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