cvf drugs Flashcards

1
Q

what is left ventricular systolic dysfuciotion

A

when ther is decreaed pumping function of the heart which result in fluid back up. it is a redece ejection fraction

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2
Q

what is left venticar dystoic heart falurew

A

thickingin and stiff heart mulse
heart does not fill properly with blood
fluid backs up to the lungs and the heart

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3
Q

what is an example of lloop diuretic

A

furosemide,

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4
Q

what is the purpose of loop dietucis

A

inbits na k and cl tranprot in the loop of henle, works t low globerlfilton rates

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5
Q

what are the adbverse effect of loop diatics and combition of thiide diuretics

A

dehydraiton, hypotenion, hypokaleamia, hypoateramia, gout, imparent glucose tolernace

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6
Q

what drugs react with frusemide

A

aminoglycoise - reanl impairment
lithium - renal toxicity
nsaid - renal toxicity
antihyertin - profound hypertension
vancomying - renal toxicity

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7
Q

neurohormal antagonis types

A

ace inhbitors
beta receptor blockers
mineralcorticod receptor blocer
combined angiote plu anp/bnp

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8
Q

what is teh effect of angoitensin coverting enzyme inhibtors

A

reduce reloa dn and endyslic volue by reducing angiotensin 2

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9
Q

what are the adverse effectr so ace inhibitors

A

cough, renal impaerment, renal failurew, hyperkalaemia, angioedmea

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10
Q

what drugs react with ace inhitrs

A

ns aids
potassium supplements

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11
Q

valsartan sacumbitrial is what

A

combined valsartan and arb and nepriily ihbitor whih blocks, angiotensin 2

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12
Q

how is elegicbe for sacubitrail valsartan

A

if your ejection fraction is less than 35% - already on ace inhior or angiotensni 2 receptor blcoers

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13
Q

what do minerallocorticod recpotrs antagoins do

A

block receptors that bind aldosterone an other stoerid hormnoes
act on distal tube
potaisum sparing dierutic

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14
Q

who is elegible for mra

A

if less than 35% lvef , and sympthematic

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15
Q

examples of mras

A

spironolactone and eplerenone

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16
Q

what do potasium sparing directin due

A

preet over extreion of potasium

17
Q

aaldosterone role

A

potasium excretion and sodium reabsobtion

18
Q

beta blocker examples

A

carvedilol, bisoprolol

19
Q

when shoudl beta blcoer not be used

A

during acute prestion as they can cuaes deteraion of CHF if the patient if fluid overloaded

20
Q

what is ivabradine role

A

slow ehart rte though i channel inhibiton

21
Q

when can ivabradine be give

A

if the personss symptom in class 2 or 3 and has less then 35 lvef and are on beta bloker at max does and has a heart rate of 75 or greater

22
Q

digoxing role

A

increase the availbe of calcium in the myocyte, no effect on mortaly , arrthym, nausea, confusion

23
Q

what drugs should be montor

A

diargets where weight is taken daily and thus the dieretic is adjusted

24
Q

whay type of dru is digoxin

A

cardiac glycoside