Pharmacology and Heart Failure Management

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Questions and Answers

What is a characteristic symptom of right-sided heart failure?

  • Increased stroke volume
  • Pulmonary congestion
  • Left atrial distention
  • Dependent edema (correct)

Which of the following is the primary cause of left-sided heart failure?

  • Fluid retention
  • Vein distention
  • Muscle dystrophy
  • Hypertension (correct)

What does preload refer to in cardiac physiology?

  • Blood volume in the arteries
  • Resistance to ventricular ejection
  • Pressure in the heart before contraction (correct)
  • Rate of heart contraction

What is the mechanism of action of statins?

<p>Inhibit HMG-CoA reductase (D)</p> Signup and view all the answers

What serious complication should be reported when taking statins?

<p>Hepatotoxicity (C)</p> Signup and view all the answers

What is the primary purpose of cholestyramine?

<p>Bind bile acids to reduce LDL levels (B)</p> Signup and view all the answers

How should cholestyramine be administered in relation to other medications?

<p>2 hours before or 4 hours after medications (B)</p> Signup and view all the answers

What is a side effect of gemfibrozil?

<p>Rhabdomyolysis (B)</p> Signup and view all the answers

What is the mechanism of action of Ezetimibe?

<p>Inhibits absorption of cholesterol in the small intestine (D)</p> Signup and view all the answers

What condition is Alirocumab primarily used to treat?

<p>Hypercholesterolemia (B)</p> Signup and view all the answers

Which side effects are commonly associated with ACE-1 inhibitors?

<p>Dizziness, Orthostatic Hypotension, and Cough (D)</p> Signup and view all the answers

What is a common adverse effect of Alirocumab?

<p>Flu-like symptoms (D)</p> Signup and view all the answers

What is the primary function of Furosemide in heart failure management?

<p>Remove excess fluid to prevent heart failure exacerbation (A)</p> Signup and view all the answers

Which condition contraindicates the use of Carvedilol?

<p>Asthma and bronchospastic disorders (D)</p> Signup and view all the answers

What should be monitored before administering Digoxin and a beta blocker?

<p>Heart rate and blood pressure (C)</p> Signup and view all the answers

What are nursing considerations for managing heart failure related to weight monitoring?

<p>Report an increase of 2 lbs a day or 5 lbs a week (B)</p> Signup and view all the answers

Flashcards

Right-sided HF

Right heart failure results in dependent edema, vein distention, and fluid retention.

Left-sided HF

Common type of heart failure, often caused by left ventricular dysfunction (e.g., MI, hypertension, CAD, cardiomyopathy). It leads to a backup of blood into the left atrium and pulmonary veins.

Preload

The pressure in the heart before contraction, related to blood volume.

Afterload

Resistance to blood ejection from the ventricle.

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Statin MOA

Statins inhibit HMG-CoA reductase, reducing LDL production in the liver.

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Statin Use

Statins are used to manage high cholesterol.

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Statin Complications

Statins can cause hepatotoxicity (liver damage) and rhabdomyolysis (muscle breakdown).

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Cholestyramine MOA

Binds to bile acids, reducing their reabsorption and thus lowering cholesterol.

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Ezetimibe MOA

Inhibits cholesterol absorption in the small intestine.

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Ezetimibe use

Used to lower cholesterol levels.

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Alirocumab MOA

A PCSK9 inhibitor that binds to LDL receptors on the liver.

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Alirocumab Route

Administered subcutaneously (subQ).

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ACE-1 Inhibitor Examples

Captopril, Lisinopril, and Enalapril are examples of ACE-1 inhibitors.

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ACE-1 Inhibitor Actions

Reduce blood pressure, afterload, preload, and improve cardiac output.

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HF Treatment Strategies

Furosemide, thiazides, and spironolactone treat HF by removing excess fluid, preventing exacerbation.

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Digoxin's Action

Increases heart contractions and force, decreasing heart rate.

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Related Documents

Pharm EXAM 3.pdf

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