CHF medications: Difference between revisions

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== See Also ==
== See Also ==
Cards: Congestive Heart Failure (CHF)
Cards: Congestive Heart Failure (CHF)


[[Category:Cards]]
[[Category:Cards]]
[[Category:Drugs]]

Revision as of 04:40, 13 March 2011

Agent
RA RCW SVR BP CO
Isordil60 -
-
(-)
-
-/+
 hydral100 ~
~
-
+/-
++
hy (MR/AI) -
--
++
-/+
+/-
ACEI -
-
-
+/-
+
Minoxidil ~
~
--
+/-
++


Carvedilol: decreases mortality 67%

Digoxin: decrease syx/hospitaliz.

Aldactone in Class IV dec mortality

Isordil: cor. VD; +BP if ischemia

ISDN/HYDRA. decreased mortality in CHF.

ACEI GREAT mortality benefit.


Target Doses

Hydralazine: 100 TID start 25

Isordil: 60-80 TID

Captopril: 100 TID start 12.5

Lisinopril/enalapril: 10 bid class II/III

20 bid class IV

Carvedilol 25 BID; 50 BID if >80kg

Digoxin: varies

Spironolactone 25-50 qd

Enalapril 1.25mg IV

Nitroglycerin (Initial dose 5-10ug/min, increased every 3-5 minute to dose range 10-200ug/min)

Nitroprusside (Initial dose 5-10ug/min, increased every 3-5 minute to dose range 5-400ug/min)

  • Consider when need afterload reduction


See Also

Cards: Congestive Heart Failure (CHF)