S1E5: CHF drugs

Question 1

Digitalis (Digoxin)

Answer 1

glycoside (+ inotrope)

Question 2

Dobutamine

Answer 2

adrenoceptor agonist (+ inotrope)

Question 3

milrinone (Primacor)

Answer 3

phosphodiesterase inhibitor (+ inotrope)

Question 4

ACE-I

Answer 4

vasodilators (-pril)

Question 5

ARB

Answer 5

vasodilators (-sartan)

Question 6

hydralazine

Answer 6

vasodilators

Question 7

isosorbide dinitrate

Answer 7

vasodilator

Question 8

spirinolactone

Answer 8

aldosterone antagonist

Question 9

eplerenone

Answer 9

aldosterone antagonist

Question 10

carvedilol (coreg)

Answer 10

beta blocker

Question 11

bisoprolol

Answer 11

beta blocker

Question 12

metoprolol

Answer 12

beta blocker

Question 13

furosemide

Answer 13

loop diuretic

Question 14

bumetanide

Answer 14

loop diuretic

Question 15

torsemide

Answer 15

loop diuretic

Question 16

ivabradine (Corlanor)

Answer 16

hyperpolarization active cyclic nucleotide gated channel blocker

Question 17

sacubitirl/valsartan (entresto)

Answer 17

angiotensin-receptor neprilysin inhibitor

Question 18

Life prolonging drugs (improve survival)

Answer 18

ACE-I/ARB, Beta blockers (only those 3), aldosterone receptor antagonist (stage III, IV only), combination of hydralazine and nitrates (esp with black pts)

Question 19

First Line

Answer 19

Loop diuretic, ACE-I, beta blocker

Question 20

Second Line

Answer 20

Digoxin (after trying diuretics and ACE-I, w s/sx of S3 or a fib)

Question 21

Acute HF Tx

Answer 21

IV diuretics (furosemide), inotrope (dobutamine), vasodilator (IV NTG)