Exam 2: HF Formulary Flashcards
1
Q
Brand Name: Furosemide
A
Lasix
2
Q
Initial Dose: Furosemide
A
20-40 mg QD or BID
3
Q
Dose Range: Furosemide
A
20-160 mg QD or BID
4
Q
Brand Name: Bumetanide
A
Bumex
5
Q
Initial Name: Bumetanide
A
0.5-1 mg QD or BID
6
Q
Dose Range: Bumetanide
A
1-2 mg QD or BID
7
Q
Brand Name: Torsemide
A
Demadex
8
Q
Initial Dose: Torsemide
A
10-20 mg QD
9
Q
Dose Range: Torsemide
A
10-80 mg QD
10
Q
Brand Name: Ethacrynic Acid
A
Edecrin
11
Q
Initial Dose: Ethacrynic Acid
A
25-50 mg QD or BID
12
Q
Bioavailability: Furosemide
A
50%
13
Q
Brand Name: HCTZ
A
Esidrix, Hydrodiuril
14
Q
Initial Dose: HCTZ
A
25 mg/day
15
Q
Max Dose: HCTZ
A
100 mg/day
16
Q
Brand Name: Metolazone
A
Mykrox, Zaroxolyn
17
Q
Initial Dose: Metolazone
A
2.5 mg/day
18
Q
Max Dose: Metolazone
A
10 mg/day
19
Q
Brand Name: Chlorthalidone
A
Thalitone
20
Q
Initial Dose: Chlorthalidone
A
12.5-25 mg/day
21
Q
Max Dose: Chlorthalidone
A
50 mg/day
22
Q
Monitoring Parameters: Diuretics
A
1-2 weeks after initiation and increase
- fluid intake
- body weight
- sign/symptoms of congestion
- JVD
- BP
- serum electrolytes
- renal function
23
Q
Side Effects: Diuretics
A
- hypomagnesemia
- hypokalemia
- volume depleation
- azotemia
- hyponatremia
- postural hypertension
- hyperuricemia
- hyper/hypocalcemia
24
Q
Brand Name: Enalopril
A
Vasotec
25
Target Dosing: Enalapril
10 mg BID
26
Brand Name: Captopril
Capoten
27
Target Dosing: Captopril
50 mg TID
28
Brand Name: Lisinopril
Zestril, Prinivil
29
Target Dosing: Lisinopril
20-40 mg QD
30
Brand Name: Benazepril
Lotensin
31
Brand Name: Ramipril
Altace
32
Target Dosing: Ramipril
5mg BID or 10 mg QD
33
Brand Name: Fosinopril
Monopril
34
Target Dosing: Fosinopril
40 mg QD
35
Brand Name: Quinapril
Accupril
36
Target Dosing: Quinapril
20-40 mg BID
37
Monitoring: ACEi
- volume status
- renal function
- potassium
- blood pressure
- cough
- angioedema
38
Adverse Effects: ACEi/ARB
- hypotension
- renal function insufficiency
- hyperkalemia
- skin rash and dysgeusia
- cough (ace)
- angioedema
39
Brand Name: Losartan
Cozaar
40
Target Dosing: Losartan
150 mg daily
41
Brand Name: Valsartan
Diovan
42
Target Dosing: Valsartan
160 mg BID
43
Brand Name: Candesartan
Atacand
44
Target Dosing: Candesartan
32 mg daily
45
Brand Name: Sacubutril/Valsartan
Entresto
46
Dosing: Sacubutril/Valsartan
S24/V26 mg
S49/V51 mg
S97/103 mg
47
Adverse Effects: Sacubitril/Valsartan
- hypotension
- elevations in SCr
- hyperkalemia
- contraindicated in pregnancy
48
Brand Name: Bisoprolol
Zebeta
49
Initial Dosing: Bisoprolol
1.25 mg daily
50
Target Dosing: Bisoprolol
10 mg daily
51
Brand Name: Carvedilol
Coreg/Coreg CR
52
Initial Dosing: Coreg
IR: 3.125 mg BID
CR: 10 mg daily
53
Target Dosing: Coreg
IR: 25-50 mg BID
CR: 80 mg daily
54
Brand Name Metoprolol Succinate
Toprol XL
55
Initial Dosing: Metoprolol Succinate
12.5-25 mg daily
56
Target Dosing: Metoprolol Succinate
200 mg daily
57
Monitoring: Beta Blockers
- BP
- HR
- Edema
- fatigue or weakness
58
Adverse Effects: Beta Blockers
- depression
- fatigue
- sexual dysfunction
- dizziness
- bradycardia
59
Brand Name: Dapagliflozen
Farxiga
60
Target Dosing: Dapagliflozen
10 mg
61
Brand Name: Empagaflozin
Jardiance
62
Target Dosing: Empagaflozin
10 mg
63
Brand Name: Spironolactone
Aldactone
64
Brand Name: Eplerenone
Inspra
65
Adverse Effects: Aldosterone Receptor Antagonists
Gynecomastia
Impotence
Menstrual Irregularities
66
Initial Dosing: Spironolactone
CrCl ≥ 50: 12.5-25 mg daily
CrCl 30-49: 12.5 mg daily or every other day
67
Maintenance Dose: Spironolactone
CrCl≥50: 25 mg daily
CrCl 30-49: 12.5-25 mg daily
68
Initial dosing: Eplerenone
CrCl ≥ 50: 25 mg daily
CrCl 30-49: 25 mg every other day
69
Maintenance Dosing; Eplerenone
CrCl ≥ 50: 50 mg daily
CrCl 30-49: 25 mg daily
70
Monitoring: Aldosterone Antagonists
renal function
potassium
(within 3 days-1week after any change or addition, diseases, or acute illness that may influence potassium concentration)
71
Adverse Effects: SGLT2
volume depletion
KTA in DM
Hypoglycemia
Infection Risk
72
Monitoring: SGLT2
signs of hypoglycemia
renal function
electrolytes
73
Brand Name: ISDN/Hydralazine
BiDil
74
Initial Dosing: ISDN/Hydralazine
20/37/5 mg TID
75
Target Dosing: ISDN/Hydralazine
40/75 mg TID
76
Adverse Effects: ISDN/Hydralazine
headache
nausea
flushing
dizziness
tachycardia
lupus-like syndrome
hypotension
increaed HR
myocardial ischemia
fluid retention
77
Brand Name: Ivabrandine
Corlanor
78
Dosing: Ivabrandine
2.5 mg BID
adjust q2weeks based on HR
Max 7.5 mg BID
79
Adverse Effects: Ivabrandine
fetal toxicity
atrial fibrillation
bradycardia and conduction disturbances
80
Brand Name: Digoxin
Digitek
81
Dosing: Digoxin
0.125-0.25 mg daily
82
Adverse Effects: Digoxin
anorexia, n/v, abdominal pain
visual disturbances
fatigue, weakness, dizziness, headache, confusion, delirium, psychosis
AV block
AV junctional escape arrhythmias,
junctional tachycardia
atrial arrhythmias
sinus bradycardia
83
Monitoring
Serum digoxin levels: 0.5-0.9 ng/mL
