heart failure treatment Flashcards

1
Q

K+ problems associated with

A

drugs

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2
Q

Mg+ problems associated with

A

PVCs

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3
Q

neurohormonal model

A
  • prolonged SNS stimulation
  • angiotensin II vasoconstriction
    (kidneys need more volume)
  • aldosterone
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4
Q

med that does not affect neurohormonal pathway

A

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

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5
Q

most common symptom of HFrEF

A

SOB (spectrum - exertional to at rest)

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6
Q

most frequently overlooked symptom of HFrEF

A

chronic non-productive cough, worse in recumbent

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7
Q

pulse pressure

A

difference between SBP and DBP

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8
Q

this condition never appears with S4

A

atrial fibrillation

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9
Q

beta blocker positive benefits

A

decrease circulating catecholamines to reduce SNS response

reduce overstimulation of RAAS

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10
Q

most common reason for development of HFpEF

A

chronic hypertension

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11
Q

cardiogenic shock + lasix need to know

A

80 mg IV yields lt 2L uop/4 hours

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

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12
Q

cardiogenic shock: dopamine appropriate if

A

↓BP + ↓SVR

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13
Q

milrinone is…

A

inodilator PDE

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14
Q

dobutamine is…

A

beta-agonist
inodilator (some chrono)

improves CO with some systemic vasodilation

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15
Q

med that directly interferes with neurohormonal model

A

ACE-I

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16
Q

big MUST!!! for diuretic use in heart failure

A

be taken with ACE-I and BB

treatment of symptoms ONLY

17
Q

why do you use digoxin in heart failure?

A

if still symptomatic

18
Q

use ARB in heart failure for

A

lt 35%

19
Q

HFrEF goal of treatment

A

improve contractility

20
Q

HFpEF goal of treatment

A

improve filling

21
Q

RAAS system includes

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