chronic heart failure Flashcards
ace-inhibitors
enalapril benazepril side effects typically mild: gastrointestinal signs, hypotension, azotemia
abdomino- and/or thoracocentesis
recommend manual removal of significant fluid volume within the pleural or abdominal cavities following removal start diuretic therapy to prevent recurrence-ideal to tap less than once per month if possible
positive inotropic durgs
class of drugs that increase strength of myocardial contractions recommended in CHF secondary to systolic dysfunction CI in diastolic dysfunction Digoxin, pimobendan, dobutamine
pimobendan
inodilator-positive inostropic and vasodilatory properties calcium sensitizer phosphodiesterase III inhibitor shown to increase survival times and quality of life of patients with heart failure mild GI side effects
When to use pimobendan?
patients with congestive heart failure dilated cardiomyopathy-occult azotemia feline-systolic dysfunction and heart failure
dobutamine
sympathomimetic
dobutamine indications
severe CHF secondary to ss