HF

Question 1

2 types of HF

Answer 1

Left sided - shortness of breath, cough, pulmonary reactions

Right sided - peripheral edema, systemic congestions/edema, vein distention

Question 2

HF med groups

Answer 2

Cardiac glycosides
Phosphodiasterase inhibitor
Adrenergic agonist
ARNI(angiotensin receptor neprilysin inhibitor)

Question 3

Cardiotonic drug groups

Answer 3

cardiac glycosides
adrenergic agonists
angiotensin II neprilysin inhibitor(ARNI)

Question 4

Cardiac glycoside drug

Answer 4

Digoxin

Question 5

How does Digoxin work?

Answer 5

increases force of myocardial contraction

Question 6

Digoxin special stuff

Answer 6

SE: toxicity - white/yellow/green halos in vision, hypokalemia, anorexia
Must get an apical pulse of 60
Reversal drug: immune fab
Take with water

Question 7

What is the safe digoxin level

Answer 7

0.5 - 0.8ng/mL

Question 8

Phosphodiasterase inhibitor

Answer 8

Milrinone

Question 9

How does milrinone work?

Answer 9

increases calcium levels for heart function

Question 10

Milrinone special stuff

Answer 10

Short term med
SE: pericarditis, pleuritis(heart/lung inflamation)
No furosemide

Question 11

Adrenergic agonists

Answer 11

Cat: epinephrine, dobutamine, dopamine, isoproteronol, norepi
Noncat: albuterol, ephedrine

increase BP, emergency drugs

Question 12

Adrenergic agonists special stuff

Answer 12

give phentolamine for dopamine extravasation

Question 13

Angiotensin II receptor neprilysin inhibitor(ARNI)

Answer 13

Sucubatril/Valsartan

Question 14

How do ARNI drugs work

Answer 14

Like putting an ACE and ARB together

Question 15

Special stuff Sucubatril/Valsartan

Answer 15

NO MIXING