Heart Failure Flashcards

1
Q

What kind of crackles would you hear with someone with HF

A

fine crackles

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2
Q

L side HF is primarily caused by___

A

LV damage due to MI, clots

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3
Q

LV damage –> decrease __ –> fluid backs up to LA –>

A

CO
pulmonary congestion and pulmonary edema with renal mediated fluid retention

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4
Q

what s/s will someone with L HF present?

A

cough and dyspnea

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5
Q

R sided HF is primarily caused by

A

overwork, viral, leading to cardiomyopathy, RV MI,

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6
Q

RV damage –> increased __ in pulmonary artery

A

pressure

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7
Q

R HR –> dec __ from RV –>

A

CO
venous congestion (JVD, peripheral edema)

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8
Q

where would you see edema in someone in bed with R HF

A

posterior (sacral)

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9
Q

where would you see edema in someone usually with R HF

A

feet and legs (gravity dependent)

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10
Q

what sided HF would you see ascites, and pleural effusion

A

Right HF

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11
Q

What is the primary problem in someone with HF reduced EF (systolic)

A

decreased myocardial contractility

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12
Q

What is decreased with systolic HF

A

EF
SV
CO

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13
Q

what the ejection fraction of someone with reduced EF (systolic) HF
what does that mean?

A

<40 %
the heart is pumping out less than 40% of what it was filled with

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14
Q

What is the primary problem in someone with HF preserved EF (diastolic)
why?

A

difficulty with ventricular filling during diastole
the ventricles are stiff and small

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15
Q

what is decreased in diastolic HF

A

EDV
SV
CO

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16
Q

what is the EF in someone with preservedEF HF

A

> 50%

17
Q

what is normal EF?

A

60-70%

18
Q

What are the 3 main causes of HF

A

hypertension
coronary artery disease (MI)
renal insufficiency

19
Q

hypertension usually leads to what kind of HF

A

systolic (left)

20
Q

with renal insufficiency, how is that leading to HF

A

kidneys can’t keep up, increasing fluid, increasing preload

21
Q

what is LVEDV

A

preload aka how much is coming in

22
Q

LVEDV is telling us what

A

the degree of stretch on the myocardium

23
Q

what is PCWP giving us a measure for?
what is a not good number

A

meauring LVEDV
>15-20

24
Q

what are the 4 stages of HF

A

1: no limitation
2: slight limitation, comfy rest, fatigue dyspnea on ordinary activity
3: marked limitation, comfy at rest, ADLs with fatigue and dyspnea
4: symptoms at rest and activity