Patient Education
a. "I only have to go to my follow up appointment if I feel sick."
b. "I will lower my sodium intake"
c. "I will exercise as tolerated"
d. "I will report a weight gain of more than two pounds daily to my pcp"
a. "I only have to go to my follow up appointment if I feel sick."
What labs do you need to monitor when your patient is on a diuretic?
Potassium and Kidney Function (BUN and Cr)
what are two early signs of heart failure
fatigue and activity intolerance
What is the #1 risk factor that leads to acute heart failure?
MI
Two main types of heart failure.
left and right sided
A nurse is giving discharge instructions to a client regarding heart failure. Which of the following statements indicates that further teaching is required?
a. "I will weigh myself daily and log my results for my pcp"
b. "I can drink extra fluids to ensure my kidneys are functioning well"
c. "I will season my food less and avoid eating out during the week"
d. "I will exercise 3 times a week as tolerated to prevent delegation"
b. "I can drink extra fluids to ensure my kidneys are functioning well"
A patient asks the nurse why she is going home on Digoxin. What is the most appropriate response by the nurse?
a. "Digoxin helps by decreasing the resistance of the peripheral vessels"
b. "It decreases cardiac workload and heart oxygen demand"
c. "it works by inhibiting the renin-angiotension-aldosterone cascade"
d. "Digoxin helps increase contractility of the heart, lowering workload"
d. "Digoxin helps increase contractility of the heart, lowering workload"
What is the name of the condition that results in liver enlargement due to a back up of blood?
hepatomegaly
What is the biggest modifiable risk factor for developing HF?
smoking
What two main labs are we concerned about in regards to Heart Failure
BNP and Troponin
What is the most effective method for patient teaching?
teach back/return demonstration
what medications are prescribed in early stages of heart failure?
ACEs, ARBS
A common symptom of CHF, that can compromise breathing patterns, oxygenation, and can ultimately lead to respiratory failure.
pulmonary edema
What chronic illnesses put you at a higher risk to develop HF?
diabetes, HTN, HLD
What are some resources we can provide in order to help our patients attend their follow up appointments?
home care, medical transport