Nursing Interventions for Acute Heart Failure
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.