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Med Surg HEART <3

QuestionAnswer
What is the definition of heart failure? A progressive inability of the heart to pump enough blood to meet the body's oxygen and nutrient needs.
What older term is sometimes used for heart failure? Congestive heart failure.
What is the most common cause of heart failure? Coronary artery disease.
Which ventricle typically weakens first in heart failure? The left ventricle.
What is afterload? The force the left ventricle must generate to eject blood into the aorta.
What major condition increases afterload? Hypertension.
Where does blood back up in left‑sided heart failure? Into the lungs.
What results from blood backing up into the lungs in left‑sided HF? Alveolar edema.
Where does blood back up in right‑sided heart failure? Into systemic veins and vessels.
What is cor pulmonale? Right ventricular hypertrophy and failure due to increased pulmonary pressures.
What is the classic symptom of acute pulmonary edema? Pink, frothy sputum.
What breathing pattern is common in acute pulmonary edema? Rapid respirations with accessory muscle use.
What position should a patient with acute pulmonary edema be placed in? Semi‑Fowler or Fowler position.
What is the primary goal of treatment in acute heart failure? Reduce the workload of the left ventricle.
What type of medication is given IV to remove excess fluid in acute HF? Diuretics.
What type of medication increases the strength of cardiac contraction? Inotropic agents.
What is paroxysmal nocturnal dyspnea? Sudden nighttime shortness of breath that awakens the patient.
What respiratory pattern may appear in chronic HF? Cheyne–Stokes respirations.
What blood test is used to help diagnose heart failure? Serum B‑type natriuretic peptide (BNP).
What does an elevated BNP indicate? Increased ventricular stretch and possible heart failure.
Improve pumping ability and decrease oxygen demand of the heart.
Which medication class reduces afterload and is commonly used in HF? ACE inhibitors.
Which medication slows the heart rate in chronic HF? Ivabradine.
What device may be used to support a failing heart as a bridge to transplant? Ventricular assist device (VAD).
What is a major complication of chronic HF involving the liver? Hepatomegaly.
What is a pleural effusion? Fluid accumulation in the pleural space.
What is cardiogenic shock? A life‑threatening condition where the heart cannot pump enough blood to meet the body's needs.
What diet is recommended for chronic HF patients? Low‑sodium diet.
What daily self‑monitoring is essential for HF patients? Daily weight monitoring.
What is the major long‑term medication requirement after heart transplantation? Lifelong anti‑rejection
Created by: yolandalemon719
 

 



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