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CHF and Cardiomyopathy

This activity will test your knowledge of systolic vs. diastolic failure, left vs. right sided failure, treatments for CHF, and the types of cardiomyopathies.

AB
Heart failure characterized by inability of the heart to pump bloodSystolic failure
Heart failure characterized by an impaired ability of the ventricles to fill during diastoleDiastolic failure
The hallmark of systolic dysfunction is a decrease in the left ventricular _____ _____Ejection fraction
Enlargement of the heart chambersDilation
An increase in the muscle mass and cardiac wall thickness in response to overwork and strainHypertrophy
The most common form of initial heart failureLeft sided failure
Blood backs up into the left atrium and pulmonary veins in this type of heart failureLeft sided failure
Backward blood flow to the right atrium and venous circulationRight sided failure
Peripheral edema and weight gain are signs of thisRight sided failure
Dependent part edema, ascites, and anasarca are signs of thisRight sided failure
JVD is a sign of thisRight sided failure
Hepatomegaly and splenomegaly are signs of thisRight sided failure
A condition in which the lung alveoli become filled with serosanguinous fluidPulmonary edema
A displaced PMI is a sign of thisLeft sided failure
Crackles may be a sign of thisLeft sided failure
Dyspnea and orthopnea are symptoms of thisLeft sided failure
Pulmonary edema is a symptom of thisLeft sided failure
Wheezing, coughing, and frothy, blood tinged sputum may accompany thisPulmonary edema (Left sided failure)
A complication of CHF, results from increasing pressue in the pleural capillariesPleural effusion
A complication of CHF, caused by alterations in the normal electrical pathwayArrhythmias (Atrial fib and VT/VF are common)
Used to treat CHF, reduces preload, may be given quickly by IV bolusLoop diuretics (Lasix and Bumex)
A goal of CHF treatment: to ______ intravascualar volumeDecrease
A goal of CHF treatment: to _____ venous return (preload)Decrease
A goal of CHF treatment: to _____ afterloadDecrease
First line drug for CHF- causes vasodilation, Na and H2O excretion, Side effects include hypotension and chrronic coughACE Inhibitors
Drugs that improve cardiac contractility to increase cardiac outputInotropic drugs
Useful for CHF with atrial fib to increase the force of contraction and lower the heart rateDigoxin
Most common type of cardiomyopathyDilated cardiomyopathy
Characterized by cardiomegaly with ventricular dilation, impairment of systolic function, atrial enlargement, and stasis of blood in the LVDilated cardiomyopathy
Most people with dilated cardiomyopathy eventually develop symptoms of thisCHF
Interventions for dilated cardiomyopathy focus on controlling what?CHF
Charcterized by asymmetric myocardial hypertrophy without ventricular dilationHypertrophic cardiomyopathy
Type of cardiomyopathy often seen in young healthy people, including athletesHypertrophic cardiomyopathy
Another name for hypertrophic cardiomyopathyIdiopathic hypertrophic subaortic stenosis (IHSS)
The least common cardiomyopathy; the ventricles can't stretch to fillRestrictive cardiomyopathy


Nursing Instructor
Milwaukee Area Technical College
WI

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