Module 7 CV Dysfunction Heart Failure and Cardiogenic Shock Part 2

What is a primary characteristic of heart failure associated with an anterior myocardial infarction (MI)?

Which class of medications is typically used first-line to manage heart failure symptoms secondary to fluid overload?

In the context of treating heart failure, when is digoxin typically considered as an adjunct therapy?

For severe cases of cardiogenic shock, what mechanical circulatory support device is used?

What primary hemodynamic effect is achieved by the inflation of an intra-aortic balloon pump (IABP) during diastole?

A patient with refractory ventricular arrhythmias and cardiogenic shock post-MI is being considered for IABP therapy. Which factor would most likely contraindicate the use of an IABP in this scenario?

In caring for a patient with an intra-aortic balloon pump (IABP), what clinical finding would warrant immediate intervention?

What is the primary goal of using a Ventricular Assist Device (VAD) in the context of long-term management of heart failure?

Which of the following nursing interventions is most critical in the management of a patient with a long-term Ventricular Assist Device (VAD)?

In setting up an Extracorporeal Membrane Oxygenation (ECMO) circuit, which cannulation strategy is most appropriate for providing both cardiac and respiratory support?

A patient on ECMO suddenly exhibits signs of increased bleeding from the cannulation site and widespread petechiae. Which complication is most likely occurring?

What is the likely consequences of an anterior MI?

When are aldosterone inhibitors added to the drugs used for heart failure?

What is the initial goal when using loop diuretics?

Besides loop diuretics, what other drug is used for early treatment of heart failure?

What is the first-line treatment for severe cases of heart failure?

What are the indications for IABP

A patient post-cardiac surgery develops sudden hypotension and signs of low cardiac output. An IABP is inserted. What is the MOST immediate expected outcome of IABP therapy in this scenario?

Which IABP arrhythmia is an indication for procedures/anesthesia prophylaxis?

After IABP insertion, a patient complains of new-onset left leg numbness and weakness. What is the priority nursing intervention?

Which factor is MOST crucial when managing a patient receiving long-term support with a Ventricular Assist Device (VAD)?

A patient with a VAD is scheduled for a minor surgical procedure. What is the MOST important consideration regarding their anticoagulation therapy?

A patient on ECMO exhibits a sudden drop in oxygen saturation and increased respiratory distress. What initial action should the nurse take?

In VA ECMO, where are the cannulas placed?

The patient has a complication of AMI in which there is a rupture of the papillary muscle; which treatment is MOST appropriate?

The patient has unstable angina. Which treatment is appropriate to try before maximal medical intervention?

What lab values should nurses monitor for vascular complications in IABP?

What is the importance of weaning for IABP?

What should nurses educate a patient about following the use of a long-term ventricular assist device?

Due to the increased risk of vascular complications while using IABP, which factors will be most important to monitor? (Select all that apply)

A patient with a history of heart failure and recent anterior MI is admitted with acute respiratory distress. Auscultation reveals diffuse crackles bilaterally. What is the MOST appropriate initial intervention?

A patient on continuous ECG monitoring post-MI suddenly develops ventricular tachycardia with a blood pressure of 70/40 mmHg. The patient is lethargic. What is the FIRST action the nurse should take?

A patient is being treated for cardiogenic shock with an IABP. Which assessment finding would suggest that the IABP therapy is effective?

What is the role of dobutamine when used in the treatment of early heart failure?

Several days post-MI, a patient develops shortness of breath and a new holosystolic murmur. An echocardiogram reveals mitral regurgitation due to papillary muscle rupture. What intervention is MOST likely indicated?

A patient with a VAD suddenly becomes hypotensive and unresponsive. The VAD alarms are sounding, indicating low flow. What is the PRIORITY intervention?

A patient on VA ECMO develops progressive oliguria and a rising creatinine level. What is the MOST likely cause?

What are the best ways to maintain IABP care (Select all that apply)

When is early treatment with Dobutamine best used for treating heart failure?

What is the best way to treat heart failure with anterior MI?

How can certain beta blockers help treat heart failure?