heart failure Flashcards
19.1 Which drug may exacerbate HF?
D. Ibuprofen.
19.2 Which best describes the action of ACE inhibitors on the failing heart?
B. ACE inhibitors decrease cardiac output.
19.3 What makes losartan different from other ARBs?
C. Losartan has the shortest half-life.
19.4 How do β-blockers improve cardiac function in HF?
A. By decreasing cardiac remodeling.
19.5 BC is a 70-year-old female who is diagnosed with HFrEF. Her past medical history is significant for hypertension and atrial fibrillation. She is taking hydrochlorothiazide, lisinopril, metoprolol tartrate, and warfarin. BC says she is feeling “good” and has no cough, shortness of breath, or edema. Which is the most appropriate medication change to make?
D. Change metoprolol tartrate to metoprolol succinate.
19.6 SC is a 75-year-old white male who has HF. He is seen in clinic today, reporting shortness of breath, increased pitting edema, and a 5-pound weight gain over the last 2 days. His current medication regimen includes losartan and metoprolol succinate. SC has no chest pain and is deemed stable for outpatient treatment. Which of the following is the best recommendation?
C. Start furosemide.
19.7 How is spironolactone beneficial in HF?
C. Prevents cardiac hypertrophy.
19.8 Which is important to monitor in patients taking digoxin?
B. Potassium.
19.9 Which describes the mechanism of action of milrinone in HF?
B. Increases cardiac contractility.
19.10 What is the most common adverse effect associated with fixed-dose hydralazine/isosorbide dinitrate?
C. Headache.
