CHF Flashcards
1
Q
What is the goal weight for patients to loose on diuretics?
A
0.5 to 1.0 kg per day
2
Q
Dose of home furosemide
A
40 mg PO daily
3
Q
Risks associated with diuretics
A
Rise in creatinine
- loop diuretics - interfere with the normal function of the kidneys
4
Q
Right Heart Failure
A
Chest symptoms - SOB, orthopnea, PND Volume status: - Distended jugular veins - more prominent on inspiration, increased JVP - Pulmonary congestion - Peripheral edema (+/- ascites) Palpation - right ventricular heave - right sternal border with severe TR - tachycardic - palpatations +/- lightheadedness - irregularly, irregular pulse - pulses alternans ?? Hepatomegaly - RUQ discomfort
5
Q
Use of Aldosterone Antagonists
A
Class III/IV angina
Baseline digoxin, diuretic, ACEi and betablocker
6
Q
Use of Beta blockers
A
Treatment of pt with dec. EF regardless of Hx of MI
7
Q
Indications to dec ACEi
A
- Inc Cr > 30% baseline level
- value does not stabilize in 2-4 weeks
- K > 5.0 meq/L
8
Q
Why are NSAIDs bad for CHF
A
vasoconstriction - worsening of CHF
9
Q
Definition of tachycardia-mediated cardiomyopathy
A
a. fib with rapid ventricular response –> cardiomyopathy through depletion of stores
