Ndh-Pharm2-Chf

Front 1

spironolactone*

Back 1

Aldosterone Antagonist- reduce Na Re-Ab, Blocks Heart Fibrosis in Mod to Severe, used w/ std therapy(diuretics), [Low], HyperK, AV block w Dig, blocks androgen receptors

Front 2

eplerenone

Back 2

Aldosterone Antagonist, Same as Spiro, but w/o androgen binding, Use:HTN and CHF s/p MI

Front 3

carvedilol*

Back 3

Beta Blocker: Reduce M&M when combined w Ace, DIU and Dig. Stabil patient on other meds first then start small dose increased slowly.

Front 4

metoprolol*

Back 4

Beta Blocker: Reduce M&M when combined w Ace, DIU and Dig. Stabil patient on other meds first then start small dose increased slowly.

Front 5

captopril*

Back 5

Ace Inhibitor: Adverse effect: persistent cough, aldosterone will cause K+ retention. Not for Preg. Slows Renal Failure. Regular monitor: K+, creatinine, BUN, AAs are resistant

Front 6

enalapril*

Back 6

Ace Inhibitor: Adverse effect: persistent cough, aldosterone will cause K+ retention. Not for Preg. Slows Renal Failure. Regular monitor: K+, creatinine, BUN, AAs are resistant

Front 7

candesartan*

Back 7

ARB: Blocks AT1 receptor. Use when cough from ACE

Front 8

digoxin

Back 8

Cardiac Glycoside: Long term Positive inotropic.Blocks Na/Kase -> inc [Ca]. Slight Depol because of dec[K]. Inc Vagal infulences-> Dec SA and AV firing. Incr Latent Pacemakers. T1/2=1.6D. 10% patients gut bacteria(care w Abs). Small TI. Digibind antidote. Quin and Amio [inc]

Front 9

milrinone

Back 9

PDE Inhibitor: Ince cAMP-> inc CA++, sim to Beta2 in vessels(Dec Afterload). Short Term Use ONLY.

Front 10

isosorbide dinitrate*

Back 10

Venodilator: Reduce Preload, Tolerance wo 8hr break, Hypotention, NO VIAGRA,

Front 11

hydralazine*

Back 11

Vasodilator(Arterio) with ISDN for AAs w CHF

Front 12

Calcium Chan Blockers

Back 12

Bad in CHF

Front 13

Catecholamines

Back 13

Low Dose monitered in Cardiac Failure