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Left sided Heart Failure Exam 1 Questions and Answers

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Left sided Heart Failure Exam 1 Questions and Answers Resp assessment findings of L-sided heart failure - Answer-dyspnea, orthopnea, cheyne stokes, pleural effusion, pulmonary edema cough, cardiac asthma (wheezing coughing) (crackles in lungs from fluid buildup?) Normal hematocrit - Answer-Me...

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  • August 13, 2024
  • 2
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Left sided Heart Failure
  • Left sided Heart Failure
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Left sided Heart Failure Exam 1
Questions and Answers
Resp assessment findings of L-sided heart failure - Answer-dyspnea, orthopnea,
cheyne stokes, pleural effusion, pulmonary edema cough, cardiac asthma (wheezing
coughing)
(crackles in lungs from fluid buildup?)

Normal hematocrit - Answer-Men: 42-52%
Women: 37-47%

Misc. assessment findings of L-sided heart failure - Answer-decreased renal function,
muscular weakness, microalbuminuria (30-300mg/day) (normal albumin levels = 3.4-
5.4)

Interventions bot L-sided heart failure - Answer--Vitals, I&O, daily weights, pt. education
about the disease process
-bland foods and small frequent meals throughout the day, low sodium, low calorie
-cardiac glycoside (decrease output force of heart, decrease rate of contractions, uses
Na+K+ pump, ie. digoxin/digitoxin), O2 therapy

Labs for L-sided heart failure - Answer-blood (hematocrit), BNP (normal <100), chest x-
ray, ECG, Echocardiogram, stress test, CT, MRI, coronary angiogram, myocardial
biopsy

Pt edu for L-sided heart failure - Answer-- teach how to maintain aseptic technique
- administration of IV antibiotics
- daily temp record for 6 weeks
- oral hygiene x2/day
- Prophylactic antibiotics for oral procedures
- S/S of emboli and HF

Treatments for L-sided heart failure - Answer-- digoxin (cardiac glycoside)
- diuretics
- ACE (relax blood vessels, lower blood volume = lower O2 demand from heart)
- ARB (angiotensin receptor blockers)
- Low dose beta blockers
- Vasodilators (nitrates, milrinone)
- Morphine sulfate (analgesics for chest pain)
- Human B natriuretic peptide (for acute episodes)

Medical treatment for L-sided heart failure (what do you do before administration?) -
Answer-- Take BP/HR right before admin

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