Chapter 25

Question 1

Inotropic

Answer 1

Strength of contraction

Question 2

Chronotropic

Answer 2

Heart rate

Question 3

Dromotropic

Answer 3

Speed of impulse

Question 4

What is the most common cause of HF

Answer 4

MI

Question 5

Left sided HF (LEFT=LUNG)

Answer 5

Pulmonary edema
Coughing
SOB
Dyspnea

Question 6

Right sided HF

Answer 6

Venous congestion
Pedal edema
JVD
Ascites
Hepatic congestion

Question 7

What does a high BNP: brain naturetic peptide mean

Answer 7

HF is getting worse

Question 8

HF patients receiving blood transfusions. Monitor:

Answer 8

Crackles in lungs

Question 9

If crackles heard in lungs after giving blood transfusion to pt with HF administer

Answer 9

Furosemide

Question 10

Are positive inotropic drugs used first or after other HF drugs

Answer 10

AFTER

Question 11

3 drugs for early HF treatment

Answer 11

ACE inhibitors
ARBs
Beta blockers

Question 12

1kg of weight gain is equivalent to how much fluid in body

Answer 12

1L

Question 13

When is digoxin used in HF

Answer 13

When all other meds no longer work

Question 14

What do ACE inhibitors do

Answer 14

Inhibit aldosterone to decrease sodium and water retention

Question 15

Which HF med has cardio protective effects after MI

Answer 15

ACE inhibitor lisinopril

Question 16

What do ARBs do

Answer 16

Vasodilation

Question 17

Why would an ARB be used instead of an ACE inhibitor

Answer 17

Does not cause dry cough

Question 18

What do aldosterone antagonist diuretics do

Answer 18

Prevent sodium and water retention

Question 19

ACE do what to preload

Answer 19

Decrease it by lowering blood volume

Question 20

ARBs do what to afterload

Answer 20

Decrease it by causing vasodilation

Question 21

Which HF drug is used short term in ICU and requires heart monitor

Answer 21

Milrinone

Question 22

What drug cannot go in same IV as milrinone or precipitate will form

Answer 22

Furosemide

Question 23

Why is digoxin not given often anymore

Answer 23

Has narrow therapeutic window

Question 24

Low levels of potassium increase toxicity of which HF med

Answer 24

Digoxin

Question 25

Large amounts of bran affect absorption of which HF med

Answer 25

Digoxin

Question 26

What natural health products increase digoxin levels

Answer 26

Ginseng
Hawthorn
Licorice