chf

Question 1

who gets a bnp

Answer 1

at risk for hf

stage c/d hf (ambulatory pts with new onset dyspnea)
(NYHA class 2-4)

acute /hospitalized hf (acute dyspnea to ED) (hospitalized for ADHF)

Question 2

what image do you get for suspected, acute, or new onset hf

Answer 2

chest x ray

Question 3

what image do you get for the initial eval of HF

Answer 3

2d echo with doppler

Question 4

what measurement do you take if HF pt has significant change in status

Answer 4

EF

Question 5

percent EF for HFfEF

Answer 5

less than or = 40

Question 6

percent EF for preserved EF

Answer 6

greater than or = 50

Question 7

what is stage A hf

Answer 7

high risk for HF wo structural heart disease or symptoms of HF

Question 8

what is stage B hf

Answer 8

structural heart disease with out s/s of HF

Question 9

what is stage c hf

Answer 9

structural heart disease with prior or current symptoms of HF

Question 10

stage D hf?

Answer 10

refractory HF

Question 11

stage A drugs

Answer 11

ace/arb as appropriate

statin as appropriate

Question 12

stage b drugs

Answer 12

ace/arb as appropriate

beta blocker as appropriate

(ICD and revascularization as appropriate)

Question 13

stage c with pEF

Answer 13

diuresis

treat comorbities

Question 14

stage c with rEF

Answer 14

diuretics
ace/arb
BB
spironolactone

possible tx
(hydralazine for AA)
(dig)

Question 15

stage d tx

Answer 15

reduce readmissions

heart transplant

inotropes

palliative care

Question 16

what drug if on max beta blocker

Answer 16

ivabradine

Question 17

when do you use arni

Answer 17

nyha class 2-3 and adequate bp on ace/arb

Question 18

when do you use hydral nitrates

Answer 18

nyha class 3-4 blacks