Congestive Heart Failure Flashcards

1
Q

what is Defined as the hearts inability to pump enough blood throughout the body.

A

Congestive Heart Failure

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2
Q

Heart failure may be right sided or left sided and systolic or diastolic Left sided refers to

A

left ventricle being the problem

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3
Q

Heart failure may be right sided or left sided and systolic or diastolic Right sided refers to

A

right ventricle being the problem

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4
Q

______ refers to that ventricle not contracting well leading to decreased cardiac output from that ventricle.

A

Systolic

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5
Q

______ refers to that ventricle no being able to distend well in order to receive adequate blood volume from the atrium.

A

Diastolic

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6
Q

What is the most common type of CHF

A

left ventricular systolic failure

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7
Q

The most common cause of right heart failure is _____

A

left heart failure

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8
Q

Symptoms of what sided CHF:
The pressure is backing up into the lungs so
symptoms will be dyspnea, orthopnea, dyspnea on exertion, pulmonary edema, chronic non-productive cough, exercise intolerance, fatigue.

A

Left sided

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9
Q

Symptoms of what sided CHF:
The pressure is backing up into the venous system so symptoms will be due to fluid retention, peripheral edema, hepatic congestion, abdominal ascites.

A

Right sided symptoms

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10
Q

PE findings of what?

JVD, elevated JVP, Hepatomegaly, Ascites (fluid wave on abdominal examination), peripheral pitting edema.

A

Right sided

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11
Q

PE findings of what?
Crackles in bases of lungs, pleural effusions, expiratory wheezing or rhonchi, Enlarged sustained LV impulse, Decreased S1, murmurs, S3, hypoxemia, displaced apical impulse.

A

Left sided

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12
Q

What labs would you order for suspected CHF

A

BUN/Creatinine, LFTs, electrolytes

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13
Q

You’re using a CXR to look for what?

A

To look for cardiomegaly, pleural effusions, pulmonary edema

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14
Q

Acute Exacerbation treatment

A

IV, O2 vitals, foley cath
Correct any reversible causes(AMI, HTN, Arrhythmia)
Diuretics

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15
Q

What Diuretics would you give?

A
Furosemide (Lasix) 40 mg IV, if inadequate urine output in 30 minutes then repeat the dose
or
Bumetanide (Bumex) 1 mg IV, if inadequate urine output in 30 minutes then repeat the dose.
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16
Q

CHF has a Poor prognosis: 2 year mortality is 35% and 6 year is 80%, if pulmonary edema present then ____ mortality in the next _____.

A

50%, 1 year.