Patho
CAD, Hx of MI, HTN, Cardiomyopathy, Lung disease, DM, Sleep Apnea
What are predisposing factors?
Coughing, Wheezing, SOB, Fatigue, Pink-Frothy Sputum
What is left sided HF?
When taking this type of medication you want to rise slowly from a sitting position and take in the morning. Monitor urine output and daily weights.
What are diuretics?
Electrolytes, specifically potassium, BG, BUN, serum uric acid
What are labs to monitor with diuretic administration?
Lifestyle changes, physical exercise, quit smoking, vaccines, low sodium diet, weight loss.
What are HF preventative measures?
The left ventricle loses its ability to contract normally. The heart can't pump with enough force to push enough blood into circulation.
What is HFrEF
JVD, Edema
What is right sided HF?
Lasix, Bumex, HCTZ
What are examples of diuretics?
BNP, EF, CBC (anemia), Thyroid
What are labs to monitor for HF?
Cardiac resynchronization therapy (CRT), percutaneous coronary intervention (PCI)
What are medical procedures used to treat HF?
Chronic progressive condition in which the heart muscle is unable to pump enough blood to meet the body's needs for blood and oxygen.
SOB, persistent coughing, wheezing, buildup of edema, tiredness, fatigue, nausea, impaired thinking.
What are warning signs of HF?
Catopril, Enalapril, Lisinopril
What are examples of ACE inhibitors?
Electrocardiogram, chest xray, Echo
What are tests to help look at the heart?
Implantable cardioverter defibrillator (ICD), Left ventricular assist device (LVAD)
What are devices that can be used/implanted for HF treatment?
Blood vessels narrow to keep blood pressure elevated and the body diverts blood away from less important tissues and organs.
What is compensation with HF?
No symptoms during typical activity. Can use lifestyle changes, medications, and monitoring during this class of HF.
What is Class 1 HF?
Metoprolol, Carvedilol
What are examples of Beta Blockers?
0-99
What is the normal BNP level?
Heart transplant, coronary artery bypass, valve replacement
What are surgeries that can be used in HF?
The amount of blood pumped out over the amount of blood in the chamber
What is Ejection Fraction?
Comfortable at rest, Noticeable limitation of physical activity. Mild exercise may cause fatigue, palpitations or SOB in this class.
What is class 3 HF?
Take BP and pulse before giving medications, Rise slowly from a sitting position, Don't give together.
What are nursing considerations when giving ACE inhibitors with beta blockers?
BUN, potassium, triglycerides, uric acid levels, BG, AST, ALT
What are labs to consider when taking beta blockers?
Diuretics, ACE inhibitors, Beta Blockers
What are medications that can be used in HF treatment?