- Inability to cope with added volume and increased cardiac output with outstanding signs of CHF.
- Top cause of Maternal Mortality in the country.
- CHF Manifestations and Intervention: click here...
- Functional classification of Organic Heart Disease:
- Class I- no symptoms of insufficiency, no limits of physical activity, no anginal pain.
- Class II- slight limitations of activity, dyspnea, fatigue, palpitations, and angina with ordinary activity.
- Class III- considerable limitations of activity, less than normal activity produces symptoms.
- Class IV- inability to perform any physical activity without discomfort; symptoms of insufficiency present at rest.
- Risk increases to Class I to Class IV; Class I and II may carry to term; Class III to IV may require therapeutic abortion.
- Main Nursing Diagnosis: Impaired Air exchange related to pulmonary edema.
- Nursing care is geared toward continuing and careful prenatal care, adequate stress free rest, Infection precaution, avoiding anemia, close monitoring of maternal and fetal well-being, sodium and fluids restrictions and antibiotic therapy.
