Anesthesia Pharmacology: Congestive Heart Failure Practice Questions
Click on the correct answer.
In considering acute decompensated heart failure (ADHF) and volume management, choose the correct statement(s).
- IV diuretic administration may relieve heart failure symptoms both rapidly and effectively.
- In long-term management, patients receiving a loop diuretic may benefit by the addition of a thiazide-class drug, e.g. metolazone.
- Both
- Neither
In ADHF, improvement of myocardial contractility is likely beneficial and may be accomplished by which one(s) of the following agents?
- Direct-acting agents such as dobutamine may be helpful
- An indirect-acting agent, such as a phosphodiesterase-3 inhibitor, may be helpful
- Both
- Neither
For patients receiving a ß-adrenergic antagonist upon hospital admission for ADHF, which one of the following agents would be preferable?
- Dobutamine
- Milrinone
Long-term administration of positive inotropic drugs in ADHF increases mortality.
- True
- False
Primary indications for inotropic agents (agents which increase myocardial contractility) in the ADHF setting is that of :"
- bridge therapy" to transplant or left ventricular assist device implantation.
- Palliation in end-stage heart failure.
- Both
- Neither
Short-term use of inotropic agents in acute decompensated heart failure (ADHF) is:
- Correlated with increased risk of arrhythmia
- Hypotensive responses
- Both
- Neither
In comparing ultrafiltration, technique of fluid removal for ADHF patients with pharmacological intervention:
- A major clinical study suggested that more severe adverse events were found in the ultrafiltration group.
- Using serum creatinine evels as an end point, higher creatinine levels (worse) were noted in the ultrafiltration group.
- Both
- Neither