Shared Flashcard Set

Details

Heart Failure Drugs
Downstate > MS2 CV Block > Heart Failure Drugs + other concepts
42
Medical
Graduate
01/21/2011

Additional Medical Flashcards

 


 

Cards

Term
furosemide, bumetanide, torsemide: class?
Definition
loop diuretics
Term
hydrochlorathiazide, chlorathalidone, metolazone: class?
Definition
non-loop diuretics
Term
enalapril, captopril: class?
Definition
ACE inhibitors
Term
losartan: class?
Definition
ARB
Term
hydralazine: class?
Definition
arteriolar dilator
Term
nitrates: class?
Definition
venodilator
Term
spironolactone, eplerenone: class?
Definition
aldosterone inhibitors = K+ sparing diuretics
Term
digoxin: class?
Definition
cardiac glycoside
Term
MOA of furosemide vs. HCTZ
Definition
furosemide inhibits Cl- reabsorption; HCTZ inhibits Na reabsorption
Term
AE of furosemide
Definition
azotemia, hypokalemic metabolic acidosis, skin rash, ototoxicity
Term
AE of HCTZ
Definition
azotemia, hypokalemic metabolic acidosis, skin rash, thrombocytopenia, neutropenia
Term
MOA of ACEi
Definition
inhibits ventricular remodeling, reverses endothelial dysfunction, decreases afterload by inhibiting conversion of angiotensin I to angiotensin II
Term
AE: ACEi
Definition
cough, angioedema, hypotension, renal insufficiency, rash, fetopathic
Term
indication for ARB
Definition
ACEi intolerance
Term
AE of ARB
Definition
acute renal failure, hyperkalemia
Term
AE: self limiting SLE-like syndrome
Definition
hydralazine
Term
spironolactone AE
Definition
hyperkalemia, gynecomastia
Term
MOA: inhibits AV node conduction by centrally increasing vagal tone
Definition
digoxin
Term
proven to reduce mortality
Definition
ACEi, aldosterone inhibitor, ARB, aspirin, beta blockers
Term
symptomatic relief only; no reduction in mortality
Definition
digoxin
Term
AE: ototoxicity
Definition
loop diuretics
Term
AE: thrombocytopenia, neutropenia
Definition
HCTZ, chlorathalidone, metolazone
Term
indicated for CHF class III, particular CHF+shock
Definition
inotropics: digoxin, dobutamine
Term
MOA: inhibits ventricular remodeling
Definition
ACEi, beta blockers, aldosterone inhibitors
Term
always indicated in pts with <40% EF
Definition
beta blocker
Term
what defines each class in the NYHA classification?
Definition
I: CHF with exertion; II: CHF with normal activity; III: CHF with minimal exertion; IV: CHF at rest
Term
tx for acute pulmonary edema
Definition
LMNOP: lasix, morphine, nitrates, oxygen, [upright] position
Term
what compensatory mechanism is beneficial in the long-run?
Definition
ANP and BNP release
Term
hypertrophic cardiomyopathy causes [systolic/diastolic] heart failure
Definition
both!
Term
restrictive cardiomyopathy causes [systolic/diastolic] heart failure
Definition
diastolic
Term
pericardial diseases (pericarditis, pericardial effusion, constrictive pericarditis) causes [systolic/diastolic] heart failure
Definition
diastolic
Term
chronic anemia causes [systolic/diastolic] heart failure
Definition
systolic
Term
doxorubicin causes [systolic/diastolic] heart failure
Definition
systolic
Term
what are the 3 determinants of stroke volume?
Definition
contractility, preload, and afterload
Term
Takotsubo's cardiomyopathy is caused by...
Definition
elevated levels of catecholamines and other stress-induced hormones; aka. "broken heart syndrome"
Term
nitrates act preferentially on ___
Definition
veins and large coronary aa.
Term
MOA of clopidogrel and its indication
Definition
inhibits ADP-activation of platelets; indicated for arterial clots
Term
abiciximab: class? indication?
Definition
gpIIb/IIIa inhibitor; indicated for ACS and non-Q wave MI
Term
enoxaparin: class? indication?
Definition
LMWH = anticoagulant; indicated for venous clots
Term
AE: purple toe syndrome
Definition
warfarin as a large loading dose
Term
indication for tPA
Definition
100% occlusion only
Term
nifedipine: class? effect on heart rate?
Definition
Ca channel blocker; increases heart rate as a reflex to vasodilation
Supporting users have an ad free experience!