heart failure treatment

Question 1

K+ problems associated with

Answer 1

drugs

Question 2

Mg+ problems associated with

Answer 2

PVCs

Question 3

neurohormonal model

Answer 3

• prolonged SNS stimulation
• angiotensin II vasoconstriction
  (kidneys need more volume)
• aldosterone

Question 4

med that does not affect neurohormonal pathway

Answer 4

loop diuretics / diuretics = used to treat symptoms and must be used in conjunction with ACE-I and BB

Question 5

most common symptom of HFrEF

Answer 5

SOB (spectrum - exertional to at rest)

Question 6

most frequently overlooked symptom of HFrEF

Answer 6

chronic non-productive cough, worse in recumbent

Question 7

pulse pressure

Answer 7

difference between SBP and DBP

Question 8

this condition never appears with S4

Answer 8

atrial fibrillation

Question 9

beta blocker positive benefits

Answer 9

decrease circulating catecholamines to reduce SNS response

reduce overstimulation of RAAS

Question 10

most common reason for development of HFpEF

Answer 10

chronic hypertension

Question 11

cardiogenic shock + lasix need to know

Answer 11

80 mg IV yields lt 2L uop/4 hours

start 40mg/hr
- goal: 100cc uop/hr goa

Question 12

cardiogenic shock: dopamine appropriate if

Answer 12

↓BP + ↓SVR

Question 13

milrinone is…

Answer 13

inodilator PDE

Question 14

dobutamine is…

Answer 14

beta-agonist
inodilator (some chrono)

improves CO with some systemic vasodilation

Question 15

med that directly interferes with neurohormonal model

Answer 15

ACE-I

Question 16

big MUST!!! for diuretic use in heart failure

Answer 16

be taken with ACE-I and BB

treatment of symptoms ONLY

Question 17

why do you use digoxin in heart failure?

Answer 17

if still symptomatic

Question 18

use ARB in heart failure for

Answer 18

lt 35%

Question 19

HFrEF goal of treatment

Answer 19

improve contractility

Question 20

HFpEF goal of treatment

Answer 20

improve filling

Question 21

RAAS system includes

Answer 21

aldosterone (sodium)
ADH (fluid)
angiotensin II (vasoconstrictor)