CHF

Question 1

3 symptoms that mean its HF

Answer 1

DOE, orthopnea, PND

Question 2

PMI and heart sound on HF

Answer 2

PMI displaced laterally and down and S3 heart sound

Question 3

How do you diagnose HF

Answer 3

1) BNP
2) 2D echo to see: EF, pulmonary artery function, diastolic pressure
3) left hear cath (shows if ischemic HF or nah)

Question 4

If ___ is not elevated then a decreased chance for HF

Answer 4

BNP

Question 5

Systolic or diastolic HF has decreased EF and edema

Answer 5

Systolic

Question 6

HF class I,II,III,IV

Drugs to treat, just add on as you go down

Answer 6

I: no symptoms: B blocker, ACE/ARB
II: go about activities of daily living: + loop diuretic
III: SOB with moving + isosorbide dinatrate hydralazine and spironolact
IV: SOB and rest + inotrops like dobutamine and milrinone

Question 7

When do you use an AICD

Answer 7

In someone with class 1-3 HF and has an EF under 35%

Question 8

All classes of HF need to follow these

Answer 8

No smoking
Less than 2L water a day
Less than 2g NaCl a day

Question 9

Test for chf exacerbation

Answer 9

CXR, ECG, BNP, troponins

Question 10

CHF exacerbation with ECG and troponins showing STEMI treatment

Answer 10

MONA BASH

Morphine, oxygen, nitrates, ASA, b blocker, ACEI, statin, heparin

Question 11

CHF exacerbation with no ECG or troponin showing MI or STEMI but shows CHF treatment

Answer 11

LMNOP

Lasix
Morphine
Nitrates
Oxygen
Position