Cardiovascular Disorder - Heart Faiure Flashcards
Heart is contracting but inability to pump adequate oxygenated blood to meet metabolic demand and the body
Heart failure
Cause of heart failure
(4DāS )
Defects
Disease (Kawasaki)
Disorder (metabolic, fluids and electrolytes)
Dysfunction (surgery)
Right sided HF or Left sided HF
Edema
Right sided
Right sided HF or Left sided HF
Receiver of deoxygenated blood
Right sided
Right sided HF or Left sided HF
Enlarged liver
Right sided
Right sided HF or Left sided HF
Lung symptoms
Left sided
Right sided HF or Left sided HF
Use of accessory muscles
Left sided
Right sided HF or Left sided HF
Nasal flaring
Left sided
Right sided HF or Left sided HF
Grunting
Left sided
Right sided HF or Left sided HF
Shortness of breath
Left sided
Right sided HF or Left sided HF
Distributor of oxygenated blood
Left sided
Right sided HF or Left sided HF
Swelling eyes and extremities
Right sided
Right sided HF or Left sided HF
Engorged jugular vein
Right sided
Right sided HF or Left sided HF
Rapid RR
Left sided
Right sided HF or Left sided HF
Rates / crackles
Left sided
Right sided HF or Left sided HF
Chest retractions
Left sided
Right sided symptoms
Edema
Eyes
Extremities
Enlarged liver
Engorged jugular vein
Left sided symptoms
(LUNGS RRR)
Lung symptoms
Use accessory muscles
Nasal flaring
Grunting
Shortness of breath
Rapid RR
Rales (crackles)
Retractions (chest)
Management (medical)
Digoxin
Ace inhibitor / ARBs
Beta-blocker
When taking digoxin, what is the patient risk for?
Toxicity
Sings of toxicity
Dizziness
Headache
Decrease HR
Diarrhea
Nausea
Vomiting
Digoxin is ______ inotropic which increases what?
Positive (+) inotropic = increase contractility
Digoxin is ____ chronotropic which decreases what?
Negative (-) chronotropic = decreases HR
Route of digoxin
Oral route
What to do if:
1. One dose missed -
2. Two dose missed -
3. One dose vomited -
4. Two dose vomited -
- Wait for next dose, no adding, give it as is.
- Report to MD
- Wait for next dose, give it as is.
- Report to MD ā possible plan of toxicity
What to watch out for when giving ace inhibitors or arbs?
Hypotension
