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252 Final > Chapter 25 > Flashcards

Chapter 25 Flashcards

1
Q

Inotropic

A

Strength of contraction

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2
Q

Chronotropic

A

Heart rate

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3
Q

Dromotropic

A

Speed of impulse

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4
Q

What is the most common cause of HF

A

MI

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5
Q

Left sided HF (LEFT=LUNG)

A

Pulmonary edema
Coughing
SOB
Dyspnea

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6
Q

Right sided HF

A

Venous congestion
Pedal edema
JVD
Ascites
Hepatic congestion

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7
Q

What does a high BNP: brain naturetic peptide mean

A

HF is getting worse

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8
Q

HF patients receiving blood transfusions. Monitor:

A

Crackles in lungs

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9
Q

If crackles heard in lungs after giving blood transfusion to pt with HF administer

A

Furosemide

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10
Q

Are positive inotropic drugs used first or after other HF drugs

A

AFTER

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11
Q

3 drugs for early HF treatment

A

ACE inhibitors
ARBs
Beta blockers

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12
Q

1kg of weight gain is equivalent to how much fluid in body

A

1L

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13
Q

When is digoxin used in HF

A

When all other meds no longer work

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14
Q

What do ACE inhibitors do

A

Inhibit aldosterone to decrease sodium and water retention

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15
Q

Which HF med has cardio protective effects after MI

A

ACE inhibitor lisinopril

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16
Q

What do ARBs do

A

Vasodilation

17
Q

Why would an ARB be used instead of an ACE inhibitor

A

Does not cause dry cough

18
Q

What do aldosterone antagonist diuretics do

A

Prevent sodium and water retention

19
Q

ACE do what to preload

A

Decrease it by lowering blood volume

20
Q

ARBs do what to afterload

A

Decrease it by causing vasodilation

21
Q

Which HF drug is used short term in ICU and requires heart monitor

A

Milrinone

22
Q

What drug cannot go in same IV as milrinone or precipitate will form

A

Furosemide

23
Q

Why is digoxin not given often anymore

A

Has narrow therapeutic window

24
Q

Low levels of potassium increase toxicity of which HF med

A

Digoxin

25
Q

Large amounts of bran affect absorption of which HF med

A

Digoxin

26
Q

What natural health products increase digoxin levels

A

Ginseng
Hawthorn
Licorice

252 Final (12 decks)

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