Sunday, January 4, 2009

HEART FAILURE (DEKOMPENSASIO KORDIS)

Definitions
Failure is the heart of a clinical syndrome arising from the decreasing power
heart pump. The kind of anemia among others, hypertension,
tirotoksikosis, coronary heart disease or heart valve aberration.
Causes
- Anemia
- Hypertension
- Titotoksikemia
- Heart disease chronicles
- Aberration heart valve
Clinical picture
- Symptoms can include heart failure fails to sign the heart of the left or right
can appear gradually, but can also suddenly oedem with tuberculosis
acute.
- Failed to the heart of the left marked with a shortness breath after physical work, cough,
or paroxysmal nocturnal dyspnea.
- It may appear that pulsasi karotis weakened, and heard the sound of the heart
III and i.v.
- Sign of critical heart failure is oedem right ankle in the
pitting and enlargement of the heart.
- People usually feel weak and may complain pain in the quarter
top right of the stomach. At about asites can happen.
- Failed to acute heart failure is usually a sign of the left heart oedema lung
acute: shortness of breath and rapid breath, coughing when lying, and sianosis.
Diagnosis
Shortness of breath, and tracicardia "gallop rhythm", the signs dam lungs.

Treatment
- People with heart failure need to rest in accordance with the weight of the disease. In the
symptoms of heavy, lying half-sitting is best. Next event
adjusted to the physical ability of the heart.
- People should limit salt Feed.
- Diuretik furosemid tablet 40 mg 1 - x 2 a day as a useful drug
single heart that failed to sign prominent oedema. Diuretik
This can be provided without digitalis when not takikardia.
- When diuretik shared with digitalis should be given KCI 500 mg 1 - 3
x day of oral, with the monitoring content and Na + K + plasma.
- At the heart of the failed heavier digitalis may be necessary. Digitizing
should be carried out slowly with digoksin 0.25 mg / day.
- If possible give oxygen.
- People who show a complaint in a state of rest or
with symptoms of tuberculosis udem necessary referred to hospital, given the previous
first furosemid, KCI and digoksin.