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This Concept Map, created with IHMC CmapTools, has information related to: Yellow Group Project- Week 1, Chest X-ray (Cardiomegaly, diffuse pulm infiltrates/ pulm edema, Electrolytes, ABG (^PaCO2, decreased PaO2, HCO3 (chronic/acute), LFT, CBC, EKG (a-fib, arrhythmias, changes, Rt axis deviation, pulm HTN ???? Diuretic Meds, Difficulty Initiating & Maintaining Sleep indication for Sleep Study Titration, Sleep Study Titration treat via Non-Invasive Positive Pressure (Cpap, Bipap, Bipap ST, ASV), Relationship between CHF & Insomnia ???? Diagnostic Test, Sleep Study verify Cheyne Stokes Respirations, OSA, RERAs, Relationship between CHF & Insomnia ???? CHF & Insomnia, Frequency Urninating voiding at NT Difficulty Initiating & Maintaining Sleep, Relationship between CHF & Insomnia ?daytime sleepiness/snoring Sleep Disordered Breathing, Diuretic Meds ???? Meds as indicated, Diuretic Meds causes Frequency Urninating, Respiratory Related Arousals Difficulty Initiating & Maintaining Sleep, Pt Assessment Pt. History Breath Sounds ? Rales/Dim. RR ^, Temp, SaO2 Position ? elevates HOB Neck (JVD< Bruits) HR, Ascites ?, Edema lower extremety foot, ankle, calf Neurological exam indicated for further tests Chest X-ray (Cardiomegaly, diffuse pulm infiltrates/ pulm edema, Electrolytes, ABG (^PaCO2, decreased PaO2, HCO3 (chronic/acute), LFT, CBC, EKG (a-fib, arrhythmias, changes, Rt axis deviation, pulm HTN, Diagnostic Test ???? Chest X-ray (Cardiomegaly, diffuse pulm infiltrates/ pulm edema, Electrolytes, ABG (^PaCO2, decreased PaO2, HCO3 (chronic/acute), LFT, CBC, EKG (a-fib, arrhythmias, changes, Rt axis deviation, pulm HTN, Diagnostic Test eval. Sleep Study, Relationship between CHF & Insomnia peform assessment Pt Assessment Pt. History Breath Sounds ? Rales/Dim. RR ^, Temp, SaO2 Position ? elevates HOB Neck (JVD< Bruits) HR, Ascites ?, Edema lower extremety foot, ankle, calf Neurological exam, Sleep Study verify Respiratory Related Arousals, Sleep Disordered Breathing ? patient use of Oxygen (contin. or night) Sleep Study