CHF medications: Difference between revisions
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| '''Agent<br/> | |'''Agent'''<br/> | ||
| | |'''RA''' | ||
| | |'''RCW''' | ||
| | |'''SVR''' | ||
| | |'''BP''' | ||
| | |'''CO''' | ||
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Cards: Congestive Heart Failure (CHF) | Cards: Congestive Heart Failure (CHF) | ||
[[Category:Cards]] | |||
Revision as of 18:44, 9 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)