Exam 5 Drugs (CHF...)

Question 1

Digoxin

Answer 1

positive inotrope

digitalis glycoside

Question 2

ARD of digoxin

Answer 2

• arrythmias
• makes wolf-parkinson- white worse
• visual distortion (green/yellow)
• seizures
• hallucinations
• GI
• gynecomastia

Question 3

what S/E do you want to catch with digoxin to avoid severe toxicities?

Answer 3

GI symptoms (nausea, vomiting, anorexia, diarrhea)

Question 4

what electrolyte do you want to be high while ppl are on digoxin? what do you want low?

Answer 4

• potassium & magnesium = high

- calcium = low

Question 5

what can you give for drug induced arrhythmia with digoxin?

Answer 5

digoxin monoclonal antibodies

(Digibind) after assessment of lab values

Question 6

milrinone

Answer 6

positive inotrope

phosphodiesterase inhibitor

Question 7

dobutamine

Answer 7

positive inotropes

adrenoceptor agonist

Question 8

furosemide

Answer 8

loop diuretic

Question 9

torsemide

Answer 9

loop diuretic

Question 10

bumetadine

Answer 10

loop diuretic

Question 11

spironolactone

Answer 11

aldosterone antagonists

Question 12

eplerenone

Answer 12

aldosterone antagonists

Question 13

captopril

Answer 13

ACEI

Question 14

enalapril

Answer 14

ACEI

Question 15

fosinopril

Answer 15

ACEI

Question 16

lisinopril

Answer 16

ACEI

Question 17

quinapril

Answer 17

ACEI

Question 18

ramipril

Answer 18

ACEI

Question 19

tradolopril

Answer 19

ACEI

Question 20

candesartan

Answer 20

ARB

Question 21

losartan

Answer 21

ARB

Question 22

valsartan

Answer 22

ARB

Question 23

hydralazine

Answer 23

direct vasodilator

arterial dilator

Question 24

isosorbide nitrate

Answer 24

direct vasodilator

venodilator

Question 25

carvedilol

Answer 25

beta blocker

Question 26

metoprolol

Answer 26

beta blocker

Question 27

bisoprolol

Answer 27

beta blocker

Question 28

invabradine

Answer 28

hyper polarization active cyclic nucleotide - gated channel blocker

Question 29

sacubitril/valsartan

Answer 29

angiotensin-receptor neprilysin inhibitor

Question 30

post MI and CHF?

Answer 30

ALD antagonist

Question 31

what CHF treatment works well in african american population??

Answer 31

vasodilators (hydralazine & isosorbide dinitrate)