CHF

Question 0

What 4 things cause CHF

Answer 0

Volume overload
Pressure overload
Poor contractibility
Increased cardiac output

Question 1

What is the definition

Answer 1

Inability of the heart to meet the metabolic demands of the body

Question 2

Which side of the heart is affected

Answer 2

Both

Question 3

How is CHF diagnosed

Answer 3

By the symptoms

Question 4

What are the s/s of impaired myocardial function

Answer 4

Sweating
Gallop
Cardiomegaly
Weak peripheral pulses
< BP
< urinary output

Question 5

What are the s/s of pulmonary congestion

Answer 5

Dyspnea
Wheezing
Grunting
Retractions
Nasal flaring
Cough

Question 6

What are the s/s of systemic venous congestion

Answer 6

Facial edema 
Scrotal edema
Sudden weight gain
Hepatomegaly
Splenomegaly
JVD

Question 7

Which 2 meds are given to improve cardiac function

Answer 7

Digoxin

ACE inhibitors

Question 8

Which 3 meds are given to remove excess fluid & Na

Answer 8

Lasix
Thiazides
Spironolactone

Question 9

Which med increases potassium excretion

Answer 9

Digoxin

Question 10

Which diuretic is the best and why

Answer 10

Spironolactone - potassium sparing

Question 11

Which 2 ACE inhibitors are usually given

Answer 11

Basotech

Catophil

Question 12

What 2 things must be checked before giving digoxin

Answer 12

Apical pulse rate

Dig level

Question 13

What is the therapeutic level of digoxin

Answer 13

0.8 - 2.0

Question 14

How often is digoxin given

Answer 14

Every 12 hours

Question 15

What electrolyte needs to be monitored when given digoxin

Answer 15

Potassium

Question 16

What are the s/s of digoxin toxicity

Answer 16

Nausea
Vomiting
Bradycardia
Lethargy
Arrhythmia