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Flashcards

Chronic Heart Failure

samanthahadley Nursing 2nd Year English 14 cards

Cards in this deck (14)

  1. 1What is the pathophysiology behind CHF?A cardiac dysfunction that impairs the ability of ventricles to fill or eject blood.
  2. 2What areas of the heart does it effect?One or both ventricles
  3. 3What occurs during Systolic Heart Failure.- Impaired ventricular contraction.
    - Decreased ejection of blood out of the ventricles.
  4. 4What occurs during Diastolic Heart Failure?- Ventricular hypertrophy.
    - Decreased ventricular relaxation -> less blood fills the ventricles.
  5. 5What is ventricular hypertrophy?Thickening of ventricular walls
  6. 6What is the prevalence of CHF?10% adults >65 years old
    1 out of 5 people
  7. 7What are the causes of CHF?- Coronary artery disease
    - Chronic heart disease
    - Hypertension
    - Diabetes
    - Obesity
    - Alcohol consumption
    - Uncontrolled atrial fibrillation
  8. 8What are some factors that can exacerbate CHF?- Poor compliance with management
    - Anaemia
    - Co-exisiting infections e.g. Pneumonia
    - Excess alcohol
    - Pulmonary embolism
    - Excess salt intake
  9. 9What is the primary care for CHF?Early screening and prevention
  10. 10What is secondary care for CHF?The prevention of progression AND pharmacotherapy to improve symptoms
  11. 11What is tertiary care for CHF?- Pharmacotherapy
    - Secondary prevention after MI
    - Intensive home monitoring to prevent progression and clinical event.
  12. 12What are some symptoms of CHF?- Dyspnea (SOB) with exertion or minimal activity.
    - Fatigue
    - Oedema
  13. 13What is the sympathetic nervous system response to CHF?Cardiac output maintained via vasoconstriction + increased heart rate.
  14. 14What is the effect of the sympathetic nervous system response on CHF?Effective in the short term but increase in preload and afterload reduces cardiac output -> further ventricular dysfunction.

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2nd Year Nursing (Marla's Paper) Flashcards on Chronic Heart Failure, created by samanthahadley on 27/05/2016.
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samanthahadley
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