Cardio heart failure Flashcards

1
Q

Intention tremor from where?

A

cerebellar hemisphere (think it coordinates)

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2
Q

Bacteria in burn victims? NEED TO KNOW!

A

Psuedomonas!

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3
Q

Systolic failure caused by?

A
Decreased contract
Increased preload
Increased after load
Heart rate abnormalities
High output conditions
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4
Q

Diastolic disfunction is from what?

A

LVH: stiff and noncompliant

S4 heart sound is with it from atrial kick

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5
Q

S3 is what?

A

Going into dilated ventricles

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6
Q

Pulmonary cephalization?

A

Pulmonary congestion forcing blood up high (normal no blood goes up there)

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7
Q

Common causes of L heart failure?

A

Infarct, HTN

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8
Q

What does BNP do?

A

vasodilates and more sodium and water excretion

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9
Q

Drugs that reduce mortality in CHF? also reduce hospitilization

KNOW THIS

A

ACE
Beta blockers
Aldosterone antagonists (spirono or eplerenone)

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10
Q

beta blockers that decrease mortality in chf?

A

Backed cardiac muscle!

Bisoprolol, carvedilol, Metoprolol extended release

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11
Q

Chornic CHF management?

A

Loop diuretic.
ACE inhibitosrs to decrease preload and after load
Beta blockers: bisoprolol, carvedilol, extended release metoprolol, spironolactone

digoxin to improve symptom
Less salt
Biventricular pacing may help

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12
Q

Beta blockers use in CHF?

A

NOT IF DECOMPENSATED. But otherwise prevents remodeling and longer life!

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13
Q

Tx of acute pulmonary edema in CHF? mnemonic

A

NO LIP!
Nitrate (blood into vascularuture)
Oxygen

Loop diuretics (ESPECIALLY TEST) on volume overload
Inotropic drugs (dobutamine)
Positioning: sit up
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14
Q

Biventricular pace maker helps reduce mortality if what?

A

less than 35% ejection fraction

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15
Q

Drugs in chronic CHF that don’t decrease mortality?

A

loops and digoxin

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16
Q

Systolic ejection vs systolic regurg sounds?

A

Systolic ejection is delayed b/c iso contraction and crescend decrescend

REgurg is holosystolic and no delay b/c shit is going through immediately

17
Q

Early diastolic murmur is what?

A

IT MUST BE from regurg of stuff that just closed. So aortic or pulmonic

18
Q

Late diastolic murmur?

A

From stenosis of mitral or tricuspid

19
Q

Most common cause of aortic stenosis?

A

Bicuspid and starts around age 40

Rheumatic heart

Senile calcification around age 60 or later

Tertiary syphilis from treebarking of aorta

20
Q

Aortic stenosis symptoms?

A

Angina
Dyspnea (CHF)
Syncope

NEED NEW VALVE when symptomatic

21
Q

Aortic stenosis sound?

A

Valsalva decreases sound.

Late crescendo decrescendo

22
Q

Mitral regurg causes?

A
MVP
Rheumatic heart disease
Papillary muscle
Endocarditis
LVH
23
Q

Aortic regurg causes

A

tertiary syph, endocarditis,

24
Q

Bounding pulses, Quincke sign?

A

Capillary pulsations from aortic regard

25
Q

Mitral stenosis sound?

A

Diastolic opening snap

26
Q

All diastolic murmurs need echo

A

ok

27
Q

Right brain bonus

A

Aortic stenosis and symptoms so he needed surgery!