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HFrEF, IV anticoag, electrolytes
| Question | Answer |
|---|---|
| what are the signs and symptoms of HF? | Increased BNP >100 and/or NT-proBNP >300, dyspnea at rest or exertion, cough, fatigue or weakness, reduced exercise capacity |
| what is the sodium limit for HF stage A & B? | <1500mg/day |
| Do you need washout period when stopping an ARB and initiating an ARNI? | no |
| When does the ARNI require the 36-hour washout period? | when switching from an ACEi |
| what are the requirements to start spironolactone | eGFR/CrCI >30, SCr <2.0 in F, SCr <2.5 in M, and K <5 |
| what is the target dose for entresto? | 97/103mg BID |
| what drug does ACE/ARB increase risk of toxicity? | lithium |
| what are the 3 BB for HF? | bisoprolol,carvedilol, and metoprolol succinate |
| what is the target dose for Carvedilol CR? | 80mg daily |
| what is the target dose for metoprolol succinate? | 200mg daily |
| what is the target dose for bisoprolol? | 10mg daily |
| what is the target dose for carvedilol IR for patients over 85kg | 50mg BID |
| what is the target dose for carvedilol IR for patients under 85kg | 25mg BID |
| what is the CI to using hydralazine? | mitral valve rheumatic heart disease, CAD |
| what is the warning to using hydralazien? | drug-induced lupus erythematosus |
| what is the criteria for use for ivabradine? | normal sinus rhythm and resting HR >70 |
| Does ivabradine have an increased risk of atrial fibrilliation? | yes |
| what is the therapeutic range for digoxin in HF? | 0.5-0.9 |
| what is the boxed warning for vericicuat? | pregnant |