Right Left Heart Failure Breakdown

Let's

break

it down, simple and clear For the clinical exam you're going to

clear Two sides of the pump,

left and right Let's get this nursing map in sight (ooh yeah)

Left is the lung,

remember the L When left side fails,

the fluids swell Backing up in the pulmonary space Dyspnea,

orthopnea, crackles in place Frothy pink sputum,

a danger sign Cardiac output's on a steep decline Check the EF,

under forty percent

Left sided pressure is where it went

Right is the body,

remember the R Systemic congestion,

near and far Jugular venous distention is clear Hepatomegaly,

splenomegaly near Dependent edema in ankles and feet Ascites and weight gain,

check the sheet Central venous pressure is rising high Above eight millimeters

mercury, don't pass by

(Sing it out)

Left is the lungs,

crackles and cough Right is the body,

swelling it off Check the BNP,

over one hundred is key Echocardiogram is the diagnostic gold for thee

Monitor the weight every single day Two pounds in twenty-four hours,

call right away

(yeah yeah)

Give the loop diuretics,

wash out the salt

Furosemide action brings the fluid to a halt

Watch the potassium, keep it in range

Below three point five,

that's a dangerous change

Beta blockers decrease the workload load ACE inhibitors dilate the road Keep

them in High-Fowler's, oxygen on hand That's how you prioritize,

take your stand

If you give Digoxin to make the pump strong Watch for toxicity

where things go wrong Halos of green,

nausea and slow heart rate Under zero point five potassium seal its

fate

Antidote is Digibind, keep it in mind

For the NCLEX test,

you're doing just fine Left is the lungs,

right is the body wide Now you've got heart failure

on your side