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P&T Cardio II > Heart Failure > Flashcards

Flashcards in Heart Failure Deck (21)
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1
Q

Patient Population: ACE-I

A

Everyone

2
Q

Patient Population: ARB

A

People who cannot use ACE-I: patients who cough or who have Angiodema

3
Q

Patient Population: B-Blockers

A

Everyone

4
Q

Patient Population: Loop Diuretics

A

Signs and symptoms of fluid retention

5
Q

Patient Population: Aldosterone Antagonist

A

NYHM II-IV - Symptoms

Before: ACE + BB + Diuretics

6
Q

Patient Population: Diogoxin

A

Decreases hospitalization

7
Q

Hydralazine /ISO

A
  1. African Americans ( Class III-IV) on ACE-I + BB + Diuretic
8
Q

Mortality Data: ACE-I

A

Yes

9
Q

Mortality Data: ARB

A

Yes

10
Q

Mortality Data: Beta-Blockers

A

Yes

11
Q

Mortality Data: Loop Diuretics

A

NO**

12
Q

Mortality Data: Aldosterone Antagonist

A

Yes

13
Q

Mortality Data: Digoxin

A

NO**

14
Q

Mortality Data: Hydralazine

A

YES, mainly for African Americans

15
Q

Monitoring/Comments: ACE-I

A

Cough, Scr, K+, Angiodema

16
Q

Monitoring/Comments: ARB

A

Angiodemia with ARB, sCr, K+

17
Q

Monitoring/Comments: Beta-Blockers

A

HR (BP), Patients must be stable in regard to fluids. so if Beta blockers are out of line but Fluids are not stable, address the fluids.–see case 6 in Heart Failure

18
Q

Monitoring/Comments: Loop diuretics

A

Volume(?), electrolytes (K+). Renal function.

20mg PO = 20 mg IV ( IV is double the PO dose)

19
Q

Monitoring/Comments: Aldosterone Antagonist

A

sCr > 2.5
K+ > 5
If Gyneomastia, change to Eplerone (Inspra)

20
Q

Monitoring/Comments: Digoxin

A

Decrease K+: Can cause toxicity ScR,

Digoxin Levels must reach. 0.5 - 1 level (heart failure)

Check Digoxin Levels: Check 5-7 days, on the 5th or 7th day take the PO dose, then check 8 hours for digoxin levels which must be 0.5- 1.

21
Q

Monitoring/Comments: Hydralazine / ISO

A

H: BP, HR, SLE (Lupus)

I: BP and HA (head ace)