Nursing Interventions for Acute Heart Failure

Aug 06, 2021 Source: Cainiu Health
Dr. Qin Xiaofeng
Introduction
Aggressively treat the underlying disease causing heart failure. In terms of nursing care, administer high-flow oxygen therapy; perform continuous electrocardiographic monitoring; and administer medications including positive inotropes, diuretics, and agents that support myocardial nutrition. Closely monitor for potential adverse drug reactions. Provide the patient with a low-salt, low-fat diet; schedule regular follow-up examinations; and adjust lifestyle habits and medication dosages as needed.

Once acute heart failure develops, patients may present with dyspnea, shortness of breath, coughing up pink frothy sputum, bilateral lower-limb edema, hepatosplenomegaly, and ascites. Prompt treatment and nursing care are essential upon the emergence of these symptoms and signs.

The underlying cause of heart failure must be actively treated—for example, valvular heart disease, coronary artery disease, infective endocarditis, or fulminant myocarditis. In terms of nursing care, high-flow oxygen therapy should be administered; continuous electrocardiographic monitoring and close observation of vital signs are required; and medications—including positive inotropes, diuretics, and agents supporting myocardial nutrition—should be given. During pharmacotherapy, vigilance for potential adverse effects—such as nausea and vomiting—is essential. Additionally, patients should follow a low-salt, low-fat diet.Regular follow-up examinations are crucial; lifestyle modifications and medication dosages should be adjusted based on the results of these evaluations.

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