Heart Failure in Older Adult: Stage C by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C

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About the Lecture

The lecture Heart Failure in Older Adult: Stage C by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Management of Cardiovascular System Disorders in the Older Adult.


Included Quiz Questions

  1. HFrEF is defined by an ejection fraction <40%, while HFpEF is defined by an ejection fraction ≥50%.
  2. HFrEF affects primarily the right ventricle, while HFpEF affects the left ventricle.
  3. HFrEF responds to diuretics, while HFpEF does not respond to any medication therapy.
  4. HFrEF occurs only in elderly patients, while HFpEF can occur at any age.
  5. HFrEF is always caused by myocardial infarction, while HFpEF is always caused by hypertension.
  1. Switch to torsemide 20 mg once daily due to improved bioavailability and longer duration of action
  2. Increase furosemide to 80 mg twice daily to achieve more diuresis
  3. Change to hydrochlorothiazide 25 mg daily for gentler diuresis
  4. Discontinue diuretics and rely solely on fluid restriction
  5. Add a second diuretic simultaneously for synergistic effect
  1. They reduce unwanted hospitalizations and ensure care aligns with patient preferences.
  2. They reduce the need for medication adjustments.
  3. They eliminate the need for palliative care referrals.
  4. They increase the likelihood of cardiac transplantation.
  5. They require physician involvement in all healthcare decisions.
  1. It improves coordination of ventricular contractions and can stabilize heart rhythm.
  2. It replaces the need for diuretics.
  3. It eliminates the need for beta-blockers.
  4. It reverses myocardial damage from infarction.
  5. It cures heart failure in Stage C patients.
  1. Replacing the ACE inhibitor with Sacubitril/valsartan (ARNI)
  2. Increasing the dose of the current ACE inhibitor
  3. Starting a calcium channel blocker
  4. Prescribing an alpha-blocker
  5. Switching to digoxin monotherapy
  1. A structured care plan including medication optimization, cardiac rehab, and education on daily weights.
  2. Recommending bedrest for a full month.
  3. Tripling all medication doses to prevent symptoms.
  4. Stopping all medications and restarting later.
  5. Avoiding physical activity to preserve heart function.

Author of lecture Heart Failure in Older Adult: Stage C

 Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C

Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C


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