Frank-Sterling Law
Contractility of the myocardial muscle is influenced by the amount of blood within the ventricles at before systole. (High-end diastolic volume stretches the myocardium, increasing the force of each contraction)
Treatment for increased CVP
‘-ide’ medications
1 Treatment for worsening HF
‘-ide’ medications
HOPE + indication
For worsening HF
(H)ead of bed elevated
(O)xygen
(P)ush furosemide + morphine
(E)nd sodium and fluid
Lifestyle Changes (DRBEDSS)
(D)iet= Low sodium
(R)isk for falls
(B)P & BNP= low numbers
(E)levate HOB
(D)aily weights
(S)ex= after 2 flights of stairs w/ no SOB
(S)tockings
Medication Classes (ABCDDD)
(A)CEI / ARBs/ ARNIs
(B)eta blockers
(C)allium channel blockers
(D)ilators
(D)igoxin
(D)iuretics
ACEI / ARBs / ARNIs Job
Lowers BP
ACEIs / ARBs / ARNIs nursing considerations
Hold for decreased BP
ACEIs / ARBs / ARNIs side effects (AACE)
(A)void pregnancy
(A)ngioedema
(C)ough
(E)levated Ka+
Betablockers job
Lowers HR and BP
Betablockers nursing considerations
Always check HR + BP before giving
Betablockers side effects (BBBB)
(B)radycardia + hypotension
(B)reathing problems in asthma + COPD
(B)ad in worsening HF
(B)lood sugar masking
Calcium Channel Blockers job
Lowers HR + BP
Calcium Channel Blockers nursing considerations (CCB)
(C)heck HR + BP before giving
(C)hange positions slowly
(B)ad headaches
Digoxin job
Lower HR
Which patients are most @ risk for toxicity
(1) Pts on potassium wasting diuretics
(2) Kidney failure patients
Vasodilators side effects
(1) Headaches
(2) Hypertension
(3) Hot flushing “facial redness”
Vasodilator nursing considerations
(1) Slow position changes
(2) Always check BP
Potassium sparing diuretics
(1) Spironalactone
Potassium wasting diuretics
(1) Furosemide
(2) Hydrochlorothiazide
Diuretics side effects (DDD)
(D)ecreased BP
(D)rains fluid
(D)ehydrates
Diuretics nursing considerations (BRBP)
(B)p (hold for decreased)
(R)enal insufficiency (use w/ caution)
(B)UN + Creatinine
(P)otassium imbalances
Abnormal Weight Gain
(1) 3lbs/day
(2) 5lbs/week
