Heart Failure

Question 1

Heart Failure

Chronic, progressive inability of the heart to function as a pump

Don’t empty during systole = —–
Don’t fill during diastole = ——

Answer 1

inadequate blood volume supplied to tissues

backup of blood causing systemic congestion

Question 2

Cardiomyopathy -

Answer 2

problem of actual heart muscle itself (increase of heart size, thinning of walls, etc).

Question 3

Ejection Fraction

Answer 3

Reflection of heart’s efficiency as a pump Guide medical treatment
55-70% = normal
<35% = severe

Question 4

Left fails

Answer 4

first. As blood backs up in LV, it backs up in LA. Then it gets backed up in lungs, back to RV, then RA.

Question 5

Dyspnea -

Answer 5

perceived shortness of breath - can’t breath well = left side fail.

Question 6

Fatique -

Answer 6

exertional and skeletal muscle fatigue - these patients are usually right sided heart failure.

Question 7

Orthopnea -

Answer 7

tend to sleep upright, can’t really lie flat.

Question 8

PND -

Answer 8

patient startles from deep sleep with feeling that they can’t breath.

Question 9

HFPPF -

Answer 9

Ejection fraction still OK with signs of heart failure.

Question 10

LVADS

Answer 10

can be placed, which monitor left ventricle

Question 11

Decompensated -

Answer 11

body feeling symptoms. Compensated is when their meds are working. Technically, classes 2, 3 and 4 are decompensated.

Question 12

—- is the most common reason for going decompensated

Answer 12

Non compliance

Question 13

LVAD may require

Answer 13

antibiotics