HF1 Flashcards

1
Q

what are some causes of acute exacerbations

A
  1. medication non-adherence
  2. increased blood volume
  3. uncontrolled HTN
  4. Illness
  5. drugs
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2
Q

intake of what can exacerbate HF by increasing blood volume

A

increased sodium and water intake

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3
Q

what are 5 drugs that can exacerbate HF

A
  1. NSAIDS
  2. alcohol
  3. non-DHP CCBs
  4. BBs
  5. antiarrhythics
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4
Q

what are some systolic HF characteristics

A

decreased mechanical pumping actions

decreased ejection fraction

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5
Q

an ejection fraction less than what diagnoses HF

A

less than 40%

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6
Q

what is the most common type of HF?

systolic or diastolic

A

systolic

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7
Q

what are some characteristics of diastolic HF?

A
  1. normal ejection fraction
  2. stiffened left ventricle
  3. dysfunction with relaxation/ filling
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8
Q

who is at the highest risk for diastolic HF

A

elderly women

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9
Q

what commonly causes diastolic HF

A

ischemia and hypertrophy

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10
Q

failure of which side of the heart causes pitting edema

A

right HF

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11
Q

failure of which side of the heart causes elevated brain naturetic peptide (BNP)

A

both Left and right HF

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12
Q

failure of which side of the heart causes positive jugular venous distension (+JVD)

A

right HF

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13
Q

failure of which side of the heart causes rales and crackles

A

left HF

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14
Q

failure of which side of the heart causes PND (paroxysmal nocturnal dyspnea)

A

left HF

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15
Q

failure of which side of the heart causes a cough

A

Both left and right

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16
Q

what are the 2 symptoms of right sided failure

A

edema and nocturia

17
Q

how do you calculate SV

A

end diastolic volume - end systolic volume

18
Q

what is the max amount of blood in ventricle filling during diastole

A

end diastolic volume

19
Q

what is the minimum amount of blood left in heart (during contration)

A

end systolic volume

20
Q

ventricular performance is synonymous with what

A

end systolic volume

21
Q

ejection fraction is calculated how

A

stoke volume/ EDV

22
Q

what is the left ventricular filling during diastole refer to?

23
Q

what determines preload

A

end diastolic volume

24
Q

what is influenced by preload

A

stroke volume

25
what determines afterload
SVR
26
what is also refered to as impedance to ejection
afterload
27
what is HF's effect on: intrinsic contractility muscle shortening LV volume
decrease intrinsic contractility increase muscle shortening increase LV stroke volume
28
what refers to how hard the force of the heart is
contractility
29
what is the first compensatory mechanism seen in HF?
heart rate increases
30
beta receptors are activated by SNS due to what in HF
increased SV