Heart failure medications Flashcards

(30 cards)

1
Q

what medications increases the contractility of the heart?

A

+ inotropic
phosphodiesterase inhibitors
cardiac glycosides
B type natriuretic peptides
ACE inhibitors
ARBs
beta blockers
diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

example of cardiac glycosides?

A

Digoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

beta blockers block?

A

sympethic nervous system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

another target that helps with HF

A

reducing the RAAS system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what medication blocks alpha and beta receptors?

A

carvedilol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

example of + iotropic drug?

A

dobutamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

loop diuretic example?

A

furosemide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what drug is 1st for a specific ethic group?

A

hydralazine/isosorbide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what a parameter to check before taking digoxin?

A

HR and BP (Don’t administer if apical pulse is lower than 60)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the side effects of digoxin?

A

-visual disturbances (yellow hallows around images, bradycardia, heart block)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

digoxin lowers?

A

heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

2nd last resort?

A

dobutamine (only IV and in ICU)
- (increases contractility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which medication is the only one that can across the BBB?

A

propranolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

propranolol is used for?

A

mental health problems/neuro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which med has been proved to increases survival after Heart attack?

A

metoprolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MOA for diuretics?

A

decrease:
-fluid vol.
-CVP (central venous pressure)
-preload
-PCWP (wedge)
-Pulmonary venous pressure
-RELIEVES HF symptoms (ex., edema)

17
Q

MOA for ACE inhibitor?

A

dilate venules/arterioles, decrease vol.
-DECREASES PRELOAD (LVEDV)

18
Q

MOA of vasodilators?

A

decreases:
-afterload–> increased CO
-BP
-preload
-relives dyspnea

19
Q

positive inotropes increase?

A

-contractility
-CO
-dilatation
-HR

20
Q

ACEi ends in?

21
Q

ARBs are?

A

angiotensin receptor blockers

22
Q

ARB do?

A

decrease afterload (SVR)

23
Q

ARB ends in?

24
Q

beta blockers MOA?

A

block sympatheic NS
blocks catecholamines

25
what are the 3 catcholamines that beta blockers stop?
dopamine, epinephrine noepinephrine
26
aldosterone inhibitors are apart of?
diuretics
27
example of beta 1 agonsit?
dobutamine
28
beta natriuretic peptide is?
synthetic hormone
29
MOA of beta natriuretic peptide is?
vasodilator/diuresis
30
example of natriuretic peptide?
nesirtide (IV given in ICU)