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What is included in hemodynamic monitoring of heart failure?
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-Cardiac output-stroke volume-preload (end of diastole filling)-contractility-afterload (pump out)
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What is preload and what afterload?
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D
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The inability of the heart to pump adequate blood to meet the metabolic needs of the body is the definition of what?
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Heart Failure
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Heart failure is associated with...?
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Long-standing hypertension-coronary artery diseaseacute coronary syndromes (ACS)unstable anginamyocardial infarction (MI)incompetent valvesinflammatory conditionscardiomyopathypulmonary hypertension
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Left of right sided heart failure?restlessness, confusion, orthopnea
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Left sided
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Left of right sided heart failure?Increased peripheral venous pressure, ascites
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Right sided
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Left of right sided heart failure?enlarged liver and spleen, distended jugular vein
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Right sided
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Left of right sided heart failure?pulmonary congestion; cough, crackles, wheezes, blood tinged sputum, tachypnea
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Left
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Left of right sided heart failure?Tachycardia, exertional dyspnea, cyanosis
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Left sided
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Left of right sided heart failure?May be secondary to chronic pulmonary problems
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Right sided
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Left of right sided heart failure?Paroxymal nocturnal dyspnea, elevated pulmonary capillary wedge pressure
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LEFT
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Left of right sided heart failure?anorexia and complaints of GI distress
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Right
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Left of right sided heart failure?weight gain, dependent edema
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RIGHT
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What is the most common cause of heart failure?
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Systolic failure
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What would you see with a systolic failure?
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Decrease in the left ventricular ejection fraction (EF)Impaired contractile function (MI)Increased afterload (HTN)CardiomyopathyMechanical abnormalities (valve disease)
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