Management Of Chronic HF Flashcards Preview

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Flashcards in Management Of Chronic HF Deck (8):
1

What are the three aims of treatment?

Treat the cause (arrythmias), the exacerbating factors (anaemia thyroid disease, high BP) and avoid exacerbating factors (NSAIDs 10 fold risk and vermapril)

2

What drugs are used?

Diuretics, ACEIs, beta blockers, spironolactone (k sparing but no effect when balanced out by ACEIs), digoxin, vasodilator (hydralazine, isorbidide dinatrate)

3

What do you do if patient has intractable HF

Reassess cause, stronger drugs, bed rest, Na restriction, loop diuretics, daily wight and U+Es (test for hypokalemia), DVT prophylaxis with heparin and TED stockings

4

What is NY class 1 HF?

Heart disease but no dyspnoea from daily activities

5

What is NY stage 2?

Comfortable at rest, dyspnoea during ordinary activity

6

What is NY stage 3?

Limiting dyspnoea (occurs at level below normal activities)

7

What is NY stage 4?

Dyspnoea at rest, all activity causes discomfort

8

What lifestyle factors must be modified?

Smoking, salt intake, weight, nutrition