Cardiovascular Disorder - Heart Faiure Flashcards

1
Q

Heart is contracting but inability to pump adequate oxygenated blood to meet metabolic demand and the body

A

Heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cause of heart failure

A

(4Dā€™S )
Defects
Disease (Kawasaki)
Disorder (metabolic, fluids and electrolytes)
Dysfunction (surgery)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Right sided HF or Left sided HF
Edema

A

Right sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Right sided HF or Left sided HF
Receiver of deoxygenated blood

A

Right sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Right sided HF or Left sided HF
Enlarged liver

A

Right sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Right sided HF or Left sided HF
Lung symptoms

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Right sided HF or Left sided HF
Use of accessory muscles

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Right sided HF or Left sided HF
Nasal flaring

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Right sided HF or Left sided HF
Grunting

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Right sided HF or Left sided HF
Shortness of breath

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Right sided HF or Left sided HF
Distributor of oxygenated blood

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Right sided HF or Left sided HF
Swelling eyes and extremities

A

Right sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Right sided HF or Left sided HF
Engorged jugular vein

A

Right sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Right sided HF or Left sided HF
Rapid RR

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Right sided HF or Left sided HF
Rates / crackles

A

Left sided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Right sided HF or Left sided HF
Chest retractions

A

Left sided

17
Q

Right sided symptoms

A

Edema
Eyes
Extremities
Enlarged liver
Engorged jugular vein

18
Q

Left sided symptoms

A

(LUNGS RRR)
Lung symptoms
Use accessory muscles
Nasal flaring
Grunting
Shortness of breath

Rapid RR
Rales (crackles)
Retractions (chest)

19
Q

Management (medical)

A

Digoxin
Ace inhibitor / ARBs
Beta-blocker

20
Q

When taking digoxin, what is the patient risk for?

A

Toxicity

21
Q

Sings of toxicity

A

Dizziness
Headache
Decrease HR
Diarrhea
Nausea
Vomiting

22
Q

Digoxin is ______ inotropic which increases what?

A

Positive (+) inotropic = increase contractility

23
Q

Digoxin is ____ chronotropic which decreases what?

A

Negative (-) chronotropic = decreases HR

24
Q

Route of digoxin

A

Oral route

25
Q

What to do if:
1. One dose missed -
2. Two dose missed -
3. One dose vomited -
4. Two dose vomited -

A
  1. Wait for next dose, no adding, give it as is.
  2. Report to MD
  3. Wait for next dose, give it as is.
  4. Report to MD ā†’ possible plan of toxicity
26
Q

What to watch out for when giving ace inhibitors or arbs?

A

Hypotension