Drugs CHF 2

Question 1

Used in CHF - especially with a fib

Decrease ventricle rate in a flutter and a fib

Answer 1

Digoxin

Question 2

Can cause arrhythmias, GI probs, visual probs, and CNS probs

Answer 2

Digoxin

Question 3

Hypokalemia _______ digoxin toxicity by ______ Na/K ATPase

Answer 3

Enhances

Inhibiting

Question 4

Decreased renal function _____ digoxin toxicity because there is ___ clearance

Answer 4

Enhances

Decreased

Question 5

Diuretics that cause hypokalemia __________ digoxin toxicity

Answer 5

Increase

Question 6

Cholestyramine and colestipol ______ digoxin toxicity

Answer 6

Decrease

Question 7

Tx of digoxin toxicity

Answer 7

Discontinue
Adjust K levels
Administer digoxin immune fab fragments
Treat arrhythmias

Question 8

Selective ^ contractility relative to HR

Given IV for acute CHF

Answer 8

Dobutamine

Question 9

Vasodilate (D1 agonist)
+ ionotropic
IV for treatment acute CHF

Answer 9

Dopamine

Question 10

⬇️ LVEDP and control congestion

Answer 10

Thiazides and loops

Question 11

Decreases detrimental remodeling and mortality in CHF

Answer 11

Spironolactone

Question 12

Increase contractility and CO
Decrease HR, O2 demand, sympathetic tone, TPR, venous pressure, and heart size
Diuresis

Answer 12

Digoxin and other + ionotropic drugs