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Flashcards in CHF Deck (17):
0

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

What are the s/s of digoxin toxicity

Nausea
Vomiting
Bradycardia
Lethargy
Arrhythmia