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This Concept Map, created with IHMC CmapTools, has information related to: CHF 2 (Hypertension adapted), Patient Concerns Taking 12 medications, but can only afford to continue 6. Which 6 does she most need?, Angiotensin II Physiologic Effects Pituitary releases ADH to increase sodium and fluid retention, Heart Failure Causes NMD, Potassium loss leading to Cardiac fibrosis, Heart Failure Involves Heartbeat Cycle Diastole, Improves symptoms Thiazide Diuretic HCTZ, Right side of the heart Disease Characteristics Nocturia, Angiotensin II Physiologic Effects Aldosterone release, ranitidine Forgo in lieu of Lifestyle and dietary changes, Systole Dysfunction causes Dilated Cardiomyopathy, Reduces amount of Angiotensin II converted from Angiotensin I Decreases Preload (Reduces cardiac workload), Increased Vagal activity Decreased SA node firing, Increasing cardiac muscle contractility (positive inotropy) Can affect with Lifestyle Changes, Reduces amount of Angiotensin II converted from Angiotensin I Decreases Aldosterone secretion, Diastole Disease Treatment Goals Vasodilators to decrease resistance, Patient Conditions CHF, Positive Lusitropic Drugs effect Increase effectiveness of active diastolic relaxation, Heart Failure Pharmacologic treatment SNS Beta Blockers, Diastole Disease Treatment Goals Positive Lusitropic drugs to relax myocardial wall, Diastole Process Ventricular Relaxation