Term
| When does congested Heart failure occur? |
|
Definition
| heart can no longer pump enough blood to meet body's energy requirements |
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Term
| Is congested heart failure a manifestation or a disease? |
|
Definition
|
|
Term
| What medications are used in clients with CHF |
|
Definition
| vasodilators**diuretics**digoxin |
|
|
Term
| Digoxin (lanoxin): Elixir=? |
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Definition
|
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Term
| How is the infant dose of Digoxin calculated? |
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Definition
|
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Term
| When do you question the dose of Digoxin? |
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Definition
|
|
Term
| What is the therapeutic level of Digoxin? |
|
Definition
|
|
Term
|
Definition
| Hold durg if pulse is less than 90-110 in infant and 70 in older child |
|
|
Term
| what enhances the effect and increases risk of toxicity of a child taking Digoxin? |
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Definition
|
|
Term
| Signs of Digoxin Toxicity |
|
Definition
| Bradycardia (VERY low pulse), prolonged p-r interval, nausea and vomiting (most common in child), holos around objects, headache, dizziness and confusion |
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Term
| Fluid volume access related to congestive heart failure: what are your nursing priorities? |
|
Definition
| monitor serum electrolytes for fluid volume overload and CHF (especially potassium) |
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Term
| What medication would you give if child gets periorbital edema and increase in wt gain of >50g/day |
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Definition
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Term
| Medications for Afterload Reduction Vasodilators? |
|
Definition
| ACE inhibitors, Capoten (captopril), Vasotec(enalapril) |
|
|
Term
| Afterload Reduction Vasodilator: Capoten (captopril) how many times a day? |
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Definition
|
|
Term
| Why is capoten (captopril) used in infants and young children? |
|
Definition
| can be given in small doses |
|
|
Term
| Side effects of capoten (captopril) |
|
Definition
| hypotension, renal dysfunction and cough |
|
|
Term
| How often is vasotec (enalapril) |
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Definition
|
|
Term
| Diuretics used for preload reduction? |
|
Definition
| Furosemide (lasix), Chlorothiazide sodium (Diuril) and Spironolactone (Aldactone) |
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Term
| Out of Furosemide (lasix), chlorothiazide sodium (Diuril) and Spironolactone (Aldactone) which is a potassium sparing diuretic? |
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Definition
| Spironolactone (Aldactone) |
|
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Term
| When giving Spironolactone (Aldactone) what do you assess for? |
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Definition
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