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Pharmacology > Heart Failure Drugs > Flashcards

Heart Failure Drugs Flashcards

1
Q

What is systolic heart failure?

A

ventricles can’t pump hard enough during systole, the blood backs up, leading to congestion

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2
Q

What is diastolic heart failure?

A

not enough blood fills into ventricles during diastole, the blood backs up, leading to congestion

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3
Q

What is right sided heart failure?

A

Will show S/S relating to the heart
Ex: fluid in tummy, pedal edema

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4
Q

What is left sided heart failure?

A

Will show S/S relating to the lungs
Ex: dyspnea, fatigue, pulmonary edema

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5
Q

How many stages are there in heart failure?

A

Stage A, B, C, D

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6
Q

Stage A heart failure

A

high risk of HF, but has no symptoms of it

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7
Q

Stage B heart failure

A

structural heart disease, but has no symptoms

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8
Q

Stage C heart failure

A

structural heart disease, with symptoms

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9
Q

Stage D heart failure

A

heart failure that requires interventions

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10
Q

What drug classes are used to treat heart failure

A

-ACE inhibitors
-ARBs
-Beta agonists
-Beta blockers
-Diuretics
-Cardiac glycosides
-phosphodiesterase inhibitors

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11
Q

What do positive inotropic drugs do to the heart?

A

increases the force of contractions within the heart

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12
Q

What do positive chronotropic drugs do to the heart?

A

increases the HR

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13
Q

What do positive dromotropic drugs do to the heart?

A

accelerate cardiac conduction

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14
Q

What drugs classes have positive inotropic effects?

A

-cardiac glycosides
-beta agonists
-phosphodiesterase inhibitors

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15
Q

What are the drugs names of beta agonists

A

-dobutamine
-hydralazine/isosorbide dinitrate

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16
Q

What is the name of a potassium sparing diuretic?

A

spironolactone

17
Q

What is nesiritide drugs used for?

A

as a final effort (last resort) to treat severe, life threatening heart failure

18
Q

What is the drug name of phosphodiesterase inhibitors

A

milrinone

19
Q

What is the drug name of cardiac glycosides

A

digoxin

20
Q

What is the digoxin level range?

A

0.5-2 ng/mL

21
Q

What is the antidote for digoxin?

A

Digoxin immune fab (digibind)

22
Q

What is furosemide used for?

A

loop diuretic
-to reduce symptoms of heart failure, secondary to fluid overload

23
Q

What is spironolactone and eplerenone used for?

A

aldosterone inhibitors
-these drugs are added as heart failure progresses

Pharmacology (17 decks)

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