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5 Cards in this Set
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Overall CHF Management protocol
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1: Lasix 20-40 mg PO 1-2x/day
2. Lisinopril 2.5 mg PO daily 3. Metoprolol XL 12.5 mg PO daily 4. Losartan 25 mg qd or Spironolactone 12.5 mg qd or Hydralazine with Isosorbide 5: Add Digoxin |
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CHF Management with Beta Blockers
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1. Avoid in decompensated CHF (start when stable)
2.Start with low doses Titrate doses slowly (double dose q2-4 weeks) |
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CHF Management with the Beta Blocker Coreg
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Start at 3.125 mg bid
Slowly titrate to 12.5 - 25 mg bid over 2 weeks |
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CHF Implantable Defibrillator
Indications |
NYHA Class 2-3 with EF<35%
Reduces mortality (Amiodarone does not) |
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CHF Management with Hydralazine and Isosorbide Dinitrate
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1. Start Hydralazine 12.5 mg PO
2. Isosorbide Dinitrate or Isosorbide 5-10 mg tid with 12 hour-free or Mononitrate 30 mg qd |
