Urinary System: Kidney Anatomy
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Monitoring daily weight for fluid retention is the priority assessment in heart failure as weight gain indicates worsening fluid overload. Heart failure symptoms: dyspnea, orthopnea, fatigue, edema, weight gain. Nurses teach daily weights (same scale, time, clothing) and report gain >2 kg in 24 hours. Other assessments: lung sounds (crackles); jugular venous distention; edema; intake/output; and oxygen saturation. Medications: diuretics, ACE inhibitors, beta-blockers, digoxin. Non-pharmacological: sodium/fluid restriction; activity pacing; and symptom monitoring. Nurses educate about medication adherence, diet, exercise, and when to seek help. Acute decompensation may require hospitalization for IV diuretics and monitoring. Heart failure classification (NYHA) guides management. Nurses coordinate multidisciplinary care including cardiology, dietitian, cardiac rehab. Prevention through risk factor control (hypertension, coronary disease). Palliative care discussions important in advanced stages.
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