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23 Cards in this Set
- Front
- Back
ACE adverse effects
Monitor? |
hyperK+, hypotension, angioneurotic edema, dry couge, renal insuff.
K+. creatinine |
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Primary diuretic for HF?
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Loop
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Major problem with Loops in HF?
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Renal fail; monitor ins/outs
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AEs with spironolactone/epleremone?
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Increased K+, increased SrCr
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adverse effects of dig?
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bradycard, heart block, GI, CNS, arrhythmia
MOnitor: signs of tox, K+ |
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How are Betablockers effective in heart fail?
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increase density of beta1, inhibit cardio tox of catecholamines, decrease neurohormonal activation (the bad effects... it does lead to increased mortality after all)
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which beta blocks to use and how to titrate?
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use carvedilol, metoprolol XL
titrate up slowly |
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when to use nitrate and hydralazine?
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in place of ACE if bad kidneys
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a problem with nitrates?
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tolerance can develop
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what does dobutamine do?
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agonist: beta1 (contract heart)
agonist: beta 2 (decrease BP) |
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when do you use dobutamine?
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acute, decompensated heart failure
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adverse effect dobutamine?
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tachycard, vent tachyarrhythmia, angina, dyspnea
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milrinone, mech?
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increases force w/o stim beta 1's
increase Ca++ |
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when to use miltinone?
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heart fail, septic shock
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adverse effect miltinone?
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tachycard, angina, vent tachy (all same as dobutamine)
also, hypotension, thrombocytopenia |
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cyanide is bad for the ___ and thiocyanate is bad for the ____
(breakdown products of Na nitroprusside) |
liver, kidney
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Dopamine: low dose... stimulates and does what?
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dopamine receptors.
renal, cerebral and mesenteric vessel dilation |
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dopamine: med dose... stim and does what?
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dopmine and beta
See beta 1 effects: increased contractility and HR |
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dopamine: high dose... stim and does what?
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dopamin, beta, and alpha
see alpha effect: contract (increase SVR), increased afterload, increased BP |
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what does epinephrine do?
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increased CO and SV
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what does norepi do?
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increases SVR (no beta2 stim)
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when to use pressors?
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systolic BP <90, w/o hypovolemia (septic, card shock)
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caution in pressors...
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increased heart rate, myocardial O2 demand, monitor for signs of myocard ischemia
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