Heart Failure Drugs

Question 1

Left side HF affects what?

Answer 1

Lungs

Question 2

Right side HF affects what?

Answer 2

edema & swelling

Question 3

inotropic drugs

Answer 3

force of myocardial contraction

Question 4

chronotropic drugs

Answer 4

something with heart rate

if positive, increase HR

Question 5

dromotrophic

Answer 5

cardiac conduction, if positive accelerate cardiac conduction

Question 6

Hydralazine/isorbide (BiDil)

Answer 6

1st drug approved for specific ethnic group - African Americans

Question 7

inodilators

Answer 7

(inotropic & dilator)

Question 8

Cardiac Glycosides

Answer 8

no longer first line treatment choice
AE: Digoxin is prototype (0.5-2mg) & electrolytes must be monitored
changes the electrical conduction
+ ino, - chrono, - dromo
Digoxin antidote for overdose or potassium greated than 5mEq: Digoxin immune Fab (digibind) therapy

Question 9

Nursing Implications

Answer 9

Nurse does apical, patient does radial
no more than 100 and less than 60, if it is then hold dose & notify prescriber or if N,V,D or visual disturbances
Pt report if 2lb/1day or 5lb/1wk
Nesiritide or milrinone, use infusion pump

Question 10

Stages of HF

Answer 10

1) hypertension (at risk)
2) disease but no symptoms
3) with symptoms
4) requiring interventions