Doses Cardio/Renal Flashcards
1
Q
ARNI starting dose
A
24/26 BID
2
Q
ARNI goal dose
A
97/103 BID
3
Q
Lisinopril starting dose
A
2.5-5 QD
4
Q
Lisinopril goal dose
A
20 - 40 QD
5
Q
Losartan starting dose
A
25 - 50 QD
6
Q
Losartan goal dose
A
150 QD
7
Q
Valsartan starting dose
A
40 BID
8
Q
Valsartan goal gose
A
160 BID
9
Q
Bisprolol starting dose
A
2.5 QD
10
Q
Bisprolol goal dose
A
10 QD
11
Q
Metoprolol succinate starting dose
A
12.5 - 25 QD
12
Q
Metoprolol succinate goal dose
A
200 QD
13
Q
Carvedilol starting dose
A
3.125 - 6.25 BID
14
Q
Carvedilol goal dose
A
25 BID (>85kg 50 BID)
15
Q
Eplerenone starting dose
A
25 QD
16
Q
Eplerenone goal dose
A
50 QD
17
Q
Spirnolactone starting dose
A
12.5 - 25 QD
18
Q
Spirnolactone goal dose
A
25 - 50 QD
19
Q
Dapagliflozin dose
A
10 QD
20
Q
Empagliflozin dose
A
10 QD
21
Q
Hydralazine starting dose
A
25 TID
22
Q
Hydralazine goal dose
A
75 TID
23
Q
Isosorbide dinitrate starting dose
A
20 TID
24
Q
Isosorbide dinitrate goal dose
A
40 TID
25
Bidil starting dose
1 tablet TID
26
Bidil goal dose
2 tablets TID
27
Atorvastatin 40-80
High intensity statin
28
Rosuvastatin 20-40
High intensity statin
29
Atorvastatin 10-20
Moderate intensity statin
30
Rosuvastatin 5-10
Moderate intensity statin
31
Pravastatin 40-80
Moderate intensity statin
32
Pitavastatin 2-4
Moderate intensity statin
33
Simvastatin 20-40
Moderate intensity statin
34
Lovastatin 40
Moderate intensity statin
35
Fluvastatin 80
Moderate intensity statin
36
Pravastatin 10-20
Low intensity statin
37
Pitavastatin 1
Low intensity statin
38
Simvastatin 10
Low intensity statin
39
Lovastatin 20
Low intensity statin
40
Fluvastatin 20-40
Low intensity statin
41
ASA SIHD Maintenance dose
75-162 mg
42
Clopidogrel SIHD Maintenance dose
75 mg
43
ASA Loading dose for ACS
162 - 325
| *CHEWED*
44
Heparin loading dose for ACS
60 units/kg bolus
45
Heparin maintenance dose ACS
12 units/kg/hr
46
LMWH loading dose for ACS
1 mg/kg q12hr
47
Clopidogrel loading dose
600
48
Clopidogrel maintenance dose
75
49
Ticagrelor loading dose
180
50
Ticagrelor maintenance dose
90 BID
51
Prasugrel loading dose
60
52
Prasugrel maintenance dose
10
53
Heparin VTE prophylaxis dose
5000 units SQ Q8-12
| 7500 unit if BMI ≥40
54
LMWH VTE prophylaxis dose
30 units BID
55
Warfarin starting dose
5 mg x 3 days
56
Warfarin starting dose for sensitive patient
2.5mg x 3 days
57
Apixaban Afib dose
5 BID
58
Apixaban VTE dose
10 BID x 1 week, then 5 BID
59
Apixaban renal dysfunction dosing
If 2/3 met (SCr>1.5, weight <60kg, age>80)
then...
Afib dose = 2.5 BID
60
Rivaroxaban Afib dose
20 QD
61
Rivaroxaban VTE dose
15 BID x 21 days, then 20 QD
62
Rivaroxaban renal dysfunction dosing
CrCl 15-50 then...
Afib dose = 15 QD
63
Edoxaban Afib dose
60 QD
64
Edoxaban VTE dose
60-30
65
Edoxaban renal dysfunction dosing
Only use in patients CrCl 15-95
if CrCl 15-50 then...
Afib dose = 30 QD
66
Dabigatran Afib dose
150 BID
67
Dabigatran VTE dose
5 days parental, then 150 BID
68
Dabigatran renal dysfunction dosing
if CrCl = 15-29 then...
Afib dose = 75 BID
69
Flecainide dose
50 BID
70
Propafenone dose
150 q8h
71
Dofetilide dose
250 mcg BID (CrCl 40-60)
| 125 mcg BID (CrCl 20-40)
72
Amiodarone maintenance dose
100-200
73
Dronedarone dose
400 q12h
