primary malignant tumor - ASNWER-lack of organization of cells
glucocorticoids - ASNWER-used in combination with other agent to treat lymphoid
tissue (leukemia). glucocorticoids are directly toxic to lymphoid tissues.
Selective estrogen receptor modulators (SERM) - ASNWER-for hormone receptor
positive and advanced breast cancer. (Tamoxifin reduces risk and recurrence risk)
, Heart failure - ASNWER-impairment of the ventricle to fill with or eject blood;
heart cannot meet metabolic need of the body.
CHF - ASNWER-heart cannot keep up with metabolic needs; volume overload in
pulmonary area
Echocardiogram - ASNWER-Diagnostic tool, evaluates heart structure and function
At Risk for HF - Stage A - ASNWER-no structural heart disease or symptoms of
heart failure
Stage A HF co-morbidities - ASNWER-htn, atherosclerotic disease, diabetes,
metabolic syndrome, patients using cardiotoxins with family history
Therapy goals of stage A HF - ASNWER-treat htn, encourage smoking cessation,
encourage regular exercise, treat lipid disorders, discourage alcohol intake/drug
use, control metabolic syndrome
Meds: ACEI or Angiotensin II RB for vascular disease or diabetes (avapro, losartan,
benicar, diovan, etc)
At Risk for HF - Stage B - ASNWER-structural heart disease but no symptoms of
heart failure
Stage B HF co-morbidities - ASNWER-previous MI, LV remodeling with LV
hypertrophy and low EF, asymptomatic valvular disease
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