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D. Cardiovascular
System
D.3
Heart Failure & Cardiomyopathy
Content Areas
- Nutritional
causes of cardiac failure
- Pathophysiology
of cardiac cachexia
- Exercise
regimens and restrictions
- Herbal
supplement-nutrient/drug interactions
- Medical
nutrition therapy
| After
training, the learner will be able to: |
| Knowledge
Objectives: Medical Students |
- List
at least eight physical signs and symptoms of congestive
heart failure.
- Summarize
the dietary and hygienic modifications that should be recommended
to patients with congestive heart failure.
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| Knowledge
Objectives: Residents |
- Identify
at least three nutritional deficiencies and two toxins that
may precipitate heart failure; explain the mechanism of
each effect.
- Identify
the two most common pharmacologic regimens used to treat
heart failure, and identify the two most common drug-nutrient
interactions.
- Describe
how heart failure may lead to cardiac cachexia.
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| Practice
Behavior Skills: Residents |
- Take
an appropriate nutrition history to determine whether a
patients heart failure is due at least in part to
a nutritional cause, and evaluate the level of each of the
following in the diet: alcohol, salt, potassium, calcium,
magnesium, selenium, total and saturated fat, and herbal
supplements.
- Based
on an accurate assessment of the physicians own knowledge
and limitations, seek consultation with and refer patients
to registered dieticians or other credentialed healthcare
professionals as appropriate.
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| Attitude
Objectives: All Learners |
- Recognize
the importance of nutritional deficiencies as potential
causes of heart failure.
- Demonstrate
a commitment to promoting a healthy diet and lifestyle modification
in patients with congestive heart failure.
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