But I feel like l'm missing something... Some input please

[Daytonite, BSN, RN]

Did you read about CHF? What are the symptoms of CHF and what is the pathophysiology that causes those symptoms to occur? Why would the patient have crackles in their lung with CHF? What is a blood transfusion being given for? How is it related, if at all, to the CHF?

• http://cvphysiology.com/
  
• http://www.fpnotebook.com/CV/CHF/DstlcHrtFlr.htm
  
• http://www.fpnotebook.com/CV/CHF/SystlcDysfnctn.htm

[fabiusgile]

great sites thank u