Midterml Exam:l NRl 601/l NR601l (Latestl
2026/l 2027l Update)l Primaryl Carel ofl thel Maturingl &l Agedl Familyl Practicuml Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain
Q:l Kl sparingl diuretics
Answer:
Correctsl orl protectsl froml reducedl K Spironolactonel (Antil androgenl SE) Combol orl Mono
Q:l Loopl Diuretics
Answer:
Canl reducel K usel inl CHFl andl Edema Combol ofl Mono furosemide
Q:l ACE-I
Answer:
Monol orl Combol withl diuretic canl increasel K avoidl inl bilaterall renall arteryl stenosis Renall protective Cardioprotective Lisinopril
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Q:l ARB
Answer:
Monol orl Combol withl Diuretic,l CCB,l orl Betal Blocker Canl increasel K Renall Protective Cardiol Protective Losartan
Q:l Aldosteronel Antagonist
Answer:
Alonel orl inl Combol withl Thiazide Goodl withl primaryl orl resistantl HTN goodl withl HFl whenl givenl withl ACE,l DIG,l Loop Cardioprotective Spirolactone
Q:l Calciuml Channell Blocker
Answer:
contraindicatedl inl HF Amlodipinel (dihydropyridine)l reducesl systemicl vascularl resistance
Q:l Alphal Adrenergicl Blockers
Answer:
Monol orl inl Combo Alsol Txl BPH,l pheochromocytoma Prazosin,l Terazosinl (tamsulosinl isl urinaryl selectivel andl doesl notl treatl HTN)
Q:l Sympatheticl Agents
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Answer:
goodl withl autonomicl neuropathy,l widel BPl variations,l andl baroreceptorl denervation
clonidine,l methyldopa,l guanfacine
Q:l Directl vasdilator
Answer:
mostl effectivel ifl givenl withl diureticl orl betal blocker Canl causel Lupusl likel sx Hydralazine
Q:l Betal Blocker
Answer:
enhancesl whenl givenl withl diuretic goodl forl increasedl HR Cardioprotective metoprolol
Q:l Newl Onsetl Vsl Latel Onsetl HFl Sx
Answer:
New:l Increasedl BP
Late:l lowl BPl withl narrowl pulsel pressurel withl rapidl threadyl pulsel andl possiblel Cheyennel stokes
Q:l Whatl isl heartl failurel secondaryl too
Answer:
ischemicl heartl disease,l valvel disease,l cardiomyopathy,l DM,l CKD,l arrythmia
Q:l typesl ofl heartl failure 3 / 4
Answer:
Reducedl ejectionl fractionl =l EFl =l tol 40%l (dilatedl r/tl fluidl overload) Preservedl ejectionl fractionl =l EFl >/=l 50%l (increasedl massl r/tl pressurel overload
Q:l Whatl doesl al Ql wavel signify
Answer:
ischemicl heartl diseasel andl permenantl damage
Q:l Educationl forl heartl failure
Answer:
2lb/Dl 5lb/W,l Na2g,l 1.5FR,l exercise,l txl sleepl apnea,l Anemia,l Arrythmia,l DM
Q:l Medsl forl HFpEF
Answer:
nonel withl goodl evidence,l somel limitedl evidencel forl aldosteronel antagonistl (spirolactone)
Q:l Medsl forl HFrEFl extended
Answer:
-ACEl orl ARBl tol reducel afterloadl (digl orl hydralazinel ifl notl tolerated) -Betal blockerl tol reducel remodeling -Diureticl tol reducel preload -ARNIl isl newl andl promisingl (sacubitril/valsartanl [entresto])l -SGLT-2l inhibitorsl arel cardioprotectivel andl reducel progressionl (invokana,l fariga,l jardiance) -CCBl arel contraindicated
Q:l Ideall medsl forl HFrEF
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