Heart Failure Flashcards
What diseases can lead to HF?
Cardiomyopathy Valvular heart disease Endocarditis Acute MI HTN
Left sided HF
What happens?
Blood doesnt move forward into aorta and out to body. If it doesnt move forward then it backs up to lungs
Left sided HF
What congestion?
Pulmonary
Left sided HF
Breathing
Dyspnea
Cough
Left sided HF
Sputum
Blood tinged frothy sputum
Left sided HF
Appearace
Restlessness
Left sided HF
Heart
Tachycardia
S3
Left sided HF
Sleep
Orthopnea (SOB when laying down–need to sleep propped up)
Nocturnal dyspnea (SOB/cough attacks at night)
Right sided HF
What happens
Blood destine move forward into lungs so it goes back into venus system
Right sided HF
Veins?
Distended neck veins
Right sided HF
Fluid?
Edema
Enlarged organs
Weight gain
Ascites
Systolic HF?
Heart can’t contract and eject
Diastolic HF?
Ventricles can’t relax and fill
BNP
How is it secreted?
Ventricular tissues in the heart when ventricular volumes and pressures in the heart are increased
BNP
Is it a sensitive indicator?
Yes
BNP
Can be ___ for HF when CXR does not indicate a problem
Positive
BNP
If the client is on nesiritide, turn it off ___ prior to drawing a BNP
2 hours
CXR will show what?
Enlarged heart, pulmonary infiltrates
What will echocardiogram show?
Looks at pumping action or EF of heart. Also gives info about back flow and valve disease
A balloon flotaton catheter than can be floated into the RIGHT side of the heart and pulmonary artery
Swan-Ganz (pulm. artery) catheter
What does Swan-Ganz do?
Provides info to rapidly determine hemodynamic pressures, CO, and provides access to mixed venous blood sampling
What is DOC for HF: ACE or ARB?
ACE (but ARB is used too)
Treatment: ACE (-pril)
What do they do?
Suppress RAS
Treatment: ACE (-pril)
Prevent conversion of ?
Angiotensin I to angiotensin II
Treatment: ACE (-pril)
Results in arterial ___ and ___ SV
Arterial dilation and increased stroke volume
Treatment: ACE (-pril)
Reasons to stop an ACE?
Dry cough
Angioedema
Treatment: ARBs (-sartan)
Block angiotensin II receptors and cause a ____ in arterial resistance and decreased BP
Decrease
Treatment: ARBs (-sartan)
ACE and ARB both block ____. When we block this, what happens?
Block aldosterone
- we loose NA and H20
- we retain K