Exam 2: CHF

Question 1

heart failure means

Answer 1

heart fails to meet metabolic demands of tissuues

Question 2

systoic is reduced cardiac ___, diastolic is reduced cardiac ___. which one is chronic

Answer 2

function, filling, diastolic

Question 3

right vent is __ congestion, left vent is ___ congestion

Answer 3

peripheral, pulmonary

Question 4

systolic we see what with the myocardium, what do we see with diastolic

Answer 4

systolic -> thin, diastolic -> thick

Question 5

ESV means __ of blood remaining in ventricles, preload is the ___ pressure that stretched out ventricles (aka EDV), afterload is the ___ against which the heart must pump blood

Answer 5

%, end diastolic, resistance

Question 6

increased afterload will ___ CO

Answer 6

decrease

Question 7

HR is the first ___ mechanism to respond

Answer 7

compensatory

Question 8

digoxin inhibitd the _____ pump, its a positive ___, it increases ___ and decreases ___

Answer 8

NaK ATPase, inotrope, PR, QT

Question 9

milrinone is a ____, the MOA is that it targets the enzyme that breaks down ___

Answer 9

PDE inhibitor, PDE

Question 10

Beta adrenergic stimulants include

Answer 10

dopa and donu

Question 11

drugs without positive inotropic effects include

Answer 11

diuretics, ace inhibitors, vasodilators

Question 12

beta blockers are considered ___ in patients with severe CHF, they show a reduction in ____

Answer 12

dangerous, mortality

Question 13

meds to avoid in heart failure

Answer 13

NSAIDS, TZDs, metformin

Question 14

calcium sensitizer drug for CHF

Answer 14

levosimendan