Shared Flashcard Set

Details

Assessment 4
Lecture 3- Part 2 ADHF
40
Archaeology
8th Grade
10/27/2013

Additional Archaeology Flashcards

 


 

Cards

Term
if LVEF is <40 what type of HF?
Definition
systolic
Term
which illict drug cna cause HF?
Definition
cocaine
Term
what are causes of HF exacerbations-3
Definition
arrhythmia
HTN
infection
Term
AHA stages:
high risk for HF but no strucutral problems or symtpoms
Definition
A
Term
AHA stages:
strucutral heart disease but no symtpoms
Definition
B
Term
AHA stages:
strucutral heart disease w/ prior or current symtpoms
Definition
C
Term
AHA stages:
refractory HF neededing speical intervention
Definition
D
Term
NYHA stages:
no limitaiton of activity
Definition
1
Term
NYHA stages:
slight limitaiton, comfotable at rest
Definition
2
Term
NYHA stages:
marked limitation, comfortable at rest
Definition
3
Term
NYHA stages:
inabiltiy to carry on acitivty wihtout discomfort, not comfortable at rest
Definition
4
Term
what type of ADHF:
PCWP>15-18 and
CI >1.8-2
Definition
warm and wet
Term
what type of ADHF:
PCWP>15-18 and
CI <1.8-2
Definition
cold and wet
Term
what type of ADHF:
PCWP<15-18 and
CI <1.8-2
Definition
cold and dry
Term
a normal heart is-
Definition
warm and dry
Term
symtpoms fo volume overload-2
Definition
JVD\
lower edema
Term
look at slide 43 for quck reveiw of diuretics
Definition
Term
Go to diuretic is-
whats another?
Definition
furosemide
torsemide
Term
dosing for furosemide PO
IV?
for torsemide?
Definition
20 mg BID
20 mg BID
20 mg PO daily
Term
look at sldie 44 right beofre assessment for diuretic dosing
Definition
Term
ADEs of diuretics-3
Definition
electrolytes
hypotension
renal
Term
monitoring for diuretics-3
Definition
wt
BNP
urine output
Term
if diuretics arent successful use-3
Definition
dopaamine low dose
vasodilators
inotrope
Term
indicaitons for monitoring of hemodynamics-3
Definition
systilic pressure low w/ therapy
worsening renal funct
require vasoactive agents
Term
what is the vasodilator with least affect on decreasing SVR?
Definition
nitroglycerin
Term
what do nitroprusside and nesiritide increase?-1
decrease-3
Definition
CO
PAP, PCWP, MAP
Term
what are the vasodilators?
Definition
the nitro drugs
Term
how does nitroprusside work?
Definition
reduce afterload to icnrease CO with vasodilating
Term
what is nitroprusside a combo with mostly
Definition
diuretics
Term
ADE of nitroprusside
Definition
renal dys/ cyanide toxicity
Term
symtpoms fo cyanide toxicity-2
Definition
increase lactate
altered metnal status
Term
dosing for nitroprusside
Definition
.5 mcg/kg/min
Term
for the nitrates, do you want to use agressive or non aggressive dosing?
Definition
aggresive- shown to be better in trials
Term
ADE of nitrates-2
Definition
tachyphylaxis
elevated BP
Term
which drug is recombant of human BNP?
Definition
nesiritide
Term
cons of nesiritide-3
Definition
cost
no head-head trials
mo mortality beenfit
Term
what is the bridge therapy to transplant?
Definition
left ventricular assist device
Term
inotropes:2
Definition
dopamaine
dobutamine
milirone
Term
dosing for dopamaine
Definition
5 mcg/kg/min
Term
look at slide 53 for effects of the inotrops right before assessment
Definition
Supporting users have an ad free experience!