Heart Failure and Diuretics Part 3 Flashcards
1
Q
What drugs are contraindicated in heart failure apart from all CCBs
A
- cardiac damaging NSAIDs
- Tricyclic Antidepressants
- Pioglitazone
2
Q
What should you do with Beta blocker dose when newly starting
A
slowly titrate up
- because they can initially worsen symptoms of heart failure
3
Q
When would you immediately tell a patient to seek medical attention if they have heart failure
A
- shortness of breath
- syncope
- chest pain
4
Q
Which diuretics would you not give when someone is on lithium
A
- thiazide diuretic
- loop diuretic
5
Q
Which diuretic, if rapidly infused, can cause tinnitus or deafness
A
Loop diuretics
6
Q
Which drugs should you avoid using with Loop diuretics because of the risk of ototoxicity
A
- Aminoglycosides (gentamycin)
- Glucopeptides (vancomycin)
7
Q
Adverse effects of Loop diuretics
A
- gout
- cramps
- pancreatitis
- deafness
8
Q
What is spironolactone contraindicated in
A
Addison’s disease
9
Q
Adverse effects of Spironolactone
A
- gynecomastia
- steven-johnson’s syndrome
10
Q
Other Diuretics and their uses
A
Mannitol (cerebral odema)
Dorzolamide / Brinzolomide (glaucoma)
