heart failure drugs

Question 1

heart failure

Answer 1

is a pathologic state in which the heart is unable to pump blood in sufficient amounts to meet the body’s metabolic needs (decreased CO)

Question 2

Signs and symptoms of heart failure

Answer 2

Left-sided heart failure
Pulmonary edema
Coughing
Dyspnea

Right-sided heart failure
Jugular vein distention
Ascites
Pedal edema

Question 3

diagnostic studies performed for heart failure

Answer 3

• BNP

- Echocardiography to determine ejection fraction (EF)

Question 4

inotrophic

Answer 4

Increase the force of myocardial contraction

Question 5

chronotrophic

Answer 5

Increase heart rate

Question 6

dromotrophic

Answer 6

Accelerate cardiac conduction

Question 7

MOA of diuretics

Answer 7

Decreases Na, Cl, and K reabsorption in thick ascending limb of the loop of Henle in the nephron which results in profound diuresis.

Question 8

Drug effects of diuretics

Answer 8

Reduced blood volume decreases venous pressure (preload) and arterial pressure (afterload). Reduced pulmonary and peripheral edema.

Question 9

Indications of diuretics

Answer 9

Acute and chronic HF

Question 10

Adverse effects for diuretics

Answer 10

Hypokalemia (↑ riskSevere hypotension

of digoxin toxicity)

Question 11

nursing implications for diuretics

Answer 11

Assess patient’s fluid volume status
Assess vital signs
Assess labs

Question 12

pt ed for diuretics

Answer 12

Avoid taking late in the afternoon due to nocturia.
Eat foods rich in potassium (bananas, oranges, potatoes, tomatoes, meats, fish, wheat bread, legumes). K+ supplement may be necessary
Report signs of hypokalemia (e.g. lethargy, weakness, leg cramps) to provider immediately.