Heart Failure
What is the leading cause of Heart Failure?
HTN
This medication increased blood pressure, and myocardial contractility.
Dopamine
It is important to monitor for a cough when giving this medication.
Catopril
What are the goals for patients with Angina? (5)
Anxiety control
Pain control
Client Education, disease, med management
Life style changes
Normal <120/80
Prehypertension 120-139/80-89
Stage I 140-159/90-99
Stage II >160
Nursing Interventions for Patients with Heart Failure
Rest, regular physical activity, pacing of activites, Avoide extreme weather, poistioning.
This Beta Blocker cannot be administered to asthmatic patients.
Carvedilol
This medication relaxes smooth muscle by blocking the effects of norepinephrine to reduce blood pressure.
Doxazosin
What are the presention of Angina in Geriatrics.(2-3)
Silent CAD
Chest pain-like symptoms
Fatigue, weakness, somnolence
Signs and Symptoms of HF
Chronic High blood pressure
Targeted Organ Damage
What are the two most important monitors for patients with Heart Failure
Weights, I/O
Fluid Volume
This medication is specific for treating left ventricular dysfunction
Dobutamine
What medications end in LOL
Beta Blockers
What is Unstable Angina
Increased frequency and severity not relieved by rest or NTG
What organs are damaged in late-stage HTN?
Retinal
Renal
Myocardial
Stroke
Right sided Heart Failure (5)
Peripheral Congestion
JVD
Dependent Edema
Hepatomegaly
Ascites
Diuretics to Treat Heart Failure/HTN
Hydrochlorothiazide
Lasix
Spironolactone
Digitalis/Digoxin
What is the presentation of pain for patients presenting with Angina?
Retrosternal and radiate to neck, jaw, or shoulders, back, or arms (usually left)
Medical Management for HTN
Weight Reduction
DASH
Regular physical activity
Reduce Alcohol consumption
Left Sided Heart Failure (6)
Pulmonary Edema
S3, Ventricular Gallop
Dyspnea
Cough, non productive
Oliguria
Low O2
Ivabradine
This medication inhibits Angiotension from binding to its receptor
ARBs/
Losartan
What medications are used with Angina.(4)
NTG
Beta Blockers
Calcium channel blockers
Antiplatelet/anticoagulants
Complications of HTN (6)
Myocardial infarction
Heart Failure
TIA
CVA
Renal insufficiency
Retinal Hemorrhage