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9 Cards in this Set
- Front
- Back
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4 things to do in pt with CHF
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1) O2
2) diurese 3) inc contractility 4) Decrease TPR |
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What is DOC to diurese CHF pts?
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Furosemide
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What 3 options do we have to inc contractility?
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1) Digitalis
2) Dobutamine 3) Dopamine |
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Dobutamine's MOA
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Beta 1 agonist (inc heart contractility)
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dynamics of DA
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low dose--> D2 agonist (perfuse kidney)
intermed dose --> Beta 1 agonist (inc heart contractility) hight dose--> alpha 1 agonist (vasoconstrict--> inc afterload) |
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what range of dose of dobutamine do we use in CHF pts?
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intermed dose
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How do we decide when to use Dobutamine v Dopamine
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use Dobutamine if pt has low HR
use Dopamine if pt has high HR or low UOP. |
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What drug do we use to decrease TPR in pts w CHF?
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Ace- I
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In pts with NYHA 3, what do we add to CHF regimen? why?
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spirinolactone; inh aldosterone, which scars heart
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