Study Pharm-Cardiovascular Flash Cards

 
Pile Management Card
Pharm-Cardiovascular

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Tachyarrhythmias Ventricular
Premature ventricular contraction (PVC)
Ventricular tachycardia/fibrillation
Torsades de pointes
Tachyarrhythmias
Supraventricular
Premature atrial contraction (PAC)
Artial fibrillation/flutter
Multifocal atrial tachycardia (MAT)
Paroxysmal supraventricular tachycardia (PSVT)
Wolff-Parkinson-White syndrome (WPW)
Bradyarrhythmias
Sinus node dysfunction
Atrioventricular block
What drug category is Carvediolol in?
vasodilator AND B-blocker
Carvediolol target dose
25 mg bid; 50 mg bid (> 85 kg
Carvediolol initial dose
3.125 mg bid
Adverse Effects of ACE inhibitors
Hypotension
 K+ increase
Cough
Renal Insufficiency
Angioedema
What kind of patients is fosinopril especially good for?
renal
target dose for lisinopril
20-40 mg qd
initial dose for lisinopril
2.5-5 mg qd
target dose for fosinopril
40 mg qd
Initial dose for fosinopril
5-10 mg qd
Dietary modifications for refractory patients
Sodium (max 2 gm per day; normal 3 to 6 gm per day)
Fluids: 2 liters per day if needed
NYHA Functional Class IV
Symptomatic at rest resulting in inability to carry on any physical activity without discomfort (severe HF)
NYHA Functional Class III
Symptomatic with minimal exertion resulting in marked limitations of PA (moderate HF)
NYHA Functional Class II
Symptomatic with moderate exertion resulting in slight limitation of PA (mild HF)
NYHA Functional Class I
Cardiac disease, asymptomatic and without limitations of PA
ACC/AHA Heart Failure Stage D
End stage HF requiring specialized intervention
ACC/AHA Heart Failure Stage C
Current or previous symptoms of HF, with structural disease
ACC/AHA Heart Failure Stage B
Structural heart but no symptoms of HF (low EF, but no sx)
ACC/AHA Heart Failure Stage A
High risk for developing HF but no structural heart disease
Compensatory Response to (early) HF
Ventricular hypertrophy and remodeling
Vasoconstriction
Tachycardia and increased contractility
 ˄Preload
Major players in accelerating HF
norepinephrine and angiotensin II
primary cause of heart failure
History of HTN
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