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Transcript

QUIZ

start

TRIVIA

Heart Failure edition

QUESTION 1

Explanation

ACE inhibitors prevent conversion of Angiotensin 1 to Angiotensin IIPromote scretion of Sodium and WaterImproves BP by assisting Left Ventricle to relaxGive 1 hour Prior to Food (food decreases drug absorption) Most Common Side Effect Persistent Dry Non- Productive Cough-watch for dizziness, hypotension, and fatigue

QUESTION 2

Explanation

ARB medications interfere with the Angiotensin Renin Aldosterone systemARBs are prescribed for patients who cannot tolerate ACE inhibitors and who have HF after an MI with a left ventricular ejection fraction (EF) of less than 40%Give with Food or at bedtime

QUESTION 3

Explanation

Aldosterone Antagonists are K+ sparingNeed to monitor creatinine and K+ levels Hold if creatinine > 1.6 mg/dL or K+ > 5 mEq/L

QUESTION 5

Explanation

Beta Blockers block the release of adrenaline and noradrenaline which helps to decrease the activity (rate) of the heartEntresto increase peptide levels to relax blood vessels and decrease Na and fluid in the body, lowers blood pressure by reducing Na levels Monitor for hyperkalemia signs & symptoms, dizziness, and extreme fatigue May need to limit K+ rich foods

QUESTION 7

Explanation

Digoxin

  • Can be used for HF and Atrial Fib
  • Controls ventrivular rate in A-Fib
  • Patient teaching includes Dig Toxicity- loss of appetite, N&V, diarrhea, vision changes
Opiates
  • Used in end stage to relieve dyspnea
  • Titrate to maintain O2 saturation 95% or >
  • Sit upright
  • Monior RR and Pattern, LOC
Potassium Supplements
  • Used to prevent/treat hypokalemia
  • Watch when given with ACE inhibitors, ARBs, Dig, Heparin, Potassium-sparing diuretics as it can cause hyperkalemia

QUESTION 8

Explanation

Furosemide is the most common diuretic prescribedActions of Furosemide include K+ sparing, loop dieurtic & thiazideNursing considerations include orthostatic changes, hold if SBP < 90, monitor K+, GFR, and Creatinine, signs and symptoms of Hypokalemia & dehydration

End of the quiz!

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