Shared Flashcard Set

Details

Heart Failure Rx
M/A
22
Medical
Professional
02/19/2010

Additional Medical Flashcards

 


 

Cards

Term
*Hydralazine
Definition
Arterial vasodilator used in CHF
Term
*Furosemide (LASIX)
Definition
Diuretic used in CHF
Term
Digoxin (4 actions)
Definition
Digitalis glycoside

Inh Na/K ATPase => inc IC Na, and therefore Ca => inc contractility

Inh Na/K ATpase => inc baroreceptor sensitivity => dec symp activity => venous & art. pressure

Reduced Hrt size

Inc diuresis
Term
Digoxin dosing
Definition
Based on lean body mass

Oral and IV

Renal excretion
Term
Digoxin toxicity
Definition
NARROW THERAPEUTIC INDEX

cardiac arrythmia
anorexia, N/V, diarrhea
vision problems, delirium, HA, fatigue

*Rx toxicity w: K infusion if hypoK, Digibind (Ab), and antiarrythmic
Term
Digoxin Rx interactions
Definition
Quinidine, diuretics
Term
*Sympathomimetic amine mechanism of effect on contractility
Definition
stimlate adenylyl cyclase, inc cAMP

includes Dobutamine
Term
*Phophodiesterase inh mechanism of effect on contractility
Definition
Inh phosphodiesterase type 3, inc cAMP
Term
*Nitroprusside
Definition
Relaxes veins and arterioles via NO formation

Used in CHF pts
Term
*Prazosin
Definition
Alpha1 adrenergic blocker

Dilates veins and aa

Used in systemic or pulm HTN
Term
Captopril
Definition
ACE inh

Oral
Term
Elanoopril
Definition
ACE inh (prodrug- must be DEESTERIFIED)

half life substantially linger that captopril

Fewer GI effects than captopril

Oral
Term
Lisinopril
Definition
ACE inh

Oral
Term
ACE inhibitors mechanism
Definition
Inh conversion of angiotensin I to ang II
Inc bradykinin (a vasodilator)

Relaxes aa and vv

Reduces aldosterone

Dec symp activity
Term
Captopril side effects
Definition
hypoTN
pesistent cough
angioedema can be life threatening
DON'T USE IN 2ND and 3RD TRIMESTER
hyperkalemia
Term
Angiotensin II Rec blockers
Definition
Losartan
Valsartan

Act by binding Ang II rec

Do not inh bradykinin breakdown
Term
Losartan
Definition
ARB
Term
Valsartan
Definition
ARB
Term
Losartan side effects
Definition
angioedema
dizziness
inc liver enzymes
Term
Valsartan side effects
Definition
angioedema
dizziness
inc liver enzymes
Term
*Sprironolactone
Definition
blocks aldosterone binding

dec plasma vol and myocardial remodeling
Term
Carvedilol
Definition
nonselective beta- and alpha- adrenergic rec antagonist
Supporting users have an ad free experience!