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Exam 3
Lecture 6
20
Art History
6th Grade
05/04/2013

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Term
factors contributing to ADHF:
noncompliance with -3
Definition
meds
fluid restriciton
diet restriciton
Term
cardiac factors that contribute to ADHF-4
Definition
MI
arrhythmia
uncontrolled HTN
valve disorder
Term
diuretics can lead to what type of ADHF?
Definition
cold and dry
Term
what antiarrythmic class can lead to ADHF? why?
Definition
Class 1
bc they are negative ionotropes
Term
what 2 drug classes lead to ADHF bc of sodium and water retention-
Definition
steroids
NASAIDs
Term
what drugs can lead to ADHF-4
Definition
beta blockers
chemo agents
itraconazole
glitazones
Term
BNP > _ means fluid overload very likely
BNP between what and what means fluid overload most likely
Definition
500
100-500
Term
what can cause BNP to be elevated-3
Definition
age
myocardial hypertrophy
renal dysfunction
Term
what do you monitor for with a Swan Ganz/ pulmonary catheter-2
Definition
PAOP
CI
Term
what is the normal range for PAOP?
-when does it show volume overload?
Definition
6-10
>18
Term
what is the normal range for CI?
-when does it show sings of ADHF being "cold"
Definition
3-4
<2.2
Term
for chronic HF medications:
when do you reduce the dose/disct. ACEi/Aldosterone antags-3
Definition
BP< 100/65
K >5.5
woresning renal failure
Term
for chronic HF medications:
when do you reduce/disct B-blockers-2
Definition
BP<100/65
if requires inotropes
Term
if swanz ganz shows:
PAOP> 18
CI>2.2
what is the diagnosis?
Definition
warm and wet
Term
if the patient is warm and wet what are the first few steps for treamtent-4
Definition
IV loop diuretic
-if doesnt work than double bolus
-if that doesnt work than cont. infusion
-if that doesnt work then add thiazide
Term
if the swan ganz shows:
PAOP<18
CI<2.2
what is the diagnosis?
Definition
cold and dry
Term
what is the first line treatment for cold and dry?
Definition
give NS 250-500 IV 2 times
Term
if first line treatment for cold and dry doesnt improve BP- what are the next options?
Definition
IV fluids til PAOP =15
then ionotropes if CI<2.2 still
Term
what is the BP cut off for the different ionotropes?
what do you use if it is above that?
what if below?
Definition
90/60
dobutamine or milirone
NE
Term
which type of heart failure has its treatment based on patient's BP?
Definition
cold and wet
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