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Drug Class
Congestive Heart Failure
| Question | Answer |
|---|---|
| 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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