Heart Failure Flashcards

(69 cards)

1
Q

how come heart failure patients might die

A

ventricular arrythmia or a fib

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2
Q

twin epidemics due to rising of both issues

A

heart failure and a fib

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3
Q

decrease output causes decrease EJ which leads to

A

decrease blood flow to organs

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4
Q

things that affect preload

A

volume

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5
Q

things that affect afterload

A

blood pressure/vasoconstricition

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6
Q

what dose increase afterload do to the heart

A

increase in muscle size because heart has to work harder

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7
Q

if EF is low what does that do to the volume

A

increase ECF

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8
Q

if EF is low and there is not a lot of perfusion to kidneys what happens

A

increase in renin and angiotensin and then an increase in salt and water which leads to fluid overload

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9
Q

is the fluid overload in HF always in the vessels

A

no so it doesn’t necessarily increase preload

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10
Q

what type of relationship is associated with afterload and cardiac performance

A

inverse

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11
Q

names for HF with EF less than 40%

A

Reduced, systolic, HFrEF

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12
Q

names for HF with EF greater than 40%

A

persevered, diastolic, HFpEF

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13
Q

left sided HF will have what symptoms

A

LUNGS
- crackles

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14
Q

what symptoms with right sided HF have

A

peripheral edema
REST OF BODY

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15
Q

causes of depressed ejection fraction

A

myocardial infarction
hypertension
volume overload

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16
Q

causes of preserved EF

A

pathology hypertropy
aging

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17
Q

decreased CO will lead to what in the vessels

A

vasoconstriction (ultimately leading to increase afterload)

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18
Q

what effect will angiotensin 2 have on preload and aferload

A

increase in both

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19
Q

RAAS happens becasue

A

the body is attempting to compensate

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20
Q

what gender experiences what type of HF

A

men is reduced
women is preserved

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21
Q

blood pressure in reduced

A

normal to low

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22
Q

blood pressure in preserved

A

hypertension

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23
Q

edema in reduced

A

pitting

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24
Q

edema in preserved

A

no edema

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25
EJ in reduced
low
26
EJ in preserved
normal or increased
27
JVD in reduced
yes
28
JVD in preserved
no
29
symptoms of HF
exertion dyspnea orthopena nocturne fatigue anorexia N/V cheyne stokes decrease urine cool and cyanotic
30
if output is not enough what will the body do to compensate
increase HR (leads to larger heart)
31
S/S of pulmonary edema
air hunger crackles frothy sputum (pink) ashen color of skin
32
BNP normal
less than 100
33
what can impact BNP
meds
34
why do we do an echo
check EF
35
why do we do a CXR
size and shape of the heart
36
Class 1 heart failure
no limitation
37
class 2 HF
symptoms with ordinary activity
38
class 3 HF
symptoms with less than ordinary activity
39
class 4 HF
symptoms of cardiac insuffiencieny at rest
40
what meds decrease preload
diuretics
41
what can decrease afterload
bb
42
what is the best combo of meds
bb and acei
43
SIDE EFFECTS OF ACEI
angioedema
44
neurohormonal escape in acei
in reduced circulating levels of angiotensin 2 return to pretreatment level with long term acei therapy
45
big thing to watch for with dig
toxicity
46
what electrolyte do we watch for with dig
k
47
micronutrient to increase
thiamine
48
cardiac resynchronization therapy
pacemaker life and prevents going into ventricular arrhythmia - special because lead into left ventricular
49
significant 6 - education of partner and patient
smoking cessation weight monitoring symptoms to report diet activity medicaitons
50
best indicator of fluid status
weight
51
broken heart syndom
extreme metal stress - women more than men
52
dilated cardiomyopathy
dilation of both ventricles without muscle hypertrophy
53
extrinsic cause of cardiomypopathy
know the cause - hytpertension
54
intrinsic cause of cardiomyopathy
don't know why
55
bacterial endocardiatis
bacteria around the heart
56
bacteremia
bacteria in blood stream
57
modified duke criteria
defective: def has it possible rejected: don't have it
58
S1 is produced by
mitral and tricuspid closure
59
S2 is proceeded by
closure of aortic and pulmonic
60
when does S3 occur
after S2
61
when does S4 occur
before S1
62
stenotic
murmur of blood shooting through the narrow opening when the value is open
63
regurgitant
murmur of blood leaking back through when the valve should be closed - valve fails to close fully
64
murmur - grade 1
audible with good stethoscope in a quite room
65
murmur - grade 2
quite but readily audible with stethoscope
66
murmur - grade 3
easily heard with stethoscope
67
murmur - grade 4
loud and obvious murmur with palpable thrill
68
murmur - grade 5
very loud, heard only over the pericardium but else where in the body
69
murmur - grade 6
heard with stethoscope off chest