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Internal Final > Heart failure > Flashcards

Heart failure Flashcards

1
Q

Treatment of congestive heart failure

A
  1. Decrease preload: decrease congestion and burden of heart -> diuretics + venodilators
  2. Decrease afterload: decrease burden of heart -> arterial dilators (pimobendan)
  3. Increase contractility -> Calcium sensitizers
  4. Treat neurohormonal overcomposation (RAAS)
  5. Treat arrythmias
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2
Q

Decrease preload

A

Diuretics - furosemide

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3
Q

Increase contractility

A

Calcium sensitizers - Pimobendan (Ca sens + PDE inhib), Digoxin (Na/K pump inhib). ONLY GIVE DIGOXIN IN CASE OF SUPRAVENTRICULAR ARRYTHMIAS

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4
Q

Treat neurohormonal overcompensation

A

ACE inhibitors: Enalapril. Aldosterone-receptor blocker: Spironolactone. Can be given in combination. OBS: monitor renal function

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5
Q

Diet

A

Give enough Potassium, Magnesium and Vitamin B

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Internal Final (6 decks)

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