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This Concept Map, created with IHMC CmapTools, has information related to: NUR 421_CHF_CMAP PROJECT, Medical Diagnosis Congestive Heart Failure (CHF) ???? Musculoskeletal -bedridden clients will experience hypotension, orthopnea, and decreased activity tolerance -decreased mobility due to unsteady gait, dyspnea, and fatigue - decreased elasticity of smooth muscles (cardiac, blood vessels, and alveoli sacs) -peripheral edema (feet, ankles, legs and belly), Medical Diagnosis Congestive Heart Failure (CHF) ???? Endocrine -Diabetic mellitus, Medical Diagnosis Congestive Heart Failure (CHF) ???? Pulmonary -pulmonary edema, pulmonary emboli, dyspnea, dry hacking cough, orthopnea -Can affect oxygenation and circulation -smoking is a risk factor, Musculoskeletal -bedridden clients will experience hypotension, orthopnea, and decreased activity tolerance -decreased mobility due to unsteady gait, dyspnea, and fatigue - decreased elasticity of smooth muscles (cardiac, blood vessels, and alveoli sacs) -peripheral edema (feet, ankles, legs and belly) results in Genital/Urinary -Nocturnal diuresis due to fluid volume excess in the body, and oliguria & decreased frequency during the day -sexual dysfunction -Urinary Bladder incontinent, Medical Diagnosis Congestive Heart Failure (CHF) results in Endocrine -Diabetic mellitus, Immunologic -Risk of infection especially pneumonia due to atelectasis, and destruction of body's first line of protection (skin) from infection. results in Pulmonary -pulmonary edema, pulmonary emboli, dyspnea, dry hacking cough, orthopnea -Can affect oxygenation and circulation -smoking is a risk factor, Medical Diagnosis Congestive Heart Failure (CHF) ???? Immunologic -Risk of infection especially pneumonia due to atelectasis, and destruction of body's first line of protection (skin) from infection., Neurological -decreased level of conciousness -cramping of extremities -confused, weakness, and fatigue, and dizziness ???? Cardiac - history of hypertension, coronary artery disease, arrhythmias, cardiogenic shock, myocardial ischemia, hypertrophy of myocardial muscle -can affect circulation throughout the body system -Pallor and cyanosis -jugular venous distention, Medical Diagnosis Congestive Heart Failure (CHF) ???? ????, Musculoskeletal -bedridden clients will experience hypotension, orthopnea, and decreased activity tolerance -decreased mobility due to unsteady gait, dyspnea, and fatigue - decreased elasticity of smooth muscles (cardiac, blood vessels, and alveoli sacs) -peripheral edema (feet, ankles, legs and belly) results in Cardiac - history of hypertension, coronary artery disease, arrhythmias, cardiogenic shock, myocardial ischemia, hypertrophy of myocardial muscle -can affect circulation throughout the body system -Pallor and cyanosis -jugular venous distention, Nutritional -obesity (BMI 30 or above) is a risk factor -anorexia and malnutrition may occur ???? Endocrine -Diabetic mellitus, Medical Diagnosis Congestive Heart Failure (CHF) results in Neurological -decreased level of conciousness -cramping of extremities -confused, weakness, and fatigue, and dizziness, Nutritional -obesity (BMI 30 or above) is a risk factor -anorexia and malnutrition may occur ???? Cardiac - history of hypertension, coronary artery disease, arrhythmias, cardiogenic shock, myocardial ischemia, hypertrophy of myocardial muscle -can affect circulation throughout the body system -Pallor and cyanosis -jugular venous distention, Neurological -decreased level of conciousness -cramping of extremities -confused, weakness, and fatigue, and dizziness ???? Psychosocial -Disturbed body image -lack of social function due to activity intolerance -anxiety and fear of death -smoking and alcohol are risk factors, Pulmonary -pulmonary edema, pulmonary emboli, dyspnea, dry hacking cough, orthopnea -Can affect oxygenation and circulation -smoking is a risk factor influences each other Gastrointestinal -Constipation, nausea, abdominal distention, GI bloating, hepatomegaly, and ascites,, Endocrine -Diabetic mellitus results in Nutritional -obesity (BMI 30 or above) is a risk factor -anorexia and malnutrition may occur, Immunologic -Risk of infection especially pneumonia due to atelectasis, and destruction of body's first line of protection (skin) from infection. results in Genital/Urinary -Nocturnal diuresis due to fluid volume excess in the body, and oliguria & decreased frequency during the day -sexual dysfunction -Urinary Bladder incontinent, Medical Diagnosis Congestive Heart Failure (CHF) ???? ????, Medical Diagnosis Congestive Heart Failure (CHF) ???? Cardiac - history of hypertension, coronary artery disease, arrhythmias, cardiogenic shock, myocardial ischemia, hypertrophy of myocardial muscle -can affect circulation throughout the body system -Pallor and cyanosis -jugular venous distention, Immunologic -Risk of infection especially pneumonia due to atelectasis, and destruction of body's first line of protection (skin) from infection. results in Integumentary -peripheral edema (feet, ankles, legs and belly) present on extremitys' of the skin -impaired skin integrity with risk of infection