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WorksheetsCongestive Heart Failure
Total questions: 16
Worksheet time: 8mins
_______ Heart Failure is associated with LVEF </= 40%, a decrease in myocardial contractility and dilated cardiomyopathy
Systolic
Diastolic
_______ Heart Failure is associated with LVEF > 40% a decrease relaxation and/or filling, and hypertrophic cardiomyopathy.
Systolic
Diastolic
Systolic Heart Failure is a problem with the hearts ability to _______
Fill / relax
Pump / contract
Diastolic Heart Failure is a problem with the hearts ability to _______
Fill / relax
Pump / contract
On examination a patient presents with hepatosplenomegaly, dependent, pitting edema and JVD. What type of heart failure do you suspect they have?
Left sided
Right sided
On examination a patient presents with a frequent, new cough, bibasilar crackles and a S3 sound. What type of heart failure do you suspect they have?
Left sided
Right sided
Another name for Right sided heart failure
Aortic Stenosis
Cor Pulmonale
Systolic Heart Failure
Pulmonary Edema
A patient with congestive heart failure who is on Lasix, Digoxin and Potassium supplements must be evaluated carefully for:
Hypokalemia
Hyperkalemia
Digoxin toxicity
All of the above
In congestive heart failure, the body attempts to maintain normal perfusion of vital organs by:
Decreasing force of contraction
Excreting sodium and water
Increasing heart rate
Decreasing venous return
All of the following would indicate right ventricular failure EXCEPT:
Hepatosplenomegaly
Bilateral moist crackles
Dependent, pitting edema
Jucular venous distention
Which of the following are signs of predominant left ventricular failure?
paroxysmal nocturnal dyspnea, ascites and hepatomegaly
S3, frequent new cough, shortness of breath, bibasilar crackles
Pedal edema, ascites, and hepatomegaly
Chest pain, elevated ST segment and tachyarrhythmias
Sudden development of dyspnea and sinus tachycardia in an acute renal failure patient would most likely indicate which of the following?
Hyperkalemia
Pulmonary embolism
Fluid overload
Infection
A drug that increases myocardial contractility
Diltiazem (Cardizem)
Verapamil (Calan)
Metoprolol (Lopressor)
Dobutamine
Drugs which decrease preload include:
Diuretics, nitrates
Bronchodilators
Volume expanders
Sympathomimetics
Mrs. OJ has been on home dialysis for 5 years. She drank a gallon of orange juice that she bought on sale at Costco. She is admitted to Telemetry with CHF and fluid overload. Blood sent to the lab for analysis shows: NA: 116, K 7.4. She is aggressively dialyzed to remove the excess K and fluid. Her K level is rechecked and is 2.2. Her ECG shows tall peaked T waves in all 12 leads. Due to her low K level and peaked T waves, what is she at risk for developing?
Carpal-pedal spasms
Hypertensive crisis
Seizures
Ventricular dysrhythmias
The desired effect from the use of diuretics in the patient with acute left ventricular failure is to:
Reduce ventricular preload
Assure renal function
Lower the serum potassium
Increase cardiac output
