CHF medications: Difference between revisions

Latest revision as of 10:17, 7 July 2017

Agent	RA	RCW	SVR	BP	CO
Isordil 60	-	-	(-)	-	-/+
Hydralazine 100	~	~	-	+/-	++
hy (MR/AI)	-	--	++	-/+	+/-
ACEI	-	-	-	+/-	+
Minoxidil	~	~	--	+/-	++

Carvedilol: decreases mortality 67%
Digoxin: decrease syx/hospitaliz
Aldactone in Class IV decrease 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

@@ Line 1: / Line 1: @@
- 	RA	RCW	SVR	BP	CO
+{| class="wikitable"
-Isordil60	-	-	(-)	-	-+
+|-
-hydral100	~	~	-	+-	++
+|'''Agent'''
-hy (MR/AI)	-	--	++	-+	+-
+|'''RA'''
-ACEI	-	-	-	+-	+
-Minoxidil	~	~	--	+-	++
-Carvedilol: decreases mortality 67%
+|'''RCW'''
-Digoxin: decrease syx/hospitaliz.
+|'''SVR'''
-Aldactone in Class IV dec mortality
+|'''BP'''
-Isordil: cor. VD; +BP if ischemia
+|'''CO'''
-ISDN/HYDRA. decreased mortality in CHF.
+|-
+| [[Isordil]] 60
+| -
+| -
+| (-)
+| -
+| -/+
+|-
+| [[Hydralazine]] 100
+| ~
+| ~
+| -
+| +/-
+| ++
+|-
+| hy (MR/AI)
+| -
+| --
+| ++
+| -/+
+| +/-
+|-
+| [[ACEI]]
+| -
+| -
+| -
+| +/-
+| +
+|-
+| Minoxidil
+| ~
+| ~
+| --
+| +/-
+| ++
+|}
-ACEI GREAT mortality benefit.
+*[[Carvedilol]]: decreases mortality 67%
+*[[Digoxin]]: decrease syx/hospitaliz
+*Aldactone in Class IV decrease 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
-Hydralazine: 100 TID start 25
-Isordil: 60-80 TID
-Captopril: 100 TID start 12.5
-Lisinopril/enalapril: 10 bid class II/III
-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==
+[[Congestive Heart Failure (CHF)]]
+[[Category:Cardiology]]
-Cards: Congestive Heart Failure (CHF)
+[[Category:Pharmacology]]
-[[Category:Cards]]