Heart Failure in Older Adult: Stage C
Über den Vortrag
Der Vortrag „Heart Failure in Older Adult: Stage C“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Management of Cardiovascular System Disorders in the Older Adult“.
Quiz zum Vortrag
What is the primary difference between heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF)?
- HFrEF is defined by an ejection fraction <40%, while HFpEF is defined by an ejection fraction ≥50%.
- HFrEF affects primarily the right ventricle, while HFpEF affects the left ventricle.
- HFrEF responds to diuretics, while HFpEF does not respond to any medication therapy.
- HFrEF occurs only in elderly patients, while HFpEF can occur at any age.
- HFrEF is always caused by myocardial infarction, while HFpEF is always caused by hypertension.
Which medication change would be most appropriate for an older adult with recurrent heart failure exacerbations who is currently taking furosemide 40 mg twice daily?
- Switch to torsemide 20 mg once daily due to improved bioavailability and longer duration of action
- Increase furosemide to 80 mg twice daily to achieve more diuresis
- Change to hydrochlorothiazide 25 mg daily for gentler diuresis
- Discontinue diuretics and rely solely on fluid restriction
- Add a second diuretic simultaneously for synergistic effect
What is a key benefit of early advance care planning discussions in patients with heart failure?
- They reduce unwanted hospitalizations and ensure care aligns with patient preferences.
- They reduce the need for medication adjustments.
- They eliminate the need for palliative care referrals.
- They increase the likelihood of cardiac transplantation.
- They require physician involvement in all healthcare decisions.
What is the purpose of cardiac resynchronization therapy (CRT) in heart failure management?
- It improves coordination of ventricular contractions and can stabilize heart rhythm.
- It replaces the need for diuretics.
- It eliminates the need for beta-blockers.
- It reverses myocardial damage from infarction.
- It cures heart failure in Stage C patients.
Which medication regimen represents guideline-directed medical therapy for a patient with recurrent heart failure exacerbations previously managed with an ACE inhibitor?
- Replacing the ACE inhibitor with Sacubitril/valsartan (ARNI)
- Increasing the dose of the current ACE inhibitor
- Starting a calcium channel blocker
- Prescribing an alpha-blocker
- Switching to digoxin monotherapy
Which of the following best supports reducing hospital readmissions following discharge for heart failure?
- A structured care plan including medication optimization, cardiac rehab, and education on daily weights.
- Recommending bedrest for a full month.
- Tripling all medication doses to prevent symptoms.
- Stopping all medications and restarting later.
- Avoiding physical activity to preserve heart function.
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Dozent des Vortrages Heart Failure in Older Adult: Stage C
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Dr. Kim Posey is the Director of Graduate Nursing and an Associate Professor of Professional Practice at Texas Christian University.
She has achieved dual doctoral status, holding both a Ph.D. and a DNP in nursing. She is dual certified as an Advanced Adult Nurse Practitioner and Gerontological Nurse Practitioner and holds a certification in nursing education. As a Gerontological Specialist certified by the Gerontology Nursing Certification Commission she is recognized as an APRN who possesses expert knowledge, experience, and skill in managing the complex health needs of older adults. In addition to this impressive educational background, she maintains active clinical practice with adult and geriatrics patients in the primary care area.
At Lecturio, Dr. Posey teaches Gerontology for the advanced practice nurse.
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