Heart Failure Flashcards
1
Q
symptoms of heart failure
A
- SoB
- persistent coughing
- wheezing
- ankle swelling
- low exercise tolerance
- fatique.
2
Q
1st line tx of chronic heart failure
A
-ACEi +BB
-initiated at low dose and slowly titrated to max dose
3
Q
tx if ACEi x tolerated
A
Give ARB instead
4
Q
tx if both ACEi + BB x tolerated
A
hydralazine + nitrate
5
Q
2nd line of CHF if symptoms still persist
A
add spirolactone or elperonone
(aldosterone antagonist)
6
Q
3rd line of CHF if symptoms still persist
A
Add = amiodarone, digoxin, Sac + Val, ivabradine or dapagliflozin
7
Q
who do you give digoxin to and what is the HF loading dose
A
-pt in sinus rhythm worsening or severe HF
-62.5-125mcg
8
Q
when is loop diuretics given in CHF
A
to relieve breathlessness and oedema in fluid retention
