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Complex Care Concepts > CHF- 2 > Flashcards

CHF- 2 Flashcards

1
Q

High output failure

A

Hyperthyroidism
Anemia
Tachy
Fever

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2
Q

Causes of CHF

A

HTN
MI
Valve disease
Inflammation/infection

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3
Q

Normal EF

A

50-70%

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4
Q

Left sided HF

A

HTN
CAD
Valvular disease

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5
Q

Systolic HF

A

Thin

Sloppy, floppy

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6
Q

Diastolic HF

A

Big heart
Normal EF
Can’t handle extra fluid!!!!!

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7
Q

S&S of left heart failure

A 
Paroxysmal nocturnal dyspnea
Increase PAWP
Blood tinged sputum
Confusion
Orthopenea 
Tachy
Fatigue
Cyanosis
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8
Q

Ask—- left HF

A 
How many pillows 
Walk far?
Wake up SOB
Pee at night?
No pee during the day? 
Coughing?
Change in ADLs
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9
Q

Left HF objective findings

A 
S3 gallop
Displaced PMI to 6th or 7th IC 
Frothy sputum 
Tachy
Dysthymia 
Confusion
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10
Q

Flash pulmonary edema

What to do!

A

High fowlers
Morphine/diuretic/ vasodilators
Oxygen
Digoxin/ doubuamine

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11
Q

Ace ending

A

Pril

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12
Q

ARB ending

A

Sartan

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13
Q

Ace and arbs

A

Reduce afterload

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14
Q

Monitor for this when taking ace or ARB

A

Hyperkalemia in those with renal failure

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15
Q

BNP

A 
Acute HF
Gets rid of sodium
Increase kidney profusion 
Lowers PAWP
Separate line- not compatable
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16
Q

1 kg of weight

A

1 liter of fluid

17
Q

Digoxin

A

Increase contractility
Reduce HR
Slow conduction from AV node
Inhibit sympathetic

18
Q

Milrinone

A

Vasodilator
Inotropic
Acute HF

19
Q

Digoxin toxic

A 
Increased with hypokalemia 
Brady, no p wave, PVCs
Vision 
Appetite 
Van go
20
Q

CPAP

A

Improves CO
EF
Decreased preload and after load, BP and dysthymia

21
Q

Partial left ventriculectomy

A

Take out part of LV

22
Q

Acorn cardiac support device

A

Mesh jacket

23
Q

Myosplint

A

Splint on ventricular for shape and support

Electrical tension

24
Q

Start ambulation on

A 
Day 2
Increase in 20 bpm 
Increase in 20 systolic 
Too stressful 
Test distance can walk in 6 minutes, then build up
25
Q

Pulmonary edema

A

Increased pressure causes fluid to leak from capillaries into lung airways

26
Q

Pulmonary edema symptoms

A

Crackles

Dyspnea at rest

Complex Care Concepts (25 decks)

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