Flashcards in CHF Deck (17)
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What is the definition
Inability of the heart to meet the metabolic demands of the body
1
What 4 things cause CHF
Volume overload
Pressure overload
Poor contractibility
Increased cardiac output
2
Which side of the heart is affected
Both
3
How is CHF diagnosed
By the symptoms
4
What are the s/s of impaired myocardial function
Sweating
Gallop
Cardiomegaly
Weak peripheral pulses
< BP
< urinary output
5
What are the s/s of pulmonary congestion
Dyspnea
Wheezing
Grunting
Retractions
Nasal flaring
Cough
6
What are the s/s of systemic venous congestion
Facial edema
Scrotal edema
Sudden weight gain
Hepatomegaly
Splenomegaly
JVD
7
Which 2 meds are given to improve cardiac function
Digoxin
ACE inhibitors
8
Which 3 meds are given to remove excess fluid & Na
Lasix
Thiazides
Spironolactone
9
Which med increases potassium excretion
Digoxin
10
Which diuretic is the best and why
Spironolactone - potassium sparing
11
Which 2 ACE inhibitors are usually given
Basotech
Catophil
12
What 2 things must be checked before giving digoxin
Apical pulse rate
Dig level
13
What is the therapeutic level of digoxin
0.8 - 2.0
14
How often is digoxin given
Every 12 hours
15
What electrolyte needs to be monitored when given digoxin
Potassium
16
