4/3/25, 5:43 NR324 CH 34 Heart Failure Flashcards |
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NR324 CH 34 Heart Failure
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Terms in this set (38)
right sided vs left sided heart failure
• Arterial BP monitoring is recommended during drug infusion.
• Record baseline BP and continuously monitor during administration.
• Too rapid rate of IV infusion can reduce BP too quickly and cause
Nitropress (sodium nitroprusside) hypotension.
• Headache, dizziness, nausea, agitation, and restlessness can occur.
• Monitor thiocyanate (drug by-product) levels if infusion is
greater than 3 mcg/kg/min, as toxicity can occur.
• Monitor IV site for signs of extravasation.
Dopamine • Tissue necrosis with sloughing can occur with drug extravasation.
• High dosages may produce ventricular dysrhythmias.
• To control the rate and assist with titration, use an infusion pump
whenever you are giving IV vasodilators and inotropes.
Infusion pumps
• Ideally, pumps that contain drug libraries can help to avoid
rates and dosages that are out of the safe range for the drug being
given.
CHF is also known as Left-sided heart failure
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, 4/3/25, 5:43 NR324 CH 34 Heart Failure Flashcards |
PM Quizlet
• Excessive hypotension and hyperkalemia may occur.
• Monitor patient for first-dose hypotension (first-dose syncope).
Captopril
• Skipping doses or discontinuing the drug can result in rebound hypertension.
• Angioedema, a rare adverse effect, can develop suddenly
and can be life- threatening.
implanted mechanical device that partially or completely replaces
VAD (ventricular assist device)
the pumping action of a failing heart
• Monitor potassium levels during treatment.
• Use with caution in patients taking digoxin, since hyperkalemia
may reduce the effects of digoxin.
Spironalactone (Aldactone)
• Instruct patient to avoid foods high in potassium (e.g., bananas,
oranges, dried apricots).
• Assess male patients for gynecomastia, a common side effect
of long-term use of spironolactone.
Protein in a plasma membrane that identifies the cell as belonging to
HLA (human leukocyte antigen)
a particular individual and acts as an antigen in other organisms.
• Overdosage can produce profound bradycardia, hypotension,
bronchospasm, and cardiogenic shock.
Carvedilol (Coreg)
• Obtain standing BP 1 hr after dosing to assess tolerance.
• Abrupt withdrawal may result in sweating, palpitations, and headaches.
• Monitor for signs of hypokalemia and hyperkalemia, since these
can increase or decrease the effects of digoxin, respectively.
• Monitor for early signs of toxicity: anorexia, nausea and
Digoxin
vomiting, fatigue, headache, depression, visual changes.
• Monitor for late signs of toxicity, such as dysrhythmias (e.g.,
bradycardia, atrioventricular block).
inability of the ventricles to relax and fill during
diastole 50% of patients with HF have HFpEF
Hypertension is the most important cause
Diastolic failure Diastolic failure is characterized by high filling pressures because of
stiff ventricles. Decreased filling of the ventricles results in
decreased stroke volume and CO. The end result of diastolic failure
is the same as systolic failure (e.g., pulmonary congestion
heart transplantation
paroxysmal nocturnal dyspnea
Pulmonary edema fluid in the air sacs and bronchioles
The left ventricle loses its ability to contract normally. The heart can't
pump with enough force to push enough blood into circulation.
Systolic failure
The hallmark of systolic failure is a decrease in the EF. Normal EF is 55% to 60%
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PM Quizlet
NR324 CH 34 Heart Failure
7 studiers in 3 days Leave the first rating
Save
Students also studied
Flashcard sets Study guides Practice tests
14 terms 16 terms 77 terms
16
Preview Preview Preview
Terms in this set (38)
right sided vs left sided heart failure
• Arterial BP monitoring is recommended during drug infusion.
• Record baseline BP and continuously monitor during administration.
• Too rapid rate of IV infusion can reduce BP too quickly and cause
Nitropress (sodium nitroprusside) hypotension.
• Headache, dizziness, nausea, agitation, and restlessness can occur.
• Monitor thiocyanate (drug by-product) levels if infusion is
greater than 3 mcg/kg/min, as toxicity can occur.
• Monitor IV site for signs of extravasation.
Dopamine • Tissue necrosis with sloughing can occur with drug extravasation.
• High dosages may produce ventricular dysrhythmias.
• To control the rate and assist with titration, use an infusion pump
whenever you are giving IV vasodilators and inotropes.
Infusion pumps
• Ideally, pumps that contain drug libraries can help to avoid
rates and dosages that are out of the safe range for the drug being
given.
CHF is also known as Left-sided heart failure
https://quizlet.com/384925002/nr324-ch-34-heart-failure- 1/
flash-cards/ 9
, 4/3/25, 5:43 NR324 CH 34 Heart Failure Flashcards |
PM Quizlet
• Excessive hypotension and hyperkalemia may occur.
• Monitor patient for first-dose hypotension (first-dose syncope).
Captopril
• Skipping doses or discontinuing the drug can result in rebound hypertension.
• Angioedema, a rare adverse effect, can develop suddenly
and can be life- threatening.
implanted mechanical device that partially or completely replaces
VAD (ventricular assist device)
the pumping action of a failing heart
• Monitor potassium levels during treatment.
• Use with caution in patients taking digoxin, since hyperkalemia
may reduce the effects of digoxin.
Spironalactone (Aldactone)
• Instruct patient to avoid foods high in potassium (e.g., bananas,
oranges, dried apricots).
• Assess male patients for gynecomastia, a common side effect
of long-term use of spironolactone.
Protein in a plasma membrane that identifies the cell as belonging to
HLA (human leukocyte antigen)
a particular individual and acts as an antigen in other organisms.
• Overdosage can produce profound bradycardia, hypotension,
bronchospasm, and cardiogenic shock.
Carvedilol (Coreg)
• Obtain standing BP 1 hr after dosing to assess tolerance.
• Abrupt withdrawal may result in sweating, palpitations, and headaches.
• Monitor for signs of hypokalemia and hyperkalemia, since these
can increase or decrease the effects of digoxin, respectively.
• Monitor for early signs of toxicity: anorexia, nausea and
Digoxin
vomiting, fatigue, headache, depression, visual changes.
• Monitor for late signs of toxicity, such as dysrhythmias (e.g.,
bradycardia, atrioventricular block).
inability of the ventricles to relax and fill during
diastole 50% of patients with HF have HFpEF
Hypertension is the most important cause
Diastolic failure Diastolic failure is characterized by high filling pressures because of
stiff ventricles. Decreased filling of the ventricles results in
decreased stroke volume and CO. The end result of diastolic failure
is the same as systolic failure (e.g., pulmonary congestion
heart transplantation
paroxysmal nocturnal dyspnea
Pulmonary edema fluid in the air sacs and bronchioles
The left ventricle loses its ability to contract normally. The heart can't
pump with enough force to push enough blood into circulation.
Systolic failure
The hallmark of systolic failure is a decrease in the EF. Normal EF is 55% to 60%
https://quizlet.com/384925002/nr324-ch-34-heart-failure- 2/
flash-cards/ 9
