Diagnostic Testing
Right, Left, or Congestive
Therapy Management 1
Therapy Management 2
Acute Decompensated Heart Failure
100
This tool can be used to determine if there is fluid in the lungs.
What is Chest X-Ray?
100
"Used" blood collects in the atrium and ventricle
What is Right-Sided Heart Failure?
100
Measurement of this is important for self-monitoring and to determine fluid retention.
What are daily weights?
100
The diuretic most commonly seen in heart failure patients and its typical starting dose.
What is Furosemide 20-40 mg?
100
This should be used for treatment in patients with hypoxemia, or SpO2 < 90%.
What is non-invasive oxygen?
200
Provides a picture of the electrical activity that causes the heart to beat.
What is an Electrocardiogram?
200
There are two types, systolic and diastolic.
What is Left-Sided Heart Failure?
200
The medication classes (there are 3) used for vasodilation and to lower blood pressure to lessen the work load of the heart.
What are ACEIs, ARBs, and ARNIs?
200
These ACE inhibitors (there are 4) are typically initiated at low doses in heart failure patients and titrated slowly to target doses.
What are Lisinopril, Captopril, Enalapril, or Quinapril?
200
Patients with ADHF and evidence of volume overload should be treated with this as part of their initial therapy.
What are intravenous diuretics?
300
A diagnostic tool that uses ultrasound to measure ejection fraction, or how well the left-ventricle pumps.
What is an Echocardiogram?
300
Fluid collects in the lungs resulting in shortness of breath, especially when laying down.
What is Congestive Heart Failure?
300
The beta-blockers (there are 3) that are commonly used in heart failure for rate control and to decrease mortality.
What are Carvedilol, Metoprolol, and Bisoprolol?
300
Spironolactone or Eplerenone should be added to patients with LVEF less than this value to reduce mortality.
What is LVEF < 35% (or < 30 if NYHA Class II)?
300
These electrolytes should be monitored during IV diuresis of ADHF patients.
What are potassium and magnesium?
400
This diagnostic test uses a thin tube and dye to measure how well the heart is functioning and provides pictures of the coronary arteries to look for blockages.
What is Heart Catheterization?
400
Affects the kidneys' ability to filter water and sodium resulting in water retention.
What is Congestive Heart Failure?
400
This drug is used for symptomatic relief due to its ability to increase contractility of the heart.
What is Digoxin?
400
This drug can be added in addition to Furosemide to potentiate diuretic effect.
What is Metolazone?
400
Sodium should be restricted to these values during symptomatic heart failure.
What are < 2 grams of sodium/day?
500
This blood test, which shows excessive stretching of heart muscle cells, is typically elevated in heart failure patients.
What is Brain Natriuretic Peptide (BNP)?
500
The type of Left-Sided Heart Failure where the left ventricle cannot contract properly, resulting in reduced ejection fraction.
What is Systolic Heart Failure?
500
This drug can be used in place of a beta-blocker if a patient reaches maximum dosage or is intolerant to therapy.
What is Ivabradine?
500
This drug therapy is recommended for black patients with persistent NYHA class III to IV HF and LVEF <40 percent despite optimal therapy.
What is Hydralazine plus a Nitrate?
500
This class of drugs serves as the vasodilator of choice in patients with ADHF that need reduction in afterload.
What are Nitrates?
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