Heart Failure Drugs Flashcards
1
Q
digoxin
A
IV/PO
- MOA: positive inotrope (CO), negative chronotrope (HR and workload) and dromotrope (excitability)
- indication: HF and dysrhythmia
- watch for toxicity
2
Q
milrinone
A
IV gtt only
- indication: 48-72 Hr manage acute exacerbation HF and end-stage HF (unresponsive to medication)
- MOA: positive inotrope (CO), arteriodilator (decrease BP and workload)
- SE: heart effects
3
Q
dopamine
A
- MOA: nonspecific, increase HR, vasoconstriction
- IV gtt in central line
4
Q
dobutamine
A
- MOA: beta1 agonist, postive inotrope and chronotrope
- IV gtt in peripheral IV
- AE: heart, brain
5
Q
nitrates
A
- MOA: vasodilator (increase O2 supply, decrease demand)
- indication: coronary artery dilation, systemic vasodilation
- SL, IV gtt, ointment/transdermal patch, PO
- SE: heart, brain
- contraindication: glaucoma, traumatic brain injury
6
Q
antianginal (nitro)
A
- SL/translingual spray: nitroglycerin (0.4 mg q5min)
- PO: isosorbide mononitrate, isosobide dinitrate
- topical: nitropaste
- IV: nitroglycerin
- nitroglycerin indication: acute severe angina, HF
7
Q
antianginal (beta blocker)
A
IV/PO
- lol
- indication: angina/MI, dysrhythmia, HTN, HF
- MOA: decrease BP, negative chronotrope (HR) and dromotrope (excitability)
8
Q
CCB (-dipine)
A
indication: HTN, HF, angina
9
Q
Dysthrhythmia Pharmacotherapy (DP)
A
- SE: heart, brain, physical, genital
10
Q
DP Na-channel blocker
A
- procainamide, flecainide
- anticholinergic symptoms
- lupus symptoms
- low blood cells (CBC)
- paresthesia, seizure, dysrhythmias
11
Q
DP K-channel blocker
A
- amidarone, sotalol
- monitor for HF, pulmonary edema
- monitor for brady-dysrhythmia
- photophobia
12
Q
DP calcium-channel blocker (only work on heart)
A
- diltiazem, verapamil
- indication: tachy-dysrhythmia
- SE: peripheral edema, fall, renal panel, I/O, hold med call provider (decrease BP)
- may cause ventricular dysrhythmia
