Core concepts

Heart Failure: Left vs Right

Left vs right heart failure — RegisteredNurseRNRequired

Heart failure is congestion behind a failing ventricle — know where the fluid backs up.

Key points

  • Left-sided: pulmonary congestion — crackles, dyspnea, orthopnea.
  • Right-sided: JVD, peripheral edema, hepatomegaly.
  • Daily weights at the same time on the same scale; report rapid gain.
  • Sodium and fluid restriction as prescribed.

Test-taking tip: Look for the answer that protects the client first.

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