Heart Failure Flashcards

1
Q

how come heart failure patients might die

A

ventricular arrythmia or a fib

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2
Q

twin epidemics due to rising of both issues

A

heart failure and a fib

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3
Q

decrease output causes decrease EJ which leads to

A

decrease blood flow to organs

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4
Q

things that affect preload

A

volume

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5
Q

things that affect afterload

A

blood pressure/vasoconstricition

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6
Q

what dose increase afterload do to the heart

A

increase in muscle size because heart has to work harder

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7
Q

if EF is low what does that do to the volume

A

increase ECF

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8
Q

if EF is low and there is not a lot of perfusion to kidneys what happens

A

increase in renin and angiotensin and then an increase in salt and water which leads to fluid overload

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9
Q

is the fluid overload in HF always in the vessels

A

no so it doesn’t necessarily increase preload

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10
Q

what type of relationship is associated with afterload and cardiac performance

A

inverse

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11
Q

names for HF with EF less than 40%

A

Reduced, systolic, HFrEF

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12
Q

names for HF with EF greater than 40%

A

persevered, diastolic, HFpEF

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13
Q

left sided HF will have what symptoms

A

LUNGS
- crackles

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14
Q

what symptoms with right sided HF have

A

peripheral edema
REST OF BODY

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15
Q

causes of depressed ejection fraction

A

myocardial infarction
hypertension
volume overload

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16
Q

causes of preserved EF

A

pathology hypertropy
aging

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17
Q

decreased CO will lead to what in the vessels

A

vasoconstriction (ultimately leading to increase afterload)

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18
Q

what effect will angiotensin 2 have on preload and aferload

A

increase in both

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19
Q

RAAS happens becasue

A

the body is attempting to compensate

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20
Q

what gender experiences what type of HF

A

men is reduced
women is preserved

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21
Q

blood pressure in reduced

A

normal to low

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22
Q

blood pressure in preserved

A

hypertension

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23
Q

edema in reduced

A

pitting

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24
Q

edema in preserved

A

no edema

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25
Q

EJ in reduced

A

low

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26
Q

EJ in preserved

A

normal or increased

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27
Q

JVD in reduced

A

yes

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28
Q

JVD in preserved

A

no

29
Q

symptoms of HF

A

exertion dyspnea
orthopena
nocturne
fatigue
anorexia
N/V
cheyne stokes
decrease urine
cool and cyanotic

30
Q

if output is not enough what will the body do to compensate

A

increase HR
(leads to larger heart)

31
Q

S/S of pulmonary edema

A

air hunger
crackles
frothy sputum (pink)
ashen color of skin

32
Q

BNP normal

A

less than 100

33
Q

what can impact BNP

A

meds

34
Q

why do we do an echo

A

check EF

35
Q

why do we do a CXR

A

size and shape of the heart

36
Q

Class 1 heart failure

A

no limitation

37
Q

class 2 HF

A

symptoms with ordinary activity

38
Q

class 3 HF

A

symptoms with less than ordinary activity

39
Q

class 4 HF

A

symptoms of cardiac insuffiencieny at rest

40
Q

what meds decrease preload

A

diuretics

41
Q

what can decrease afterload

A

bb

42
Q

what is the best combo of meds

A

bb and acei

43
Q

SIDE EFFECTS OF ACEI

A

angioedema

44
Q

neurohormonal escape in acei

A

in reduced
circulating levels of angiotensin 2 return to pretreatment level with long term acei therapy

45
Q

big thing to watch for with dig

A

toxicity

46
Q

what electrolyte do we watch for with dig

A

k

47
Q

micronutrient to increase

A

thiamine

48
Q

cardiac resynchronization therapy

A

pacemaker life and prevents going into ventricular arrhythmia
- special because lead into left ventricular

49
Q

significant 6
- education of partner and patient

A

smoking cessation
weight monitoring
symptoms to report
diet
activity
medicaitons

50
Q

best indicator of fluid status

A

weight

51
Q

broken heart syndom

A

extreme metal stress
- women more than men

52
Q

dilated cardiomyopathy

A

dilation of both ventricles without muscle hypertrophy

53
Q

extrinsic cause of cardiomypopathy

A

know the cause
- hytpertension

54
Q

intrinsic cause of cardiomyopathy

A

don’t know why

55
Q

bacterial endocardiatis

A

bacteria around the heart

56
Q

bacteremia

A

bacteria in blood stream

57
Q

modified duke criteria

A

defective: def has it
possible
rejected: don’t have it

58
Q

S1 is produced by

A

mitral and tricuspid closure

59
Q

S2 is proceeded by

A

closure of aortic and pulmonic

60
Q

when does S3 occur

A

after S2

61
Q

when does S4 occur

A

before S1

62
Q

stenotic

A

murmur of blood shooting through the narrow opening when the value is open

63
Q

regurgitant

A

murmur of blood leaking back through when the valve should be closed
- valve fails to close fully

64
Q

murmur
- grade 1

A

audible with good stethoscope in a quite room

65
Q

murmur
- grade 2

A

quite but readily audible with stethoscope

66
Q

murmur
- grade 3

A

easily heard with stethoscope

67
Q

murmur
- grade 4

A

loud and obvious murmur with palpable thrill

68
Q

murmur
- grade 5

A

very loud, heard only over the pericardium but else where in the body

69
Q

murmur
- grade 6

A

heard with stethoscope off chest