CVRN BC COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔Precipitating causes of hospitalization for HF - ✔✔Increased preload - poor
compliance=diet (Na+ and fluid), not taking meds
Increased afterload - uncontrolled HTN, PE (acute right HF)
Decreased contractility - ischemia, ACS-MI, ETOH ingestion, negative inotropic meds
(new or too much)
✔✔Basics of HF in hospital - ✔✔Oxygen
Resp treatments
I&O
Daily weight
Discharge planning
Progressive activity
Low fat, low Na+, low cholesterol diet
Fluid retention
Patient education
✔✔Who gets BB in HF? - ✔✔All HF with symptoms Class C/D
Selective asymptomatic HF pts
STEMI
✔✔What are the 3 BB approved for HF tx - ✔✔Carvedilol
Bisoprolol
Metoprolol SR
✔✔Inotropic support med for HF - ✔✔milrinone
✔✔Are ARB and ACEI given together? - ✔✔No
✔✔Who gets aldosterone antagonists in HF? - ✔✔Mod to severe HF pts w/ LVEF <40%
, ✔✔Name the preferred aldosterone antagonist given in HF pts - ✔✔spironolactone
✔✔Avoid spironolactone if creat clearance - ✔✔>2.5
✔✔Who gets an ICD defibrillator? - ✔✔Dilated Cardiomyopathy
Ischemic heart disease 40 days post MI
LVEF <35%
Hx of - cardiac arrest, Vfib, unstable VT
✔✔If a stent is placed, when does the pt get an ICD - ✔✔90 days post op
✔✔Why is a TEE performed? - ✔✔To ensure there is no clot in atria prior to
cardioversion
✔✔Factors that increase chance of complications during carotid stenting - ✔✔HTN
Pts 80 yrs or older
Allergy to contrast dye
Hardened and long narrowing of carotid artery
Significant plaque buildup of aorta
✔✔Cardiovascular MRI shows - ✔✔anatomy, circulation and function of heart
✔✔Cardioversion is used to convert - ✔✔afib, a flutter, WPW, other tachyarrhythmias
✔✔Revascularization is measured using what scale? - ✔✔TIMI Flow
✔✔What TIMI scale level is the goal for revascularization - ✔✔TIMI III
✔✔What diabetic med should be help prior to cardiac cath? - ✔✔metformin
✔✔Left heart cath is fed through where? - ✔✔The artery to the left side of the heart
✔✔Left heart cath takes direct pressure measurements of what? - ✔✔left atria and left
ventricle
✔✔Right heart cath is fed through where? - ✔✔The vein into the right side of the heart
✔✔Right heart cath takes direct pressure measurements of what? - ✔✔SVC, right atria
and right ventricle
✔✔Left heart cath evaluates what - ✔✔Cardiac valve disease
cardiac tumors
heart defects
heart function
QUESTIONS SET A+
✔✔Precipitating causes of hospitalization for HF - ✔✔Increased preload - poor
compliance=diet (Na+ and fluid), not taking meds
Increased afterload - uncontrolled HTN, PE (acute right HF)
Decreased contractility - ischemia, ACS-MI, ETOH ingestion, negative inotropic meds
(new or too much)
✔✔Basics of HF in hospital - ✔✔Oxygen
Resp treatments
I&O
Daily weight
Discharge planning
Progressive activity
Low fat, low Na+, low cholesterol diet
Fluid retention
Patient education
✔✔Who gets BB in HF? - ✔✔All HF with symptoms Class C/D
Selective asymptomatic HF pts
STEMI
✔✔What are the 3 BB approved for HF tx - ✔✔Carvedilol
Bisoprolol
Metoprolol SR
✔✔Inotropic support med for HF - ✔✔milrinone
✔✔Are ARB and ACEI given together? - ✔✔No
✔✔Who gets aldosterone antagonists in HF? - ✔✔Mod to severe HF pts w/ LVEF <40%
, ✔✔Name the preferred aldosterone antagonist given in HF pts - ✔✔spironolactone
✔✔Avoid spironolactone if creat clearance - ✔✔>2.5
✔✔Who gets an ICD defibrillator? - ✔✔Dilated Cardiomyopathy
Ischemic heart disease 40 days post MI
LVEF <35%
Hx of - cardiac arrest, Vfib, unstable VT
✔✔If a stent is placed, when does the pt get an ICD - ✔✔90 days post op
✔✔Why is a TEE performed? - ✔✔To ensure there is no clot in atria prior to
cardioversion
✔✔Factors that increase chance of complications during carotid stenting - ✔✔HTN
Pts 80 yrs or older
Allergy to contrast dye
Hardened and long narrowing of carotid artery
Significant plaque buildup of aorta
✔✔Cardiovascular MRI shows - ✔✔anatomy, circulation and function of heart
✔✔Cardioversion is used to convert - ✔✔afib, a flutter, WPW, other tachyarrhythmias
✔✔Revascularization is measured using what scale? - ✔✔TIMI Flow
✔✔What TIMI scale level is the goal for revascularization - ✔✔TIMI III
✔✔What diabetic med should be help prior to cardiac cath? - ✔✔metformin
✔✔Left heart cath is fed through where? - ✔✔The artery to the left side of the heart
✔✔Left heart cath takes direct pressure measurements of what? - ✔✔left atria and left
ventricle
✔✔Right heart cath is fed through where? - ✔✔The vein into the right side of the heart
✔✔Right heart cath takes direct pressure measurements of what? - ✔✔SVC, right atria
and right ventricle
✔✔Left heart cath evaluates what - ✔✔Cardiac valve disease
cardiac tumors
heart defects
heart function
