Hfref - Study guides, Class notes & Summaries

PJ is a 63-year-old woman presenting with NYHA class III HF, a recent 5-pound weight gain and worsening dyspnea on exertion. Her current medications include lisinopril 20 mg daily, carvedilol 25 mg twice daily, furosemide 40 mg twice daily, celecoxib 100 mg twice daily, metformin 1000 mg twice daily, and levothyroxine 125 mcg daily. Today, PJ's vital signs are stable and her labs include potassium 2.9 mmol/L and serum creatinine 0.7 mg/dL. Utilizing a mutually beneficial pharmacodynamic drug-dr...

reduces heart failure risk by 50%? - Answer-control of blood pressure important risk factor in women for heart failure? - Answer-DM systolic heart failure? - Answer-HFrEF; EF <40% diastolic heart failure? - Answer-HFpEF; EF >50% stages A-D progression of disease, risk factors, and cardiac structure? - Answer-American Heart Association; classification of HF functional classification of HF? - Answer-New York Heart Association most useful physical exam to identify congestion? - Answer-...

THIAZIDE-TYPE DIURETIC DRUG - · Decrease Electrolyte: K, Na, Mg · Increase Electrolyte: UA, LDL/TG, BG, *Ca* >> be careful loops *decrease* CA - not effective when crcl< 30 except metolazone LOOP DIRUETICS - · Decrease Electrolyte: K, Na, Mg, Cl, Ca (Thiazide increases Ca) · Increase Electrolyte: UA, TG, BG, *HCO3* > thiazide doesn't increase HCO3 LOOPS O - Ototoxicity (more with ethacrynic acid or rapid IV administration of any loop diuretic) O - orthostatic h...

NSG 533 Exam 3 Questions With Verified Answers Universal stages of Heart Failure (HF) - answer- At-risk for HF - Pre HF - HF - Advanced HF according to the universal definition, what is "at-risk for HF"? - answer- do not have HF, but at risk - no current or prior s/s - no structural, functional, or biomarker evidence supporting HF according to the universal definition, what is "HF" - answer- clinical syndrome - current or prior s/s of HF - caused by structural of functional cardi...

682 Buttaro Final Exam [100% verified] In obtaining an office BP measurement, which of the following is most reflective of the best practice? *Ans* The patient should sit in a chair with feet flat on the floor for at least 5 minutes before obtaining the reading What is the correct drug class of diltiazem? *Ans* nondihydropyridine calcium channel blocker A risk factor for acquired aortic stenosis is: *Ans* prior rheumatic fever. From the 2017 update to the 2013 heart failure ACC/AHA gui...

682 Buttaro Final Exam [100% verified] In obtaining an office BP measurement, which of the following is most reflective of the best practice? *Ans* The patient should sit in a chair with feet flat on the floor for at least 5 minutes before obtaining the reading What is the correct drug class of diltiazem? *Ans* nondihydropyridine calcium channel blocker A risk factor for acquired aortic stenosis is: *Ans* prior rheumatic fever. From the 2017 update to the 2013 heart failure ACC/AHA gui...

NSG 533 Exam 3 Questions And Solutions Two organizations for classification of HF - ANSWER -1. American Heart Assocation (A,B,C,D) - based on structure 2. New York Heart Association (None, I, I, II, III, IV, V) - based on physical activity limitations How to distinguish cardiac dysfunction versus cardiac HF - ANSWER -cardiac dysfunction has structural abnormalities w/o symptoms Once a patient develops symptoms along with structural abnormalities, they have HF Compensatory mechanis...

how often do you screen for hypothyroidism after > 35 YO every 5 years T4 Levothyroxine T3 Liothyronine Subclinical TSH range 5-9 Starting dose Levothyroxine in healthy adult 1.6 mcg/kg/day If elderly or CAD what is the starting dose levothyroxine 12.5-25 mcg/day Amiodarone can induce ____thyroidism in iodine deficiency hyperthyroidism TSH offers positive/negative feedback from _____ gland pituitary Definitive treatment for hyper...

NCA 621: Test Two Module 5 All of the following are usually s/s of L sided heart failure except: A. hepatic congestion B. dyspnea C. cyanosis D. pulmonary edema - correct answer A. hepatic congestion A patient presents with acute pulmonary edema and BP of 210/110 with acute dyspnea and hypoxia. Cxray with pulmonary edema and TTE with LVEF down to 30% from prior baseline of 40& and has pseudonormolization with grade 3 diastolic dysfunction. As an advanced provider you would document thi...

Clinical Pearls for PNS drugs 1 Study guide Parasympathetic drugs (cholingeric response) • Think SLUDGE o Salivation o Lacrimation o Urination o Defecation o Gastric upset o Emesis Clinical pearls for PNS drugs 2 Muscarinic agonist vs muscarinic antagonist symptoms • If you remember the above acronym then its important to remember if the drug is an agonist of muscarine receptors or an antagonist and then just associate symptoms of sludge with agonist and the OPPOSITE ef...