Term
| What are the 4 stages of CHF according to the AHA? |
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Definition
A. at high risk for failure-no structural disease or s/s. B. structural disease, no symptoms. C. structural disease w/current or prior symptoms of chf. D. refractory failure that needs special intervention. |
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Term
| What are some causes of Left sided Heart failure? |
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Definition
systemic HTN valvular heart disease cardiomyopathy bacterial endocarditis AMI IHSS
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Term
| What are some facts about Systolic Dysfunction in CHF? |
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Definition
accounts for 70% of CHF ejection fraction < 45-50% casused by AMI,ETOH,HTN,COPD,CAD,thyriod disease global reduced contractility often 3 chambers dialated results in decreased CO & release of catecholamines &activation of the RAS.
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Term
| What is the earliest sign of CHF? |
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Definition
dyspnea on exertion followed by: tachy fatigue rales at bases S3 gallop LE edema JVD
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Term
| What labs are ordered for the CHF pt? |
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Definition
BNP:secreted from ventricles with volume expansion & pressure overload. CBC, BUN/Cre., Thyroid panel, LFTs
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Term
| What items are incl., in a plan of care for the CHF pt? |
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Definition
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Term
| What is the drug of choice for CHF pts in both systolic and diastolic failure? |
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Definition
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