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Drug Class

Congestive Heart Failure

QuestionAnswer
Loop Diuretics furosemide ( Lasix) bumetanide (Bumex) torsemide (Demadex)
furosemide ( Lasix) bumetanide (Bumex) torsemide (Demadex) Oral, Reduces fluid in the body making easier for the heart to pump
furosemide ( Lasix) bumetanide (Bumex) torsemide (Demadex) Can cause electrolyte imbalance Monitor blood pressure and fluid intake/urine ouput Adminstration in the morning reduces elimination needs during the night
Potassium sparing diuretics spironolactone (Aldactone) eplerenone (Inspa)
spironolactone (Aldactone) eplerenone (Inspa) Oral, Reduces fluid in the body making easier for the heart to pump. Can cause electrolyte imbalance Monitor blood pressure and fluid intake/urine ouput Adminstration in the morning reduces elimination needs during the night
Angiotensin receptor blockers (ARBs) losartan (Cozaar) valsartan (Diovan)
losartan (Cozaar) valsartan (Diovan) Oral, This class of blood pressure lowering medications reduces the negative changes to the size and function of the heart in CHF
losartan (Cozaar) valsartan (Diovan) Side effects similar to those of Ace Inhibitors but ARBs are less likely to cause cough or angioedema
Ace inhibitors captopril (Capoten) enalapril ( Vasotec) lisinopril (Prinivill) ramipril ( Altace)
captopril (Capoten) enalapril ( Vasotec) lisinopril (Prinivill) ramipril ( Altace) ,Oral, This class of blood pressure lowering medications reduces the negative changes to the size and function of the heart in CHF
captopril (Capoten) enalapril ( Vasotec) lisinopril (Prinivill) ramipril ( Altace) Can cause high K+ levels which may change the heart rhythm Can also cause dry cough low BP and kidney injury Angioedema ( swelling of the lips and tongue) is a life threatning side effect
Beta Blockers bisoprolol (Zebeta) metoprolol succinate extended release (Toprol XL) carvedilol ( Coreg)
bisoprolol (Zebeta) metoprolol succinate extended release (Toprol XL) carvedilol ( Coreg) Oral, blocks chemicals that raises blood pressure and heart rate. this can improve the hearts effectiveness in pumping
bisoprolol (Zebeta) metoprolol succinate extended release (Toprol XL) carvedilol ( Coreg) Can cause dizziness, fatigue Monitor BP and Heart rate Carvedilol should be taken with food to help prevent orthostatic hypotension ( Blood pressure drop when standing up)
Hydralazine/nitrates Hydralazine/isosorbide dinitrate (BiDil)
Hydralazine/isosorbide dinitrate (BiDil) Oral, Hydralazine dilates the arteries, nitrates dilate the veins. This reduces the workload on the heart. Can cause headache, low BP and palpitations. Monitor BP and heart rate
Digoxin (Digitek, Lanoxin) Oral, Makes the hearts contractions stronger and more regular. Can cause dizziness, headache, nausea, vomiting and diarrhea. Levels must be tested regularly for safety and effectiveness
Created by: Rosayg26
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