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CR-gruSdeM > CHF > Flashcards

CHF Flashcards

1
Q

Causes of CHF:
C
C
M

A

cardiomegaly
cardiomyopathy
MI

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2
Q 
Causes of CHF: Cardiomegally
H
C
C
V
A

Hypertension- LVH
COPD- RVH or COr pulmonale
Congenital Heart Defect
Valvular heart defect

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3
Q

S/SX of CHF: Left or Right?

increase pulmonary wedge pressure

A

Left

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4
Q

S/SX of CHF: Left or Right?

HYpertension

A

Right

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5
Q

S/SX of CHF: Left or Right?

strong bounding pulse

A

Right

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6
Q

S/SX of CHF: Left or Right?

Hypoxia

A

Left

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7
Q

S/SX of CHF: Left or Right?

confusion

A

Left

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8
Q

S/SX of CHF: Left or Right?

increase CVP

A

Right

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9
Q

S/SX of CHF: Left or Right?

Ascites

A

Right

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10
Q

S/SX of CHF: Left or Right?

Hepatospleenomegally

A

Right

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11
Q

S/SX of CHF: Left or Right?

Tachycardia

A

Left

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12
Q

Management: CHF: Goal

UNLOADFAST

Test: D P
A

A

Upright position Fluids
Nitrates Afterload(decrease)
Lasix Sodium restriction
Oxygen Test: digoxin level
Ace Inhibitor ABG
Digoxin Potassium level

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13
Q

Management: CHF: Goal

potent vasodilator

A

nitrates

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14
Q

Management: CHF: Goal

decreases vascular resistance causing decrease cardiac workload

A

nitrates

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15
Q

Management: CHF: Goal

potassium wasting
correct edema

A

lasix

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16
Q

Management: CHF: Goal

drugs ending in PRIL

A

ace inhibitor

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17
Q

Management: CHF: Goal

agent increase blood potassium Level

A

ace inhibitor

18
Q

Management: CHF: Goal

ace inhibitor best time to take

A

ac meal

19
Q

Management: CHF: Goal
ace inhibitor Must be reported when:

C- (symptoms}
E- (symptoms}

A

cough- dry

edema- periorbital edema or facial edema

20
Q

Management: CHF: Goal

DOC

A

Digitalis- cardiac glycosides

21
Q

Management: CHF: Goal: Digitalis

2 type Effect:
increases force of contraction?
decrease heart rate?

A

1 Inotrophic effect

2 chronotrophic effect

22
Q

Management: CHF: Goal: Lasix
electrolyte to watch out:
H
H

A

hyponatremia

hypokalemia

23
Q

Management: CHF: Goal: Lasix

electrolyte that potentiates the effect of Digoxin
(Lanoxin) as a result of digitalis toxicity

A

hypokalemia

24
Q

Management: CHF: Goal: Lasix

best time to take

A

morning

25
Q

Management: CHF: Goal: Digitalis

Normal Digoxin level

A

0.5-2ng/ml

26
Q 
Management: CHF: Goal: Digitalis Toxicity
V
A
N
D
A
B
A 
Visual disturbance
Anorexia
Nausea and vomiting
Diarrhea
Abdominal Cramps
Bradycardia
27
Q

Management: CHF: Goal: Digitalis Toxicity

Antidote:
brand: D
D

A

Digoxin immune Fab

Digibind
Digifab

28
Q

Management: CHF: Goal: restrictions

Electrolyte promotes water retention

A

sodium

29
Q

Diagnostic exam while on CHF management?

A
P
D
H

A

ABG
POTASSIUM
DIGOXIN LEVEL
HEART FUNCTION

30
Q

Management: CHF: Goal:

potentiates the effect of digoxin

A

Hypokalemia

31
Q

Management: CHF:

The level drug monitored since patient in on diuretic therapy

A

Digoxin level

32
Q

Management: CHF: heart function

Measures the right heart function
Sensor is placed in the right side of the heart

A

Central venous pressure (cvp)

33
Q

Management: CHF: heart function

Normal cvp=_________ cm H2O or ____mmhg

⬆️ cvp=_____

⬇️cvp=_____

A

2-8cm h20 or 2-6 mmhg

⬆️ cvp= hypervolemia

⬇️ cvp= hypovolemia

34
Q

Management: CHF: CVP

The positioned of patient during cvp measurement

A

Supine position

35
Q

Management: CHF: heart function: pcwp

Normal pcwp=____mmhg

⬆️ pcwp=

⬇️ pcwp=

A

8-12mmhg

⬆️ pcwp= Pulmonary congestion

⬇️ pcwp= Shock

36
Q

Management: CHF: heart function

Measures left heart function

Uses swan-ganz catheter

A

Pulmonary capillary wedge pressure

37
Q

Vascular Disorder

Also referred to as primary hypertension
A high blood pressure doesnt have a known secondary

A

Essential hypertension

38
Q

Vascular Disorder

Also referred as secondary hypertension
Known secondary cause:

A

Non essential hypertension

39
Q 
Vascular Disorder: Non essential hypertension
Secondary cause:
R
T
A
A
C
A
C
B
C
D
A 
Renal
Thyroid
Adrenal
Alcohol
Cocaine
Amphetamine
Congenital
Birth control
Cold remedies
Decongestant
40
Q

Vascular Disorder: Management
Medication:

Agent prevents coversion of angiotensin 1 to angiotensin 2

A

Ace inhibitor

CR-gruSdeM (4 decks)

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