Exam 4 - Acute Decompensated HF (ADHF) Flashcards
When do patients move from compensate HF to decompensated HF?
As fluid status and cardiac output become unbalanced and when they start to have symptoms
What are the stages for the classification of heart failure?
Stage A - at risk for heart failure
Stage B - structural heart disease without HF
Stage C - structural heart disease w/ prior or current HF symptoms
Stage D - refractory HF
What is the NYHA functional classification system?
I- No symptoms
II- Mild HF = symptoms with moderate exertion
III- Moderate HF = symptoms with minimal exertion
IV- Severe HF = symptoms at rest
What are the hemodynamic/clinical states in acute HF?
I = Dry and Warm II = Wet and Warm III = Dry and Cold IV = Wet and Cold
What does Dry mean?
Adequate perfusion - no volume overload
What does Wet mean?
Volume overload
What does Cold mean?
Pts without adequate perfusion, poor coronary output
Name the S/S of poor Cardiac Ouput in ADHF.
- Skin = pale, grey, or cyanosis
- Decreased BP
- Confusion
- Fatigue
- Decreased urine output
- Weak pulses
- Cool, moist skin
Name the s/s of volume overload in ADHF (“Oh DAmn”).
- Ascites
- Dyspnea
- Orthopnea
What are the following s/s of?
- Orthopnea
- Dyspnea
- Ascites
Volume overload
What are the following s/s of (7)?
- Skin = pale, gray, or cyanosis
- Decreased BP
- Decreased urine output
- Confusion
- Fatigue
- Cool, moist skin
- Weak pulses
Poor Cardiac Output
Which diagnostic tool tells you EF rate?
ECHO
T/F: HF patients can have an elevated serum creatinine.
TRUE
-Because the left ventricle is not functioning the way it wants/needs to
According to the ADHERE registry, what are the biggest predictors of mortality?
BUN of >43
Systolic BP of <115
SCr pf >2.75
