Term
factors contributing to ADHF:
noncompliance with -3 |
|
Definition
meds
fluid restriciton
diet restriciton |
|
|
Term
| cardiac factors that contribute to ADHF-4 |
|
Definition
MI
arrhythmia
uncontrolled HTN
valve disorder |
|
|
Term
| diuretics can lead to what type of ADHF? |
|
Definition
|
|
Term
| what antiarrythmic class can lead to ADHF? why? |
|
Definition
Class 1
bc they are negative ionotropes |
|
|
Term
| what 2 drug classes lead to ADHF bc of sodium and water retention- |
|
Definition
|
|
Term
| what drugs can lead to ADHF-4 |
|
Definition
beta blockers
chemo agents
itraconazole
glitazones |
|
|
Term
BNP > _ means fluid overload very likely
BNP between what and what means fluid overload most likely |
|
Definition
|
|
Term
| what can cause BNP to be elevated-3 |
|
Definition
age
myocardial hypertrophy
renal dysfunction |
|
|
Term
| what do you monitor for with a Swan Ganz/ pulmonary catheter-2 |
|
Definition
|
|
Term
what is the normal range for PAOP?
-when does it show volume overload? |
|
Definition
|
|
Term
what is the normal range for CI?
-when does it show sings of ADHF being "cold" |
|
Definition
|
|
Term
for chronic HF medications:
when do you reduce the dose/disct. ACEi/Aldosterone antags-3 |
|
Definition
BP< 100/65
K >5.5
woresning renal failure |
|
|
Term
for chronic HF medications:
when do you reduce/disct B-blockers-2 |
|
Definition
BP<100/65
if requires inotropes |
|
|
Term
if swanz ganz shows:
PAOP> 18
CI>2.2
what is the diagnosis? |
|
Definition
|
|
Term
| if the patient is warm and wet what are the first few steps for treamtent-4 |
|
Definition
IV loop diuretic
-if doesnt work than double bolus
-if that doesnt work than cont. infusion
-if that doesnt work then add thiazide |
|
|
Term
if the swan ganz shows:
PAOP<18
CI<2.2
what is the diagnosis? |
|
Definition
|
|
Term
| what is the first line treatment for cold and dry? |
|
Definition
| give NS 250-500 IV 2 times |
|
|
Term
| if first line treatment for cold and dry doesnt improve BP- what are the next options? |
|
Definition
IV fluids til PAOP =15
then ionotropes if CI<2.2 still |
|
|
Term
what is the BP cut off for the different ionotropes?
what do you use if it is above that?
what if below? |
|
Definition
90/60
dobutamine or milirone
NE |
|
|
Term
| which type of heart failure has its treatment based on patient's BP? |
|
Definition
|
|
