Heart Failure (ch 121)
Congestive heart failure (CHF) risks
CHF typical presentation
NYHA Classification of CHF
AHA/ACC 2009 –
... [Show More] staging system of heart
HFrEF stands for
HFpEF stands for
HFmrEF stands for
CHF Diagnosis orders
CHF treatment & management
CHF treatment & management : ACE targets
CHF treatment & management : Beta blocker targets
**CHF treatment & management : 2016 guidelines**
ARNI – ARB combined w neprilysin
Other management guidelines for CHF
Top 10 challenges of CHF management
High Cholesterol ( ch 211)
Hyperlipidemia LDL-C (mg/dL)
Triglycerides (mg/dL) HDL-C
10-year ASCVD risk (IB) assessment
Lifetime ASCVD risk assessment
Other tests of value for ASCVD assessment
Lifestyle recommendations forASCVD prevention
TLC for hyperlipidemia ; Nutrition
Exercise recommendations for hyperlipidemia/BP
Primary prevention for ASCVD; Statin Medications
Secondary prevention for ASCVD; Statin Medications
What do you assess prior to starting Statin therapy
Common secondary causes of hyperlipidemia
Complimentary medicine for hypercholesterolemia
Co-enzyme Q 10 doses
interpret labs and ASCVD risk assessment:
HTN- (ch 122)
Define hypertension, both systolic and diastolic
Differentiate between:
Discuss the prevalence of primary and secondary hypertension in this country
Discuss the procedure for obtaining an accurate blood pressure
Compare office blood pressure to ambulatory blood pressure monitoring and home monitoring in the diagnosis and treatment of hypertension
Outline and explain each portion of the work-up for the patient with primary and secondary hypertension. Include important aspects of:
Formulate treatment goals for hypertension
Manage the treatment of hypertension including lifestyle modification and pharmacologic therapy based on the JNC 7 algorithm
Describe the following for Thiazide-diuretics:
Describe the following for Beta-Blockers:
Describe the following for Ca Channel Blockers:
Describe the following for ACE-Inhibitors:
Describe the following for Aldosterone antagonists:
Discuss the use of Osteopathic Manipulation in the treatment of hypertension
Outline follow-up visits for the treatment of hypertension
What are causes of secondary hypertension? (hint ABCDE)
Define hypertension for children and adolescents
Discuss the relationship between BP & CVD
What specific questions should you ask during the history?
What specific questions should you ask during the review of systems?
What specifically should you look at when performing a physical exam on a pt whom you suspect has HTN
Describe what lab and diagnostic tests would be useful to determine cause of secondary hypertension?
Describe recommended lifestyle modifications
Error! Filename not specified.
Discuss the treatment of hypertension in special groups such as:
Describe the favorable outcomes for drug considerations in treatment of HTN
Describe the unfavorable outcomes for drug considerations in treatment of HTN
Define resistant hypertension
List possible reasons for resistant hypertension
Discuss patient compliance for treatment of HTN
Differentiate secondary causes of hypertension based of clinical presentation:
Discuss the treatment of hypertension in special groups such as:
MI- ( ch 120)
Types of MI
Anterior wall MI
Septal Wall MI
lateral wall MI
Inferior wall MI
RV infarction
Symptoms of MI
5 components of Pain Assessment
Diagnositc Test for MI
Tx and *N intervention for MI
Drug therapy for MI
Additional *N care for MI
Discharge planning for MI
PE (pulmonary embolism)
Define PE: Pulmonary Embolus.
What does it reduce?
What do the effects produce?
Blockage of pulmonary arteries by thrombus, fat or air embolus, or tumor tissue and Obstructs alveolar perfusion is what condition?
Pulmonary embolism most commonly affect what lobes?
What are risk factors for pulmonary embolism?
What is the most common symptom of pulmonary embolism(PE)?
S/S of PE are dependent on size and extent of?
Alveolar necrosis and hemorrhage, Abscess, and Pleural effusion are s/s is from what complication that can happen from PE?
What complication from PE Results from hypoxemia associated with massive or recurrent emboli and Right ventricular hypertrophy?
… for PE gets Elevated with any clot degradation and False negatives with small PE?
What diagnostic test is used most frequently for dx test and requires IV contrast media?
What diagnostic test is used if pt can’t have contrast?
… test is the most sensitive but invasive?
______ is key for PE?
Collaborative care for PE:
Goals of treatment for PE:
Examples of supportive care for PE?
Examples of fibrinolytic agents used for PE?
What surgical therapy should be used for a massive PE?
What surgical therapy prevents migration of clots in pulmonary system?
Nursing management for PE:
What should a nurse teach to a pt with PE?
Evaluation: [Show Less]