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Silliman University College of Nursing

Dumaguete City 

Resource Unit on Congestive Heart Failure

Submitted to:MS. Endyss Solita-Quilaquil, R.N

Clinical Instructor- Medicine rotation

Submitted by:Sandigan, Sheena yn !.

Submitted on:"une ##, #$$%

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COLLEGE OF NURSING

Silliman University

Dumaguete city

 Vision:

 & leading Christian institution committed to total human de'elo(ment )or the *ell-being o) society a

en'ironment.

Mission: 

In)use into the academic learning the Christian )aith anchored on the gos(el o) "esus Chri

(ro'ide an en'ironment *here Christian )ello*shi( and relationshi( can be nurtured a

(romoted.

!ro'ide o((ortunities )or gro*th and ecellence in e'ery dimension o) the ni'ersity li)e

order to strengthen character, com(etence and )aith.

Instill in all members o) the ni'ersity community an enlightened social consciousness an

dee( sense o) ustice and com(assion.

!romote unity among (eo(les and contribute to national de'elo(ment

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Placement: e'el I/, NCM 0$1 Medicine Rotation, )irst semesterTime allotment: 0 hourTopic escription:  2his to(ic deals on the conce(t o) congesti'e heart )ailure. It includes its de)inition, etiology and e(idimiology, (atho(hysiolcom(ensatory mechanism, ty(es, clinical mani)estations, com(lications and the classi)ication and stages o) C34. 5iagnostic tests are included to determinecause o) the heart )ailure. 2he medical management, surgical management, as *ell as the nursing management *ith the use o) the nursing (rocess are included. In line *ith this to(ic, *e *ill also com(rehensi'ely discuss the anatomy and (hysiology o) the heart.Central o!"ective: &t the end o) our 0 hour lecture discussion, the senior students shall gain additional 6no*ledge, de'elo( desirable s6ills and mani(ositi'e attitude to*ards gi'ing care o) the client *ith congesti'e heart )ailure.

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 &t the end o) one and a hal) hour o)

interacti'e discussion the learners

 *ill at 78 9 le'el o) com(etency 

0. Correctly de)ine the

di))erent terminologies

#. Com(rehensi'ely identi)y

the (arts o) the heart and

their corres(onding

)unctions

$ntrouction

3eart )ailure is a common, costly, disabling and deadly condition. Inde'elo(ing countries, around #9 o) adults su))er )rom heart )ailure, but in those o'erthe age o) 8, this increases to ;0$9. Mostly due to costs o) hos(itali?8 billion in the nited States. 3eart )ailure is associated *ithsigni)icantly reduced (hysical and mental health, resulting in a mar6edly decreasedquality o) li)e. @ith the ece(tion o) heart )ailure caused by re'ersible conditions, the

condition usually *orsens *ith time. &lthough some (atients sur'i'e many years,(rogressi'e disease is associated *ith an o'erall annual mortality rate o) 0$9.

$( Definition of terms &.  )fterloa, the amount o) resistance to eection  o) blood )rom the

 'entricleA. Cariac output, amount o) blood (um(ed  by each 'entricle in liters (er

minute+ normal cardiac out(ut is 8 (er minute in the resting adult heartC. Contractility, ability o) the cardiac muscle to shorten in res(onse to an

electrical im(ulse5. Diastole, (eriod o) 'entricular relaation resulting in 'entricular )illingE. Preloa, degree o) stretch o) the cardiac   muscle )ibers at the end o)

diastole4. Systole, (eriod o) 'entricular contraction resulting  in eection o) blood)rom the 'entricles into the (ulmonary artery and aorta

$$( )natomy an p-ysiology of t-e -eart

 &N&2BM: Layers:Endocardium- Dinnermost layer consists o) thin endothelial tissue lining the innerchambers and the heart 'al'esMyocardium- Dmiddle layer consists o) striated muscle )ibers )orming interlaced bundles and is the actual contracting muscle o) the heart

E(icardium- or 'isceral (ericardium co'ers the outer sur)ace o) the heart+ it closelyadheres to the heart and to the )irst se'eral centimeters o) the (ulmonary artery andaorta. Structures:!ericardium- 2*o-layered sac that encases and (rotects the heart &trium- ((er, recei'ing chambers o) the heart

Right &trium- Recei'es deoygenated systemic blood 'ia su(erior and in)erior 'ena ca'a+ blood (asses to the right 'entriclee)t atrium- recei'es oygenated blood )rom the lungs+ blood (asses to the le)t

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 &t least 789le'el o)

(artici(atiocom(etenc)rom thestudents

http://en.wikipedia.org/wiki/National_Health_Servicehttp://en.wikipedia.org/wiki/Quality_of_lifehttp://en.wikipedia.org/wiki/National_Health_Servicehttp://en.wikipedia.org/wiki/Quality_of_life

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R#F#R#NC#S:

Aare, A.H. Smelt