Pharmacology
Labs/Diagnostics
Assessment
Nursing Considerations
Pathophysiology
100
Types of Diuretics that are used to decrease preload
What is loop diuretics, thiazide diuretics and potassium-sparing diuretics
100
One of the first diagnostics performed that can show cardiomegaly and pleural effusions.
What is chest x-ray?
100
Dyspnea, fatigue, S3 heart sound, bibasilar crackles, altered mental status and oliguria.
What is symptoms of left-sided heart failure?
100
What is an aspect of patient education that is very important to teach the patient before being discharged home?
Take medications as prescribed
100
What is the ? inability of the heart to maintain adequate circulation to meet tissue needs for oxygen and nutrients
Heart Failure
200
After-load reducing agents
What is Ace inhibitors and beta blockers
200
Diagnostic that will measure systolic and diastolic function.
What is an ultrasound or 2D echocardiogram?
200
Jugular vein distention, ascending dependent edema, ascites, polyuria, hepatomegaly and weight gain.
What is symptoms of right-sided heart failure?
200
What is a possible complication due to tissue ischemia?
Renal Failure
200
What is increased thickness of ventricular and/or septal muscles that causes impaired cardiac function?
Hypertrophic Cardiomyopathy
300
Decrease preload and afterload
What is vasodilators such as nitrates
300
Cardiac Enzyme which can indicate myocardial infarction from 48 hours up to 6 days.
What is Troponin level
300
Equation for cardiac output
What is stroke volume x heart rate?
300
What is the best position for a client who has acute pulmonary edema?
High-Fowler's position
300
What is inadequate left ventricle output which leads to inadequate tissue perfusion?
Left-Sided Heart Failure
400
Medication that increases contractility and improves cardiac output known as inotropic agents
What is digoxin, dopamine and dobutamine
400
Used to differentiate dyspnea r/t heart failure versus respiratory problems and to monitor heart failure intervention.
What is Human B-type Natriuretic Peptides (BNP)?
400
This should be the first task a patient completes every morning.
What is a daily weight?
400
What is the weight gain the patient needs to monitor for and report to physician immediately?
Weight gain of 2 lbs in 24 hours or 5 lbs in 1 week.
400
What is inadequate right ventricle output and systemic venous congestion?
Right-Sided Heart Failure
500
Count Pulse for one full minute, hold for HR < 60 Take at same time everyday Avoid taking antacids 2 hours before and after taking Report fatigue, muscle weakness, confusion, loss of appetite Have this medication level and potassium draw regularly
What is important to teach patients taking digoxin (Lanoxin)?
500
A mechanical pump that assists a heart that is too weak to pump blood through the body and is used for patients who have severe end-stage congestive heart failure.
What is a ventricular assist device (VAD)?
500
Normal or elevated (CVP) central venous pressure, elevated (PAP) pulmonary artery pressure, decreased (CO) cardiac output.
What is hemodynamics findings of left-sided heart failure?
500
A serious complication of pump failure, commonly following a myocardial infarction which is a class IV heart failure? Symptoms include tachycardia, hypotension, altered LOC, respiratory distress and chest pain.
What is Cardiogenic Shock
500
What is the New York Heart Association's functional classification scale?
Classes I-IV for severity of heart failure
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