00 CHF

Question 1

What are the cornerstone treatment options for CHF?

Answer 1

Diuretic (usually loop), ACE-I (or ARB) and BB

Question 2

What is the generic name of Lasix?

Answer 2

Furosemide (Loop)

Question 3

What is the generic name of Vasotec?

Answer 3

Enalapril (ACE-I)

Question 4

What is the generic name of Prinivil, Zestril?

Answer 4

Lisinopril (ACE-I)

Question 5

What is the generic name of Accupril?

Answer 5

Quinapril (ACE-I)

Question 6

What is the generic name of Altace?

Answer 6

Ramipril (ACE-I)

Question 7

What is the generic name of Cozaar?

Answer 7

Losartan (ARB)

Question 8

What is the generic name of Diovan?

Answer 8

Valsartan (ARB)

Question 9

Clinical benefits of BBs are NOT considered a class effect, which BBs are recommended in the guidelines?

Answer 9

Carvedilol, Metoprolol succinate, Bisoprolol

Question 10

Which type of BBs should be avoided in CHF?

Answer 10

Ones with ISA activity (CAPP)

Question 11

What is the generic name of Toprol XL?

Answer 11

Metoprolol Succinate ER

Question 12

What is the generic name of Coreg?

Answer 12

Carvedilol

Question 13

When should an Aldosterone Receptor Antagonist (ARA) be added to standard therapy in CHF?

Answer 13

For patients who have progressed to functional class III or IV

Question 14

What is the generic name of Aldactone?

Answer 14

Spironolactone

Question 15

What is the generic name of BiDil?

Answer 15

Isosorbide Dinitrate/Hydralazine

Question 16

When is BiDil indicated?

Answer 16

In self-identified black patients with functional class III or IV heart failure who are symptomatic despite optimal therapy with ACE-I and BBs

Question 17

When is BiDil contraindicated?

Answer 17

With PDE-5 Inhibitors

Question 18

What is the generic name of Monoket?

Answer 18

Isosorbide Mononitrate

Question 19

How does Digoxin work?

Answer 19

Inhibits the Na/K ATPase pump which results in a positive inotropic effect (increase in cardiac output). It also exerts a parasympathetic effect which provides a negative chronotropic effect (decreases heart rate)

Question 20

What is the generic name of Lanoxin?

Answer 20

Digoxin

Question 21

What is the Digoxin therapeutic range for HF?

Answer 21

0.5-0.9 ng/mL

Question 22

What is the generic name of Klor-Con?

Answer 22

Potassium Chloride

Question 23

When is Potassium Chloride contraindicated?

Answer 23

(3): Severe renal impairment, Hyperkalemia, Oral solid dosage forms are contraindicated in patients with delayed or obstructed passage through the GI tract

Question 24

What is usually done to treat someone who has Acute Decompensated Heart Failure (ADHF) presenting with Hypoperfusion?

Answer 24

IV vasodilators are contraindicated. May be necessary to initiate therapy with an IV inotropic drug such as Dobutamine, Dopamine, or Milrinone. DA is the DOC in HF patients with SBP < 90

Question 25

What are the vasodilators used in ADHF?

Answer 25

Nitroglycerin, Nitroprusside, and Nesiritide

Question 26

Why must Nitroprusside IV be protected from light?

Answer 26

It can degrade to cyanide (bag shows a blue-color), DO NOT use

Question 27

What is the generic name of Natrecor?

Answer 27

Nesiritide (vasodilator)

Question 28

When is the only time you would use Coreg 50mg BID (usually 25mg BID)?

Answer 28

When the patient is > 85kg