CARDIOVASCULAR/HEART FAILURE

Question 1

what do inotrope’s do ***

types?

Answer 1

(enhances activity)
strengthen pump and raise BP

**primacor and dopamine digitalis

Question 2

what do vasodialtors do?

Answer 2

decrease bP to take congestion away from the heart

Question 3

which drug can we use for pts with stable, symptomaitc chronic HF

what types of drug

Answer 3

Colanor

hyperpolarization-activated nucleotide gated channel blocker

Question 4

colanor MOA

Answer 4

decrease SA node activity, dec HR

Question 5

SE of colanor

Answer 5

bradycardia

Question 6

primacore precautions

Answer 6

seperate IV line

as well as natrecore

Question 7

what is natrecore?

what dx it used for

Answer 7

Heart failure
b-type natriuretic peptide “BNP”
*seperate IV line

Question 8

entresto what type of drug

Answer 8

neprilysin inhibitor + ARB

Question 9

neprilysin inhibitor: increases natriertic peptides

Answer 9

sacubitril

Question 10

neprilysin inhibitor: drug that lowers BP

Answer 10

valsartartan

Question 11

second line agent for HF

Answer 11

digoxin

Question 12

what type of drug is digitalis?

Answer 12

inotrope

Question 13

digitalis trade names

Answer 13

(digoxin/lanoxin/digitek)

Question 14

Therapeutic serum levels digitalis

Answer 14

0.5-2

Question 15

Elderly serum levels digitalis

Answer 15

0.5- 1.3

Question 16

what is digoxin used for

Answer 16

HF

dysrthmias:
a flutter
a fibb

Question 17

digitalis antidote***

Answer 17

digibind

Question 18

meds to avoid in HF

Answer 18

other antidysrhymic agents (besides digoxin)
calcium channel blockers
NSAIDS (b/c retain water)

Question 19

blocks spirolactone

Answer 19

licorice

Question 20

herbs to avoid for HF

Answer 20

licorice
hawthorne
ginseng

Question 21

What are some signs of digoxin toxicity?

Answer 21

hypOkalemia
dysrhthmias

Altered vision
anorexia,nausea,vomitting diarrhea

if any of these occur- hold meds

Question 22

licorice SE

Answer 22

causes fluid retention/hypokalemia