Nyha chf - Study guides, Class notes & Summaries

STABLE angina definiton - substernal "gripping" chest pain or pressure on exertion, relieved w/ rest or NTG One vessel disease treatment - Tx β-blocker + aspirin + nitrates two vessel treatment - Tx β-blocker + aspirin + nitrates vs PTCA OR CABG three vessel disease - Tx CABG what is involved in a pharmacological stress test - : IV adenosine, dipyridamole, or dobutamine can stress the heart in place of exercise The cardiac markers- when do they pick which is most specific? - CK-MB: pe...

Medications that improve survival in CHF Correct Answer-- ACEI/ARB - Carvedilol - Metoprolol Succinate - Hydralazine + Nitrates - Spironolactone - Neprilysin inhibitors When to add beta blocker in CHF patients Correct Answer-When they are euvolemic Indications for AICD Correct Answer-- EF less than or equal to 35% + NYHA Class 2 or 3 - EF less than or equal to 30% + NYHA Class 1 Indication for adding CRT (cardiac resynchronization therapy) to AICD Correct Answer-QRS > 150 m...

STABLE angina definiton - ️️substernal "gripping" chest pain or pressure on exertion, relieved w/ rest or NTG One vessel disease treatment - ️️Tx β-blocker + aspirin + nitrates two vessel treatment - ️️Tx β-blocker + aspirin + nitrates vs PTCA OR CABG three vessel disease - ️️Tx CABG what is involved in a pharmacological stress test - ️️: IV adenosine, dipyridamole, or dobutamine can stress the heart in place of exercise The cardiac markers- when do they pi...

MRA recommendation for CHF 1. symptomatic HFrEF </= 35% 2. Post-MI with </=40% and either HF symptoms or DM MRA CI 1. eGFR <30 2. SCr >/=2.5 in male, >/=2.0 in female 3. K >5.0 4. pt already on combination therapy with ACEI + ARB (d/t increase risk of hyperkalemia with MRA) Hydralazine/isosorbide recommended for which CHF patients? 1. AA patients with NYHA class III/IV taking ACEI/ARB , BB +/- MRA 2. any symptomatic HFrEF patients who are intolerant to ACE...

What is congestive heart failure? correct answers a weakness of the heart that leads to a buildup of fluid in the lungs and surrounding body tissues. the heart has not failed - but it is not pumping blood as well as it should be and it can lead to fluid build up around the lungs, periphery as well what is the most common age group which suffer from congestive heart failure correct answers over 65 year olds what is the median (in years) of survival of a patient who has been diagnosed wit...

What are four signs and symptoms of a heart failure patient? correct answers DEWF: 1. Dyspnea: (difficulty breathing); SOB occur anytime of the day 2. Fatigue: constant tiredness due to extra fluid 3. Weight gain: > 2-3 lbs overnight > 5 lbs in a week 4. Edema: Leg swelling +1, +2, +3 pitting edema >5 lbs in a wk Lungs: (grapples, rails) -fluid accumulation HDAVR/JDV : When you push the belly (fluid goes to a ajugular vein) and when you are put on your back the aju...

Who was granted a federal contract in 1986 to operate the organ procurement and transplantation network? - correct answer UNOS (United Network of Organ Sharing) In the 1980" there was an sudden increase in organ transplantation, Why? - correct answer wide spread use of anti-rejection medications Why get a "used" heart? - correct answer 1) NHLBI- end stage cardiac disease 2) NYHA class III and IV CHF a) refractory to max medical treatment b) continuous mechanical or inotropic ...

NR 509/ NR509 Module 5 Advanced Physical Assessment A 52 yr old female with known CHF reports dyspnea with minimal exertion (walking from room to room). In what NYHA functional class is she? Class III Which of the following physical exam findings would lead you to suspect hyperlipidemia? Increased liver size **Xanthoma of inner canthus Obesity A 58-year-old dentist presents to your office for a routine checkup. He has been healthy. He is a nonsmoker and does not drink alcohol. On phys...

Who was granted a federal contract in 1986 to operate the organ procurement and transplantation network? - correct answer UNOS (United Network of Organ Sharing) In the 1980" there was an sudden increase in organ transplantation, Why? - correct answer wide spread use of anti-rejection medications Why get a "used" heart? - correct answer 1) NHLBI- end stage cardiac disease 2) NYHA class III and IV CHF a) refractory to max medical treatment b) continuous mechanical or inotropic ...

MRA recommendation for CHF - ANSWER-1. symptomatic HFrEF </= 35% 2. Post-MI with </=40% and either HF symptoms or DM MRA CI - ANSWER-1. eGFR <30 2. SCr >/=2.5 in male, >/=2.0 in female 3. K >5.0 4. pt already on combination therapy with ACEI + ARB (d/t increase risk of hyperkalemia with MRA) Hydralazine/isosorbide recommended for which CHF patients? - ANSWER-1. AA patients with NYHA class III/IV taking ACEI/ARB , BB +/- MRA 2. any symptomatic HFrEF patients who are i...