Reviewer #9 Flashcards
Prevent acute coronary events and reduce mortality in heart failure
ACE Inhibitors and ARBs
Interfere with production of angiotensin II, resulting in vasodilation and reduced circulating blood volume, resulting in decreased BP
Angiotensin-Converting Enzyme Inhibitors
ACE Inhibitor and ARBS shouldn’t be administered to
Women in the second and third trimester of pregnancy
This is important when administering ACE inhibitors intravenously
Infusion Pump
Following first dose of ACE and ARBs monitor BP for?
2 hours
This is a less concern for ARBs but ACE inhibitors can cause?
Hyperkalemia
Monitor WBC for potential?
Neutropenia
Acts on different portions of the kidney tubule to inhibit the reabsorption of sodium and water and promote their excretion
Diuretics
Diuretics promote potassium excretion, increasing the risk for?
Hypokalemia
Reduces symptoms and slows down progression of heart failure
Spironolactone
Spironolactone is classified as a
Aldosterone Receptor Blocker
Improves myocardial contractility by interfering with ATPase in the myocardial cell membrane and increasing the amount of calcium available for contraction
Digoxin
Withhold Digoxin and notify the doctor if heart rate is?
Below 60 BPM
Interferes with bloodflow to and from the heart
Valvular Heart Disease
Characteristic manifestation of vulvular disease
Murmur
Type of mitral insufficiency that occurs when one or both mitral valve cusps billow into the atrium during ventricular systole
Mitral Valve Prolapse
MVP cause is often?
Unclear or Idiopathic
MVP usually affects people with tissue disorders such as
Marfan Syndrome
MVPs symptoms is usually
Asymptomatic
Most common symptom of MVP
Atypical chest Pain
MVP increases the risk of
Bacterial Endocarditis
Progressive worsening of regurgitation can lead to?
Heart Failure
Thrombi may form on prolapsed valve leaflets; embolization may caused
Transient Ischemic Attacks (TIAs)
Used routinely to diagnose vulvular dosease
Echocardiography
Used to assess contractility and to determine the pressure gradients across the heart valves
Cardiac Catheterization
Added to prevent clot and embolus formation, a common complication of atrial fibrillation as blood pools in the non contracting area
Anticoagulant Therapy
Invasive procedure performed in Cath lab and also the treatment of choice in symptomatic MVP
Percutaneous Balloon Valvuloplasty
A general term for reconstruction or repair of a heart valve
Valvuloplasty
Three factors determine the outcome of Valve replacement surgery
- Heart function at the time of surgery
- Intraoperative and Postoperative care
- Characteristics and durability of replacement valve
Disorders that affect the heart muscle itself
Cardiomyopathies
These cardiomypathy is idiopathic
Primary Cardiomyopathy
Occur because of other processes, such as ischemia, infectious disease, exposure to toxins, connective tissue disorders, metabolic disorders or nutrition deficiency
Secondary Cardiomyopathy