Heart failure medications Flashcards
(30 cards)
what medications increases the contractility of the heart?
+ inotropic
phosphodiesterase inhibitors
cardiac glycosides
B type natriuretic peptides
ACE inhibitors
ARBs
beta blockers
diuretics
example of cardiac glycosides?
Digoxin
beta blockers block?
sympethic nervous system
another target that helps with HF
reducing the RAAS system
what medication blocks alpha and beta receptors?
carvedilol
example of + iotropic drug?
dobutamine
loop diuretic example?
furosemide
what drug is 1st for a specific ethic group?
hydralazine/isosorbide
what a parameter to check before taking digoxin?
HR and BP (Don’t administer if apical pulse is lower than 60)
what are the side effects of digoxin?
-visual disturbances (yellow hallows around images, bradycardia, heart block)
digoxin lowers?
heart rate
2nd last resort?
dobutamine (only IV and in ICU)
- (increases contractility
which medication is the only one that can across the BBB?
propranolol
propranolol is used for?
mental health problems/neuro
which med has been proved to increases survival after Heart attack?
metoprolol
MOA for diuretics?
decrease:
-fluid vol.
-CVP (central venous pressure)
-preload
-PCWP (wedge)
-Pulmonary venous pressure
-RELIEVES HF symptoms (ex., edema)
MOA for ACE inhibitor?
dilate venules/arterioles, decrease vol.
-DECREASES PRELOAD (LVEDV)
MOA of vasodilators?
decreases:
-afterload–> increased CO
-BP
-preload
-relives dyspnea
positive inotropes increase?
-contractility
-CO
-dilatation
-HR
ACEi ends in?
-pril
ARBs are?
angiotensin receptor blockers
ARB do?
decrease afterload (SVR)
ARB ends in?
-sartan
beta blockers MOA?
block sympatheic NS
blocks catecholamines