CARDIOVASCULAR/HEART FAILURE Flashcards
what do inotrope’s do ***
types?
(enhances activity)
strengthen pump and raise BP
**primacor and dopamine digitalis
what do vasodialtors do?
decrease bP to take congestion away from the heart
which drug can we use for pts with stable, symptomaitc chronic HF
what types of drug
Colanor
hyperpolarization-activated nucleotide gated channel blocker
colanor MOA
decrease SA node activity, dec HR
SE of colanor
bradycardia
primacore precautions
seperate IV line
as well as natrecore
what is natrecore?
what dx it used for
Heart failure
b-type natriuretic peptide “BNP”
*seperate IV line
entresto what type of drug
neprilysin inhibitor + ARB
neprilysin inhibitor: increases natriertic peptides
sacubitril
neprilysin inhibitor: drug that lowers BP
valsartartan
second line agent for HF
digoxin
what type of drug is digitalis?
inotrope
digitalis trade names
(digoxin/lanoxin/digitek)
Therapeutic serum levels digitalis
0.5-2
Elderly serum levels digitalis
0.5- 1.3
what is digoxin used for
HF
dysrthmias:
a flutter
a fibb
digitalis antidote***
digibind
meds to avoid in HF
other antidysrhymic agents (besides digoxin)
calcium channel blockers
NSAIDS (b/c retain water)
blocks spirolactone
licorice
herbs to avoid for HF
licorice
hawthorne
ginseng
What are some signs of digoxin toxicity?
hypOkalemia
dysrhthmias
Altered vision
anorexia,nausea,vomitting diarrhea
if any of these occur- hold meds
licorice SE
causes fluid retention/hypokalemia
