Chronic Heart Failure Toolkit Ce
Patient SD: 67 y. O. Female arrives for a medication review of cardiovascular medications and to fill a new prescription for Ibuprofen 800 mg written by PCP for chronic knee pain. Past Medical History: Depression, hypercholesterolemia, heart failure, allergies HPI: Chronic Heart Failure due to ischemic cardiomyopathy CC: Compliance with multiply daily dosing, significant light-headedness and dizziness, knee pain Medications: Captopril 12. 5mg Carvedilol 12. 5 mg Furosemide 40 mg Digoxin 0. 125 mg Spironolactone 25 mg Simvastatin 40 mg Citalopram 20 mg Potassium Cl 20 mEq Fluticasone Prop 50mcg/inhaltion
- 1.What recommendation can we make to SD’s provider in order to improve her ACEi adherence?
- A.
Discontinue captopril
- B.
Switch captopril to BID dosing instead of TID dosing
- C.
Switch captopril to lisinopril
- D.
Change captopril to losartan
- 2.What monitoring parameter is MOST important as part of treatment with spironolactone?
- A.
Complete Blood Count (CBC)
- B.
Potassium
- C.
Liver function tests (LFTs)
- D.
Chest X-ray
- 3.SD decides she wants to purchase ibuprofen over the counter instead of filling her prescription, what do you tell her?
- A.
She needs to take less than 3200 mg daily
- B.
Naproxen might be more effective in controlling knee pain
- C.
Ibuprofen and NSAIDs are contraindicated in patients with heart failure
- D.
She should avoid activity
- 4.Did the presentation meet the following learning objective: Define key terms used in the diagnosis and symptom management of heart failure.
- A.
Yes
- B.
No
- 5.Did the presentation meet the following learning objective: Explain the mechanism of heart failure disease progression.
- A.
Yes
- B.
No
- 6.Did the presentation meet the following learning objective: Describe the American College of Cardiology/American Heart Association staging of heart failure.
- A.
Yes
- B.
No
- 7.Did the presentation meet the following learning objective: Identify a typical medication profile for a patient with heart failure due to ischemic cardiomyopathy.
- A.
Yes
- B.
No
- 8.Did the presentation meet the following learning objective: List monitoring parameters for medications used in the treatment of heart failure.
- A.
Yes
- B.
No
- 9.Did the presentation meet the following learning objective: Conduct a medication management session for a patient with heart failure.
- A.
Yes
- B.
No
- 10.How would you rate the ability of the presenters to provide a high-quality educational activity?
- A.
Very capable, presentation was well-done and provided good information
- B.
Somewhat capable, most information was presented well
- C.
Needs improvement
- 11.How useful were the educational materials?
- A.
Very useful
- B.
Somewhat useful
- C.
Not useful
- 12.How effective were the learning methods used for this activity?
- A.
Very effective
- B.
Somewhat effective
- C.
Not effective
- 13.Learning assessment questions were appropriate.
- A.
Yes
- B.
No
- 14.Was the presenter free of bias?
- A.
Yes
- B.
No
- 15.If you answered "no" to question 15, please comment. If "yes", please write "NA".
- 16.Please indicate the amount of time it took you to watch the presentation and complete the assessment questions.
- 17.What is the best pharmacologic option for treating SD’s symptoms of osteoarthritis?
- A.
Acetaminophen
- B.
Ibuprofen as prescribed currently
- C.
Naproxen 220mg BID
- D.
Celecoxib 100 mg BID
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Sample QuestionWhat is not one of the main symptoms of heart failure?
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Sample QuestionWhich of the following may describe the pathophysiology of heart failure? Check all that may apply.
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