CHF

Question 1

Causes of CHF:
C
C
M

Answer 1

cardiomegaly
cardiomyopathy
MI

Question 2

Causes of CHF: Cardiomegally
H
C
C
V

Answer 2

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

Question 3

S/SX of CHF: Left or Right?

increase pulmonary wedge pressure

Answer 3

Left

Question 4

S/SX of CHF: Left or Right?

HYpertension

Answer 4

Right

Question 5

S/SX of CHF: Left or Right?

strong bounding pulse

Answer 5

Right

Question 6

S/SX of CHF: Left or Right?

Hypoxia

Answer 6

Left

Question 7

S/SX of CHF: Left or Right?

confusion

Answer 7

Left

Question 8

S/SX of CHF: Left or Right?

increase CVP

Answer 8

Right

Question 9

S/SX of CHF: Left or Right?

Ascites

Answer 9

Right

Question 10

S/SX of CHF: Left or Right?

Hepatospleenomegally

Answer 10

Right

Question 11

S/SX of CHF: Left or Right?

Tachycardia

Answer 11

Left

Question 12

Management: CHF: Goal

UNLOADFAST

Test: D P
A

Answer 12

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

Question 13

Management: CHF: Goal

potent vasodilator

Answer 13

nitrates

Question 14

Management: CHF: Goal

decreases vascular resistance causing decrease cardiac workload

Answer 14

nitrates

Question 15

Management: CHF: Goal

potassium wasting
correct edema

Answer 15

lasix

Question 16

Management: CHF: Goal

drugs ending in PRIL

Answer 16

ace inhibitor

Question 17

Management: CHF: Goal

agent increase blood potassium Level

Answer 17

ace inhibitor

Question 18

Management: CHF: Goal

ace inhibitor best time to take

Answer 18

ac meal

Question 19

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

C- (symptoms}
E- (symptoms}

Answer 19

cough- dry

edema- periorbital edema or facial edema

Question 20

Management: CHF: Goal

DOC

Answer 20

Digitalis- cardiac glycosides

Question 21

Management: CHF: Goal: Digitalis

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

Answer 21

1 Inotrophic effect

2 chronotrophic effect

Question 22

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

Answer 22

hyponatremia

hypokalemia

Question 23

Management: CHF: Goal: Lasix

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

Answer 23

hypokalemia

Question 24

Management: CHF: Goal: Lasix

best time to take

Answer 24

morning

Question 25

Management: CHF: Goal: Digitalis Normal Digoxin level

Answer 25

0.5-2ng/ml

Question 26

``` Management: CHF: Goal: Digitalis Toxicity V A N D A B ```

Answer 26

``` Visual disturbance Anorexia Nausea and vomiting Diarrhea Abdominal Cramps Bradycardia ```

Question 27

Management: CHF: Goal: Digitalis Toxicity Antidote: brand: D D

Answer 27

Digoxin immune Fab Digibind Digifab

Question 28

Management: CHF: Goal: restrictions Electrolyte promotes water retention

Answer 28

sodium

Question 29

Diagnostic exam while on CHF management? A P D H

Answer 29

ABG POTASSIUM DIGOXIN LEVEL HEART FUNCTION

Question 30

Management: CHF: Goal: potentiates the effect of digoxin

Answer 30

Hypokalemia

Question 31

Management: CHF: The level drug monitored since patient in on diuretic therapy

Answer 31

Digoxin level

Question 32

Management: CHF: heart function Measures the right heart function Sensor is placed in the right side of the heart

Answer 32

Central venous pressure (cvp)

Question 33

Management: CHF: heart function Normal cvp=_________ cm H2O or ____mmhg ⬆️ cvp=_____ ⬇️cvp=_____

Answer 33

2-8cm h20 or 2-6 mmhg ⬆️ cvp= hypervolemia ⬇️ cvp= hypovolemia

Question 34

Management: CHF: CVP The positioned of patient during cvp measurement

Answer 34

Supine position

Question 35

Management: CHF: heart function: pcwp Normal pcwp=____mmhg ⬆️ pcwp= ⬇️ pcwp=

Answer 35

8-12mmhg ⬆️ pcwp= Pulmonary congestion ⬇️ pcwp= Shock

Question 36

Management: CHF: heart function Measures left heart function Uses swan-ganz catheter

Answer 36

Pulmonary capillary wedge pressure

Question 37

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

Answer 37

Essential hypertension

Question 38

Vascular Disorder Also referred as secondary hypertension Known secondary cause:

Answer 38

Non essential hypertension

Question 39

``` Vascular Disorder: Non essential hypertension Secondary cause: R T A A C A C B C D ```

Answer 39

``` Renal Thyroid Adrenal Alcohol Cocaine Amphetamine Congenital Birth control Cold remedies Decongestant ```

Question 40

Vascular Disorder: Management Medication: Agent prevents coversion of angiotensin 1 to angiotensin 2

Answer 40

Ace inhibitor