Heart Failure Treatment

Question 0

Left sided heart failure

Answer 0

Orthopnea, PND, Pulmonary congestion

Question 1

Digoxin

Answer 1

Cardiac glycoside.

Inhibits nakatpase. Increases intercellular calcium, increases cardiac contractility

Question 2

Right sided heart failure

Answer 2

Hepatomagaly, edema, engorged neck veins

Question 3

Digoxin side effects

Answer 3

Narrow therapeutic window. Causes visual changes yellow halos

Question 4

Drugs with a narrow therapeutic index.

Answer 4

WALA na Cyang PaPa! VasTeD na!
Warfarin, aminoglycosides, lithium, amphotericin b, carbamazepine, Phenobarbital, phenytoin, Vancomycin, Theophylline, Digoxin

Question 5

Digitalis toxicity

Answer 5

Exacerbated by hypokalemia, hypomagnesemia, and hypercalcemia.
Arrythmogenesis

Question 6

Treatment of digitalis toxicity

Answer 6

Correct electrolyte imbalance
Lidocaine as antiarrhythmic
Fab fragments Digibind

Question 7

Diuretics

Answer 7

Furosemide for immediate reduction of pulmonary edema,

Spirinolactone and eplerenone

Question 8

Angiotensin antagonist

Answer 8

Reduce aldosterone secretion

Decrease ventricular remodeling cardioprotective

Question 9

Beta1 selective sympathomimetic

Answer 9

Dobutamine and dopamine for acute heart failure

Question 10

Beta blocker

Answer 10

Carvedilol, labetalol, metoprolol, reduces progression of chronic HF

Question 11

Phosphodiesterase inhibitors

Answer 11

Inamrinone, milirinone,

Increases cAMP, Intrecellular calcium causes vasodilation

Question 12

Survival in CHF

Answer 12

ABA! Buhay ka pa!
ACEIs
Beta blocker
Aldosterone antagonist

Question 13

Hydralazine and isosorbide dinitrate

Answer 13

Shown to reduce mortality in African Americans

Question 14

Nitroprusside, nitroglycerin

Answer 14

Increases afterload