Heart failure

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definition of Heart failure
Heart failure is a clinical syndrome that arises because of the declining power the heart pumps. Why other kinds of anemia, hypertension, thyrotoxicosis, coronary heart disease or heart valve disorders.

Heart failure

 
cause of Heart failure
- anemia
- hypertension
- titotoksikemia
- Chronic heart disease
- Abnormalities of the heart valves


Clinical Overview of Heart failure
- Symptoms of heart failure may be a sign of the left or right heart failure that can appear gradually but can also be a sign of a sudden pulmonary edema acute.
- Left heart failure characterized by shortness of breath after a physical work, cough, or paroxysmal nocturnal dyspnea.
- It may seem a weak carotid pulse and heart sound .
- An important sign of right heart failure is ankle edema is pitting and enlarged liver.
- Patients usually feel weak and may complain of pain in the quarter right upper abdomen. In advanced stages can occur ascites.
- Acute heart failure is usually a sign of left heart failure with pulmonary edema
Acute: severe shortness of breath and rapid breathing, coughing when lying down, and cyanosis.
 
diagnosis of Heart failure
Shortness of breath, tachycardia and a "rhythm gallops", signs of lung dam.

management of Heart failure
- Patients with heart failure need to rest according to the weight of the disease. on severe symptoms, lie half-sitting is best. The next activity adapted to the physical ability of the heart.
- Patients should limit their salt intake.
- Diuretics furosemide 40 mg tablet 1-2 times daily is useful as a drug   for a single sign of heart failure prominent dam. diuretics
This can be provided without digitalis if no tachycardia.
- When used with digitalis diuretics should be given KCI 500 mg 1-3  times daily by mouth, by monitoring levels of Na +  and K +  plasma.
- In more severe heart failure may be required digitalis. digitizing should be done slowly with digoxin 0.25 mg / day.
- Whenever possible, give oxygen.
- Patients who demonstrated a complaint in a state of rest or a pulmonary edema with symptoms should be referred to the hospital, previously given used furosemide, KCl and digoxin.