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HF

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munsele's version from 2016-07-01 14:50

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Question Answer
Coreg IR to CRNot 1:1, 12.5mg BID is 40mg
Max dose of Coreg IR<85kg 25mg BID, >85kg 50mg BID
Hypokalemia in HF pt - what meds to look forDig, can cause toxicity
Lasix SEphotosensitvity, hypokalemia, orthostatic hypotention
RA meds not to use in HF patientsEntanercept, rituximab, infliximab, certolizumab, etc
BiDilISDN + hydralazine
AltaceRamipril
Loop diuretics increaseblood glucose and TG
Vaccines recommended for HF ptsInfluenza pneumococcal
Fluid restriction in which ptsClass IV HF pts
BiDil CIconcurrent use with PDE inhibitors
Lasix to Bumex40:1
Dig ionotrope and chronotropePositive ionotrope (increases contractility) and negative chronotrope (decreases HR)
DiovanValsartan
Highest risk of ototoxicty among the loopsEdecrin (ethacrynic acid)
BBLs for HFCarvedilol, toprol, and bisoprolol
HF causesMI and HTN
CarvedilolNonselective Beta, and alpha blocker
Antiarrhythmics in HFAvoid all class 1 agents: Flecainide, procainamide, mexiltene, propafenone, quinidine
AtacandCandesartan
EplerenoneInspra
BisoprololBetapace
Natural pdts beneficial in HF ptsCoQ10, Hawthorne, Sam Smith
ACEI with shortest half lifeCaptopril
Potassium formulation that can be cut and dissolved in waterKlor-Con M10
Meds shown to improve mortality in HF patientsACEI, BBL, aldosterone antagonists
Medications that can cause phosphenes (seeing enhanced brightness or lights)Corlanor
Dig benefit to HFDecrease in hospitalizations
Dig levels above what number are associated with increased mortality in HF pts1.0
Meds that worsen HFVerapamil, Itraconzole, Prednisone
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