Medical Therapeutic - CardioVascular Assessment         CARDIOVASCULAR ASSESSMENT 1.    Pain:  Character (type)/ location/ duration/ intensity, precipitating aggravating factors / relieving factors. 2.    Respiratory Problems:        A.     Exertional dyspnea (with exercise)        B.     P        C.    Paroxysmal Nocturnal dyspnea Sudden onset ; wakes patient up - Orthopnea need to sit up to breath Cough ,blood, tinged frothy sputum - Fatigue Palpitations - Cerebral Anoxia (hypoxia)  Irritability - Restlessness Confusion - Apprehension Syncope - Hemoptysis Edema Conditions of extremities     Rales/Ascites/Dependent (pedal)    Color/temp/skin integrity/Presence of Petechiae Syncope Neck Vein distention (Jugular Vein Right Side C.H.F.) DIAGNOSIS    History -  ECG changes (may 24 hours) -  Serum Enzymes CK,AST,LD    WBC increase -  SED increase -   Treatment Rx    CHF with PE complications (pulmonary edema) -  MORPHINE -  AMINOPHYLLIN    DIGOXIN - DIURETICS (LASIX) - OXYGEN - GOOD NURSING CARE    STOOL SOFTENERS ( prevent Vasalva Maneuver) - Diet low sodium (NA)    Soft (no hot spices) - No ice - Low cholesterol. Low fat. Low stress, Rehab exercise program,