He also complained of orthopnea
and his chest x-ray suggested pulmonary vascular congestion, further indicating that the right ventricle's compliance has diminished considerably enough to reduce the amount of shunting via ASD.
With progression, assessment also can reveal cough, dizziness, fever, possible chest pain with inhalation, orthopnea
, accessory muscle use, and retractions (American Lung Association, 2017; Blahd, 2016; McEvoy, 2013).
Some of the signs and symptoms, such as dyspnea, orthopnea
, and paroxysmal nocturnal dyspnea, are due to congestion, while some are due to lack of adequate cardiac output, including fatigue, weakness, and exercise intolerance.
Congestive heart failure can present with acutely worsening dyspnea and cough, but is also commonly associated with orthopnea
and/or paroxysmal nocturnal dyspnea.
The symptoms of CHF commonly include weakness, fatigue, oliguria, memory loss, anxiety, headaches, insomnia, exertional dyspnea, orthopnea
and edema (4).
Table 1 Fluid Volume Excess--Assessment Findings * Weight gain * Peripheral edema * Generalized edema * Crackles in the lungs upon auscultation * Dyspnea * Orthopnea
* Cough * Distention of peripheral veins * Bounding pulse * Engorged carotid vessels * Low BUN and hematocrit * Changes in vital signs (increase in blood pressure, respiratory rate, and heart rate) * Headache * [S.
Expiratory flow limitation as a determinant of orthopnea
in acute left heart failure.
She developed orthopnea
, general myalgia, and epigastric pain 2 months before this admission.
On physical examination, she was afebrile and exhibited tachypnea and orthopnea
Patient showed no history of allergic rhinitis, bronchial asthma, orthopnea
, paroxysmal nocturnal dyspnea, hemoptysis, hypertension, or diabetes mellitus.
ALSFRS-R consists of 12 parameters, such as speaking, saliva, swallowing, hand writing, eating, dressing and self-care, turning in the bed and covering up, walking, climbing stairs, dyspnea, orthopnea
, and respiratory insufficiency with a maximum score of 48.
The patient of mitral stenosis eventually have disabling symptoms like dyspnea, orthopnea
, paroxysmal nocturnal dyspnea, chest pain, palpitations, fatigue, weakness, thromboembolism, arrhythmia and sign of right heart failure like edema, ascites, increase JVD, hepatomegaly8.