HERZING UNIVERSITY AH 2 EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Module
HERZING UNIVERSITY AH 2
Institution
HERZING UNIVERSITY AH 2
Heart failure (HF) - ACCURATE ANSWERS abnormal condition involving impaired cardia pumping/filling
Heart is unable to produce an adequate cardiac output to meet metabolic needs
Impaired cardiac pumping and filling (pericardium)
Risk factor of HF - ACCURATE ANSWERS long standing hypertension ...
herzing university ah 2 exam with guaranteed accur
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HERZING UNIVERSITY AH 2 EXAM
HERZING UNIVERSITY AH 2 EXAM WITH GUARANTEED ACCURATE ANSWERS |
VERIFIED
Heart failure (HF) - ACCURATE ANSWERS✔✔ abnormal condition
involving impaired cardia pumping/filling
Heart is unable to produce an adequate cardiac output to meet metabolic
needs
Impaired cardiac pumping and filling (pericardium)
Risk factor of HF - ACCURATE ANSWERS✔✔ long standing
hypertension (someone diagnosed with high BP and have had it for
many years)
4 things to assess on a patient with cardiovascular disease - ACCURATE
ANSWERS✔✔ 1. Tobacco use (exposes a person to aortic aneurism)
,2. PAD (ensure that you are asking if the patient has pain when they
walk)
3. Heredity collagen disorders (increase risk for aortic aneurism)
4. African Americans (be aware that they tend to develop heart failure at
an early age due to long standing hypertension)
5 cardiac conditions to get Infulenza Vaccinatioins - ACCURATE
ANSWERS✔✔ 1. Aortic stenosis
2. Mitral valve regurgitation
3. Atrial fibrillation
4. Chronic constructive pericarditis
5. Chronic heart failure
Primary HF - ACCURATE ANSWERS✔✔ heart related (CAD, MI)
Preceptory - ACCURATE ANSWERS✔✔ infections, thyroid, anemia
(because the conditions increase the heart work load)
Diastolic Failure - ACCURATE ANSWERS✔✔ HF and DAF
Occurs more frequently in older adults and women and individuals who
are obese
ACE Inhibitors (Angiotension Converting Enzymes) = ventricle pumps
more efficiently
,Systolic Failure - ACCURATE ANSWERS✔✔ Focus on Ejection
Fraction
Mixed Failure - ACCURATE ANSWERS✔✔ both diastolic and systolic
Seen in disease states such as cardiac myopathy (big, bulgy, flabby)
What is the most common type of heart failure? - ACCURATE
ANSWERS✔✔ left sided heart failure
What happens in right sided HF? - ACCURATE ANSWERS✔✔ pitting
edema
Sudden weight gain
Cor pulmonale
How is HF diagnosed? - ACCURATE ANSWERS✔✔ BNP (B-Type
Naturatic Peptide)
Lab value that aids the diagnosis of HF (100-400 pg/ml)
Systolic and diastolic EF - ACCURATE ANSWERS✔✔ if EF is low
than it is systolic HF
Treating Congestive HF (unload fast) - ACCURATE ANSWERS✔✔
Upright position = helps pooling of blood
Nitrates = dilates arteries of the heart and veins of the body, increases
oxygenation
, Lasix = listen to their lungs
O2 = keep sats above 92%
ACE Inhibitors = primary blocker RAAS = priol
- Aniopriol/Vasotec (be careful as patient is getting out of bed due to
orthostatic hypertension)
- If a patient tells you that they are going to a pharmacy and getting
cough meds that is a symptom that they need to go to their doctor
(symptom of an ACE Inhibitor) - look for orthostatic hypotension
Digoxin = increases force of the cardiac contraction, increases
contraction speed and slows HR
- do not give when HR is under 60
Fluids
- weigh the patient
- what type of diet will the patient be on? (low sodium heart health = 2g)
- if 3 lbs in 2 days or 3-5 lbs in 1 wk notify the MD immediately
Afterload
Sodium Restriction = make sure the the person is reading the labels
correctly
- 2 g sodium diet
- education is key
Test = dig level, ABG, Potassium level
Dysrhythmias - ACCURATE ANSWERS✔✔ abnromal cardiac rhythms
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