S & S of CHF
A common assessment found in the lower extremity of heart failure patients...
What is peripheral edema?
What are lifestyle changes recommended for patients with heart failure?
Low sodium diet, fluid restriction, smoking cessation, and weight management
This term describes a clinical syndrome that results from any structural or functional impairment of ventricular filling or ejection of blood.
What is heart failure?
When to start HF medications?
ASAP as long stable, no hypoperfusion, no acute renal dysfunction
Important monitoring for drugs working on RAAS?
K, Scr
Pulmonary symptom heart failure patients report when doing activities of daily living.
What is dyspnea upon exertion?
Daily intervention to determine fluid retention.
What is daily weight for HF patients?
Systolic HF is also known as? Has EF <40
HF with reduced EF (HFrEF)
What is the target dose of metoprolol succinate?
200 mg QD
Furosemide IV:PO ratio?
1:2
This sign accompanies the clients peripheral edema and should be monitored daily...
What is weight gain?
What test do you find the EF?
ECHO
Heart wall thickening, or enlargement of the myocardium, is called this...
What is myocardial hypertrophy?
Preferred BB for HF?
Metoprolol Succinate, Carvedilol, Bisoprolol
Washout period between ACEi and ARNI?
36 hours
What is orthopnea?
SOB when lying flat
An ultrasound test that uses a transducer, which creates a high pitched sound waves to test the heart.
What is an Echocardiogram?
This occurs when a CHF patient wakes up in the middle of the night coughing and short of breath, classically resolving when the patient gets up and goes to the window for air...
What is paroxysmal nocturnal dyspnea?
This class of drugs enhance the contractility of the heart ...
What are inotropic drugs?
Adjunct therapy to diuretics in ADHF?
Vasodilators, inotropes, dopamine, ultrafiltration
The lung sound heard during ascultation of lung bases. It results from backup of blood, which increases blood pressure and causes fluid to collect in the air sacs.
What are crackles?
This lab value is increased due to enzymes produced and released by the ventricles when a HF patient has fluid overload...
What is Beta Natriuretic peptide (BNP)?
Diastolic Heart Failure is also known as? Has EF > 50%
HF with Preserved EF (HFpEF)
Which drugs reduce mortality in HF pts?
ACEi, ARBs, BB, ARAs, BiDil in black pts
Furosemide to Torsemide conversion?
Furosemide 40mg = Toresmide 20mg