Heart Failure Flashcards
What kind of crackles would you hear with someone with HF
fine crackles
L side HF is primarily caused by___
LV damage due to MI, clots
LV damage –> decrease __ –> fluid backs up to LA –>
CO
pulmonary congestion and pulmonary edema with renal mediated fluid retention
what s/s will someone with L HF present?
cough and dyspnea
R sided HF is primarily caused by
overwork, viral, leading to cardiomyopathy, RV MI,
RV damage –> increased __ in pulmonary artery
pressure
R HR –> dec __ from RV –>
CO
venous congestion (JVD, peripheral edema)
where would you see edema in someone in bed with R HF
posterior (sacral)
where would you see edema in someone usually with R HF
feet and legs (gravity dependent)
what sided HF would you see ascites, and pleural effusion
Right HF
What is the primary problem in someone with HF reduced EF (systolic)
decreased myocardial contractility
What is decreased with systolic HF
EF
SV
CO
what the ejection fraction of someone with reduced EF (systolic) HF
what does that mean?
<40 %
the heart is pumping out less than 40% of what it was filled with
What is the primary problem in someone with HF preserved EF (diastolic)
why?
difficulty with ventricular filling during diastole
the ventricles are stiff and small
what is decreased in diastolic HF
EDV
SV
CO