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CHF and Cardiovascular Pharmacology
CHF and Cardiovascular Pharmacology
28
Health Care
Professional
12/09/2013

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Cards

Term
What is systolic heart failure?
Definition
The inability of the ventricles to contract normally.
Term
What is diastolic heart failure?
Definition
The inability of the ventricles to relax properly.
Term
Can a person have systolic heart failure without diastolic heart failure?
Definition
Yes
Term
Why do patients with CHF develop edema?
Definition
Pressure.....as blood is not being pumped out of the heart properly, this causes pressure to build up in the veins causing congestion in the bodies tissues.
Term
What type of ejection fraction do patients with systolic failure have?
Definition
EF less than 45%
Term

What type of ejection fraction do patients with diastolic failure have?

Definition
EF greater than 50%
Term

What are the ways a person can be given medication?

(7 listed in notes)

Definition

oral, IV, Intr-muscular, subcutaneous

inhaled, transdermal patch, paste

Term
At what blood pressure does a person have hypertension?
Definition

140 for systolic number

or

90 for diastolic number 

Term
What function does a diuretic have?
Definition
Decreases sodium in the blood which decreases the blood volume to decreases peripheral resistance.
Term

What functions do a calcium channel blocker have?

(list 3 functions)

Definition

1.  Relaxes the arteriole walls

2.  Dilates the arterioles to decrease resistance and

     increase blood flow.

3.  Decreases the amount of calcium which decreases the

     strength of the heart's contraction.

Term
What is the main function of a sympatholytic drug?
Definition
Reduce sympathetic activity to the heart and blood vessels which will decrease peripheral resistance and cardiac output.
Term
What is the name of the Standard Classification system for antiarrythmic drugs?
Definition
Singh/Vaughan Williams
Term
What is the main function of a vasodilator?
Definition
To dilate the SMALL arteries which will decrease peripheral resistance.
Term
What is the main function of an ACE inhibitor?
Definition
Inhibits production of Antiotensin II which will decrease peripheral resistance.
Term

Which of the following is NOT a sign or symptom of CHF?

 

a.  bradycardia

b.  shortness of breath

c.  cardiomegaly

d.  pulmonary edema

Definition
Bradycardia....the patient will have tachycardia
Term
Although ACE Inhibitors are the first line of defense for CHF patients, do they cure the patient?
Definition
No, just keep the patient's heart from forming aneurysms and help the patient's symptoms.
Term
What is the main function of a Beta Blocker?
Definition
To keep the heart rate low so the heart is not overworked.
Term
Chest pain that is repeatable and predictible is what type of angina?
Definition

Stable Angina

(Ischemic Angina d/t CAD)

Term
Chest pain that occurs for no reason at any time is what type of angin?
Definition
Unstable angina
Term
What is another name for a coronary artery spasm?
Definition
Prinz Metal spasm
Term

Which of the following is NOT an antianginal agent?

 

a.  Beta-adrenergic antagonists

b.  Beta Blocker

c.  Calcium Channel Blocker

d.  Organic Nitrate

Definition
B.  Beta Blocker
Term
What is the main function of an organic nitrate?
Definition
To dilate the arteries and increase blood flow to the heart and decrease peripheral resistance.
Term
What is the method for treating Atrial Fib or Atrial Flutter
Definition
Cardioversion or Drugs
Term
What is the treatment for Supraventricular Tachycardia?
Definition
Radiofrequency ablation or druges
Term
What is the treatment for Sustained VT?
Definition

Thump the chest

Cardioversion 

Drugs

Term
What is the treatment for Ventricular Fibrillation
Definition
Difibrillation
Term
What is the treatment for Recurrent Ventricular Tachycardia?
Definition
Implantable defibrillator (ICD)
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