Congestive Heart Failure :(

Question 1

Leading cause of CHF in America

Answer 1

Ischemic Heart Dz

Question 2

Right sided failure physical exam findings

Answer 2

Peripheral edema, ascites, hepatomegaly, JVD

Question 3

Left sided failure findings

Answer 3

Tachypnea, dyspnea, rales, crackles, pulmonary edema, cyanosis (late), PND, orthopnea

Question 4

excursion = ?

Answer 4

EF

Question 5

Systolic dysfxn

Answer 5

Failure of the pump function of the heart.
Characterized by decreased EF
Generally caused by dysfxn of cardiac muscle
Can be caused by cocaine, ethanol
Scar formation after myocardial infarction

Question 6

How does systolic dysfxn lead to pulmonary edema?

Answer 6

Ventricle inadequately emptied, EDP and volume increased.
Transmitted to atrium and pulmonary vasculature.
Increased pressure in lungs, and pulmonary edema (and peripheral edema on the R side)

Question 7

Diastolic Dysfxn

Answer 7

Usually results from a non-compliant ventricular wall.
Leads to inadequate ventricular filling, decreased stroke volume.
Can lead to an end result that looks like systolic dysfxn.

Question 8

How does diastolic dysfxn present physiologically?

Answer 8

The patient may be exquisitely sensitive to exercise.

A fib leads to flash pulmonary edema

Question 9

Which heart sound is associated with diastolic dysfxn?

Answer 9

4th sound

Question 10

which heart sound is associated with systolic dysfxn?

Answer 10

3rd sound

Question 11

Class I Functional Classification

Answer 11

No limitations are experienced in any activities.

Question 12

Class II Functional Classification

Answer 12

Slight. Mild limitation of activity

Patient is comfortable at rest and with mild exertion.

Question 13

Class III Functional Classification

Answer 13

Marked limitation with any activity

Pt is comfortable only at rest

Question 14

Class IV Functional Classification

Answer 14

Any physical activity brings on discomfort and symptoms occur at rest.
Yer gonna die.