NSG 430 TOPIC 4
1. is used if pt (ADHF) has volume overload + resistant to diuretics: ultra-filtration
(aquaphresis)
2. ADHF drug therapy: -diuretics
-vasodilators
-morphine
-pos inotropes
3. ex of diuretic: loop diuretic - furosemide - lasix
4. the purpose of diuretics (furosemide) in tx of ADHF is to :
decrease fluid
5. ex of vasodilators: nitroglycerin
6. the purpose of vasodilators (IV NTG) in tx of ADHF: decrease circulatingblood volume +
improve circulation
7. the purpose of morphine in tx of ADHF is to by : calm pt;
relievesanxiety + dyspnea
8. pos inotropes in tx of ADHF help the heart : pump harder/more
effectively
9. ex of pos inotropes: -b agonists (dopamine, dobutamine, norepi)
-phosphodierestase inhibitors
-digitalis
10. pos inotropes are used in tx of ADHF to help heart pump harder, but theyare not initial tx;
only used as , , : -short term
-emergency
-last resort
11. for pt w ADHF, the nurse should encourage pt to : get flu and
pneumo-coccal vacc
12. nursing care of ADHF: -low sodium diet (2g/day)
-fluid restriction
-daily wt
13. pt w ADHF should report weight gain of or : 3lb/2 days or
5lb/week
14. gold standard for end stage HF is : heart transplant
, 15. what complications should the nurse watch for if pt has heart transplant-
: -rejection
-infection
-cancer r/t immunosupressives
-cardiac vasculopathy
16. immunosuppressive drugs after heart transplant can cause
and
(complications): infection + cancer (lymphomas)
17. pt got a heart transplant last month and now has flu-like s/s (fever, fatigue)they may be
experiencing : organ rejection
18. immunosuppressive tx post transplant are used : lifelong
19. ex of life long immunosuppressive drugs for organ transplant
+
:-
tacrolimus + cyclosporine
20. immunosuppressive drugs like tacrolimus + cyclosporine should neverbeen taken w bc it
leads to : grapefruit juice; toxicity
21. is used to detect heart transplant rejection: endomyocardial biopsy(EMB)
22. cardiogenic shock: heart cant pump effectively or perfuse body tissues
23. pt w cardiogenic shock will have and will be : decreased CO;
unableto perfuse tissues
24. in early manifestations of cardiogenic shock, the body will be trying tocompensate,
leading to :: -tachycardia/hypotension
-narrowed pulse pressure
-increased systemic vascular resistance (SVR)
-increased myocardial o2 consumption
25. s/s of cardiogenic shock: -tachypnea, pulm congestion
-pallor, cool, clammy
-decreased cap refill
-anxiety, confusion, agitation
-increased pulm artery wedge pressure (PAWP)
-decreased U/O
1. is used if pt (ADHF) has volume overload + resistant to diuretics: ultra-filtration
(aquaphresis)
2. ADHF drug therapy: -diuretics
-vasodilators
-morphine
-pos inotropes
3. ex of diuretic: loop diuretic - furosemide - lasix
4. the purpose of diuretics (furosemide) in tx of ADHF is to :
decrease fluid
5. ex of vasodilators: nitroglycerin
6. the purpose of vasodilators (IV NTG) in tx of ADHF: decrease circulatingblood volume +
improve circulation
7. the purpose of morphine in tx of ADHF is to by : calm pt;
relievesanxiety + dyspnea
8. pos inotropes in tx of ADHF help the heart : pump harder/more
effectively
9. ex of pos inotropes: -b agonists (dopamine, dobutamine, norepi)
-phosphodierestase inhibitors
-digitalis
10. pos inotropes are used in tx of ADHF to help heart pump harder, but theyare not initial tx;
only used as , , : -short term
-emergency
-last resort
11. for pt w ADHF, the nurse should encourage pt to : get flu and
pneumo-coccal vacc
12. nursing care of ADHF: -low sodium diet (2g/day)
-fluid restriction
-daily wt
13. pt w ADHF should report weight gain of or : 3lb/2 days or
5lb/week
14. gold standard for end stage HF is : heart transplant
, 15. what complications should the nurse watch for if pt has heart transplant-
: -rejection
-infection
-cancer r/t immunosupressives
-cardiac vasculopathy
16. immunosuppressive drugs after heart transplant can cause
and
(complications): infection + cancer (lymphomas)
17. pt got a heart transplant last month and now has flu-like s/s (fever, fatigue)they may be
experiencing : organ rejection
18. immunosuppressive tx post transplant are used : lifelong
19. ex of life long immunosuppressive drugs for organ transplant
+
:-
tacrolimus + cyclosporine
20. immunosuppressive drugs like tacrolimus + cyclosporine should neverbeen taken w bc it
leads to : grapefruit juice; toxicity
21. is used to detect heart transplant rejection: endomyocardial biopsy(EMB)
22. cardiogenic shock: heart cant pump effectively or perfuse body tissues
23. pt w cardiogenic shock will have and will be : decreased CO;
unableto perfuse tissues
24. in early manifestations of cardiogenic shock, the body will be trying tocompensate,
leading to :: -tachycardia/hypotension
-narrowed pulse pressure
-increased systemic vascular resistance (SVR)
-increased myocardial o2 consumption
25. s/s of cardiogenic shock: -tachypnea, pulm congestion
-pallor, cool, clammy
-decreased cap refill
-anxiety, confusion, agitation
-increased pulm artery wedge pressure (PAWP)
-decreased U/O
