Test 3 Heart Failure Shi

Question 1

Mnemonic for treating CHF

Answer 1

U- upright position
N- nitrates
L- Lasix
O- Oxygen
A- ACE inhibitors
D- Digoxin
F- Fluids (decrease)
A- Afterload (decrease)
S-odium restriction
T- test (Dig levels, ABG’s, Potassium Levels)

Question 2

What kind of drug is digoxin?

Answer 2

Cardiac Glycoside

Question 3

How does digoxin work?

Answer 3

Increases intracellular calcium, allows more calcium to enter the myocardial cell during depolorization
Causes:
* Increased contraction force
* Increased cardiac output, renal perfusion
* Overall efect is increased cardiac out put
* slowed heart rate

Used in AFIB and Atrial Flutter

Question 4

What’s the therapeutic range of digoxin?

Answer 4

0.5-2.0 ng

Question 5

What signs indicate digoxin toxicity?

Answer 5

Dizziness
Worsening edema
Rash
GI upset likevomitting
Sudden fatigue
Vision Issues

Question 6

What are side effects of digoxin?

Answer 6

Bradycardia
Fatigue
Vision changes
Risk for hypokalemia
nephrotoxicity

Question 7

What is digoxin contraindicated in?

Answer 7

VFIB
Acute MI
Hypokalemia

Question 8

Drug interactions of digoxin

Answer 8

Verapamil, amiodarone, quindine, erythromycin
Potassium losing diuretics
THyroid hormones

Question 9

What drug is an Angiotensin Receptor Neprilysin Inhibitor?

Answer 9

Entresto
(Sacubitril/ Valsartan)

Question 10

True or false: You must be off ACE and ARB’s for at least 2 days before starting Entresto?

Answer 10

TRUE

Question 11

Contraindications of entresto?

Answer 11

Kidney problems
Pregnatn

Question 12

Adverse effects of entresto?

Answer 12

Hypotension
Hyperkalemia
Cough
Dizziness
Renal impairment
Angioedema