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CHF

Medications and nursing interventions for

QuestionAnswer
Agents that dilates aorta and systemic circulation, decreases workload of the heart, which allows the heart to pump against less pressure. Afterload reducing agents.
These agents causes venous pooling, why? Afteload reducing agents because they decrease blood returning to the heart which allow less workload for the heart.
Studies indicate that Capoten/Captopril is superior to digitalis and diuretics by improving what in patients with mild to moderate CHF? exercise tolerance
These drugs have a positive inotropic effect on the heart; increase contractility; increase the force of contraction and hopefully increase the cardiac output at the same time. Digoxin and Digitoxin/ cardiac glycosides (digitalis)
What is the expected effect of digoxin/digitoxin? to slow the heart rate and increase filling time of the ventricle and again increase the cardiac output.
Anorexia, nausea, vomiting, bradycardia, color vision-green halos are signs of what? Digitalis Toxicity
Digiblind for profound digitalis toxicity is used when? in life threatening situations
What is the normal digoxin level? 2.0
Before adm. digoxin, what must the nurse assess and document prior to giving? Assee apical pulse for 1 full minute, document in med chart.
Decreases circulating blood volume; increase sodium excretion; diminishes preload. Diuretics
Diuretics will decrease pulmonary and venous congestion, leading to decreasing___________. edema
This condition may potentiate the digoxin and may induce digitalis toxicity during diuretic therapy. hypokalemia
Hydroduril, Lasix, Bumex Diuretics
CHF clients are restricted sodium to? 1-2 g/ day
A client with CHF are usually ordered potassium supplements why? Some are on potassium wasting diuretics.
Fluid restrictions are ordered for which CHF client? severe CHF clients.
Oxygen therapy for a client with CHF is used for what reasons? To maintain a PO2 within normal for client. and for comfort.
When measuring I &O and weight of a client, what do you need to remember as a nursing intervention? Record I&O hourly in acute stage, weigh every day at the same time, scale, and amt. of clothing. And that 2.2 lbs or 1 kg = 1 liters of fluid.
A client with CHF in a high fowlers position, the feet that are dependant should be placed on a stool to decrease risk of____________. Venous Thrombosis.
Why should you not elevate the feet while client is in high fowlers position? It will increase blood return to heart too quickly and increases workload of the heart.
Rapid fluid shift of plasma of the blood into the interstitial spaces of the lungs, alveoli, and pleural space is known as_________________. Acute Pulmonary Edema
Acute Pulmonary Edema is an acute exacerbation of which heart failure? Left sided failure and is medical emergency.
What causes Acute Pulmonary Edema? Not taking Lasix medications or increase salt intake.
Symptoms of Acute pulmonary edema include... Pink frothy blood tinged sputum in large quantities, crackles in lower lungs progressing to all lungs, cyanosis, nose flaring, use of accessory muscles and profound dyspnea.
Vasoconstriction due to profound drop in cardiac output cause ___________. Hypertension.
Daily pulse on a person with CHF, before arising from bed and before digoxin med, heart rate should be reported if pulse is____________. <60 or >120.
When discharging a patient with CHF, it is important to teach them this about their medication. Not to skip drug therapy.
What are some of the concerns when discharging an elderly person with CHF. they have decreased renal excretion, increased risk for digitalis toxicity and inability to handle complex or multiple drug therapy modalities.
Created by: Esimon
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