Congestive Heart Failure

Question 1

What are the four initial steps that need to be taken prior to treatment of a patient with congestive heart failure?

Answer 1

1. Abc’s
2. Oxygen 100%
3. IV
4. 12 lead

Question 2

With a congestive heart failure patient who needs treatment, their static blood pressure and heart rate must be above what?

Answer 2

B/P above 90 and HR above 60

Question 3

If a congestive heart failure patients blood pressure and heart rate are high enough what is our initial treatment?

Answer 3

Nitro 0.4 mg SL every 5 min

Question 4

What must be done before and after every medication treatment?

Answer 4

Take b/p

Question 5

After a congestive heart failure patient receives nitro treatment, what medication comes next if patient static blood pressure and heart rate are still above limits?

Answer 5

Enalapril

Question 6

What is the dose of Enalapril?

Answer 6

1.25 mg over 5 min

Question 7

Once a congestive heart failure patient has received nitro and Enalapril they are eligible for what treatment?

Answer 7

CPAP

Question 8

Once the congestive heart failure patient has been put on CPAP, what medication can be given?

Answer 8

Lasix 1 mg/kg with a max dose of 80 mg

Question 9

After all frontline treatments have been performed on a congestive heart failure patient and pulmonary edema still exists, what medication can be used if the static blood pressure is above 90?

Answer 9

Morphine 5 mg

Question 10

Patients with congestive heart failure will usually present with what three things?

Answer 10

1. Shortness of breath
2. Pink frothy sputum
3. Peripheral edema