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Med Surg HEART <3
| Question | Answer |
|---|---|
| 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 |