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
Correct Answer
C. Switch captopril to lisinoprilExplanation
Captopril is dosed three times daily. Lisinopril is also an approved ACE-inhibitor for CHF, but it is only dosed once daily. Changes such as these can greatly reduce patient pill burden, thereby increasing adherence.Rate this question:
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- 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
Correct Answer
B. PotassiumExplanation
Electrolytes, particularly potassium, should be checked at baseline 7 within 1 week of initiation and any changes in dose. Spironolactone (and eplerenone) are potassium sparring diuretics. Physical signs of hyperkalemia may include muscle weakness.Rate this question:
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- 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
Correct Answer
C. Ibuprofen and NSAIDs are contraindicated in patients with heart failureExplanation
Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) can have negative effects on the cardiovascular system, including increasing the risk of heart failure or worsening existing heart failure. Therefore, it is important to inform SD that ibuprofen and NSAIDs are contraindicated in patients with heart failure, and she should avoid using them.Rate this question:
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- 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
Explanation
Yes. The presentation defined key terms used in the diagnosis and symptom management of heart failure.Rate this question:
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- 5.
Did the presentation meet the following learning objective: Explain the mechanism of heart failure disease progression.
- A.
Yes
- B.
No
Explanation
Yes. The presentation provided an explanation of the mechanism of heart failure disease progression. It likely included information about the underlying causes of heart failure, such as hypertension or coronary artery disease, and how these conditions can lead to structural and functional changes in the heart. It may have also discussed the role of neurohormonal activation, inflammation, and oxidative stress in exacerbating heart failure. Overall, the presentation likely provided a comprehensive understanding of the disease progression in heart failure.Rate this question:
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- 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
Explanation
Yes. The presentation successfully described the American College of Cardiology/American Heart Association staging of heart failure.Rate this question:
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- 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
Explanation
Yes. The presentation successfully identified a typical medication profile for a patient with heart failure due to ischemic cardiomyopathy.Rate this question:
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- 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
Explanation
Yes. The presentation provided a list of monitoring parameters for medications used in the treatment of heart failure.Rate this question:
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- 9.
Did the presentation meet the following learning objective: Conduct a medication management session for a patient with heart failure.
- A.
Yes
- B.
No
Explanation
Yes. The presentation successfully met the learning objective of conducting a medication management session for a patient with heart failure. The presenter provided relevant information about the medications used in heart failure treatment, discussed their purpose and potential side effects, and explained the importance of adherence to the prescribed medication regimen. Additionally, the presenter addressed any questions or concerns raised by the patient, ensuring that they had a clear understanding of their medication management.Rate this question:
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- 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
Explanation
The presenters demonstrated a high level of ability in providing a high-quality educational activity. Their presentation was well-done and they effectively conveyed good information to the audience.Rate this question:
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- 11.
How useful were the educational materials?
- A.
Very useful
- B.
Somewhat useful
- C.
Not useful
Explanation
The educational materials were very useful.Rate this question:
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- 12.
How effective were the learning methods used for this activity?
- A.
Very effective
- B.
Somewhat effective
- C.
Not effective
Explanation
The learning methods used for this activity were very effective. The participants were able to grasp the concepts and apply them successfully. The methods employed were engaging and interactive, allowing for active participation and hands-on learning. The content was presented in a clear and concise manner, making it easy to understand. The participants showed a high level of comprehension and retention of the material. Overall, the learning methods used in this activity proved to be highly effective in achieving the desired learning outcomes.Rate this question:
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- 13.
Learning assessment questions were appropriate.
- A.
Yes
- B.
No
Explanation
The given statement suggests that the learning assessment questions were suitable or fitting for their purpose. This implies that the questions effectively measured the students' understanding and knowledge of the subject matter. The assessment questions may have been well-designed, aligned with the learning objectives, and provided a fair evaluation of the students' learning progress.Rate this question:
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- 14.
Was the presenter free of bias?
- A.
Yes
- B.
No
Explanation
It is not clear from the question what the presenter was presenting or the context of the situation. Without more information, it is impossible to determine whether the presenter was free of bias or not.Rate this question:
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- 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
Correct Answer
A. AcetaminophenExplanation
Acetaminophen is the best pharmacologic option for treating the symptoms of osteoarthritis because it is a commonly recommended first-line treatment for mild to moderate pain associated with this condition. It is effective in reducing pain and inflammation, and it has a lower risk of gastrointestinal side effects compared to nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, naproxen, and celecoxib. Acetaminophen is also considered safe for long-term use when taken at recommended doses.Rate this question:
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