Monday Memo  

Weekly update from...
Athena Forum logo

Monday, April 23, 2012
  Clinical Accuracy Spoken Here  

HF: Role of Neurohormones

While a number of processes can accelerate the process of LV remodeling, significant evidence exists that the neurohormonal system plays an important role in these alterations which are ultimately responsible for the failing heart.

Significant neurohormonal systems include:

  • Natriuretic peptide system
  • Renin-Angiotensin-Aldosterone system
  • Sympathetic Nervous system
  • Vasopressin system

[Reference: Heart Failure: Module A, Pathophysiology]

  Excellence in Case Mgmt  

HF: Self-Care Management

Self-care is an important, complex and essential component of successful HF management.

Two major components of self-care are maintenance and management.

Self-care maintenance refers to healthy life-style choices and treatment adherence.

Self-care management refers to decision making in response to signs and symptoms.

[Reference: HF: Module D, CM Rol]

  Improving Patient Care...  

HF: Medical Management

Nearly all patients with HF due to LV systolic dysfunction should be routinely managed with a diuretic (for symptom management of volume overload), an Angiotensin-converting-enzyme inhibitor (ACEI) or Angiotensin II receptor blocker (ARB) and a B-Blocker (Beta-adrenergic antagonist).

According to findings published in the journal Circulation: Heart Failure, a meta-analysis showed improved breathing and exercise capacity among patients with moderate to severe chronic heart failure after taking testosterone supplements.

[Reference: HF: Module C, Treatment & Interventions]


Tom RasmussenTom Rasmussen
Athena Forum


NEW courses coming in 2012

» Sepsis & LOS

» High Risk OB

» Social Work Ethics



Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum




Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Excellence® Series
» Asthma
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» Diabetes
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Women's Health
» Wound Care & Payments

CM Excellence® Series

» Principles of Hospital CM
» Patient Advocacy
» Utilization Management
» Discharge Planning
» Hospital Revenue Cycle
» The MCO Continuum Series®



Athena Forum Help Desk
Mon-Fri 9am-5pm ET

Recommend to a friend
Tom Rasmussen, Publisher

Enrollment & passwords
Janice Graham, Registrar

  Monday Memo Archives
Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use. Click here.

Nurses Week logo

National Nurses Week | May 6-12, 2012

Athena Forum, LLC awards CE for ANCC - NASW - CCMC

Athena Forum is a world wide service mark in nursing education
by the U.S. Office of Trademarks and Patents.

Copyright 2012 All rights reserved | Headquarters in Boca Raton, FL | 800-583-2506 | www.athenaforum.com