Acute decompensated hf - Study guides, Class notes & Summaries

Heart Failure (HF) Definition Correct Answer-a progressive syndrome as well as structural and functional cardiac changes The Heart Failure Society of America (HFSA) describes 2 broad categories: Correct Answer-(1) HF w/ reduced LVEF (2) HF w/ preserved LVEF Symptomatic PTs w/ LV dysfunction Correct Answer-Systolic HF --> EF = or < 35% Diastolic HF --> the EF may be normal even though the RV is enlarged or has abnormal filling Acute Decompensated HF (ADHF) occurs when CO fails...

Objectives Assess patients who present with acute heart failure Define general acute heart failure classification categories Outline treatment strategies for acute heart failure management Define fluid overload; list treatment options and management strategies Manage patients on vasodilators and inotropes Describe the impact of treatment(s) on outcomes Heart Failure Definition - Physiologic state where the cardiac output is insufficient for the body's needs OR: - The heart is unable t...

sinus bradycardia - cORRECT sOLUTION HR < 60 bpm bradycardia etiology - cORRECT sOLUTION - sleep - athlete - hypothyroidism, hypoxemia - IICP, altered mental status - decompensated HF - vomiting, suction, pain bradycardia manifestations - cORRECT sOLUTION - SOB - altered LOC - hypotension - EKG changes (ST changes to PVCs) bradycardia management - cORRECT sOLUTION - resolve causes - atropine - emergency transcutaneous pacing - catecholamines for symptomatic bradycardia...

The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective? Reduced dyspnea with HOB at 30 degrees 3 MULTIPLE CHOICE OPTIONS Which topic will the nurse plan to include in discharge teaching for a patient who has heart failure with reduced ejection fraction (HFrEF)? Benefits and effects of angiote...

what is the most common cause of heart failure? specifically left sided? right sided? - correct answer -MC is CAD (coronary artery disease) -L sided: *CAD* & HTN -R sided: *L sided HF* & pulmonary dz decreased ejection fraction, thin ventricular walls, dilated LV chamber, and an S3 gallop (filling of dilated ventricle) is associated with systolic or diastolic heart failure? - correct answer systolic (MC form of CHF) *(the sound is actually heard in the diastole though) -memory trick: ...

Internal Medicine EOR Review (UPDATED TABLE GUIDE). Internal Medicine EOR Review Cardiology (20%) Angina Pectoris Stable Unstable Prinzmetal Predictable pattern* Aggravated c exertion; alleviated c rest or NTG; Caused by FIXED* plaque EKG: STd ONLY* Outpatient Setting Unpredictable pattern* New onset while RESTING*; NOT alleviated c rest EKG: STd or TWi* MUST ADMIT* Unpredictable/EPISODIC pattern* Triggered by COCAINE*, alcohol or triptans* EKG: STe +/- reciprocal changes M...

The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective? Reduced dyspnea with HOB at 30 degrees 3 MULTIPLE CHOICE OPTIONS Which topic will the nurse plan to include in discharge teaching for a patient who has heart failure with reduced ejection fraction (HFrEF)? Benefits and effects of angiote...

HF NCLEX QUESTIONS AND ANSWERS ALREADY PASSED 1. A patient with a history of chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. The patient has pitting edema in both ankles, blood pressure (BP) of 170/100, an apical pulse rate of 92, and respirations 28. The most important assessment for the nurse to accomplish next is to a. auscultate the lung sounds. b. assess the orientation. c. check the capillary refill. d. palpate the ab...

INTERNAL MEDICINE EOR REVIEW. Cardiovascular (20) Congestive Heart Failure: ▪ Info: Acute decompensated heart failure with worsening of baseline symptoms characterized by pulmonary congestion (worsening of dyspnea, rales, pink frothy sputum, etc); sympathetic activation or CXR findings of congestion ▪ Dx: CXR: Cephalization of Flow- Increased vascular flow to the apices as a result of increased pulmonary venous pressure; Kerley B Lines- short linear markings at the lung periphery of ...

Heart Failure with Atrial Fibrillation: • Left sided heart failure; dyspnea, restlessness, agitation, or slight tachycardia. • Heart failure occurs most commonly in clients over age 60. • Myocardial infraction, coronary artery disease, ischemic heart disease is among the most common causes of heart failure. Common causes of heart failure are myocardial infraction. 4. • Normal EF is 55%-60% • Systolic failure; inability of the heart to pump blood. • Diastolic failure; inabili...