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: @@
-{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
+{| class="wikitable"
 |-
-| '''Agent<br/>'''
+|'''Agent'''
-|
+|'''RA'''
- '''RA'''
-|
+|'''RCW'''
- '''RCW'''
-|
+|'''SVR'''
- '''SVR'''
-|
+|'''BP'''
- '''BP'''
-|
+|'''CO'''
- '''CO'''
 |-
-| Isordil60
+| [[Isordil]] 60
-| -<br/>
+| -
-| -<br/>
+| -
-| (-)<br/>
+| (-)
-| -<br/>
+| -
-| -+<br/>
+| -/+
 |-
-| &nbsp;hydral100
+| [[Hydralazine]] 100
-| ~<br/>
+| ~
-| ~<br/>
+| ~
-| -<br/>
+| -
-| +-<br/>
+| +/-
-| ++<br/>
+| ++
 |-
 | hy (MR/AI)
-| -<br/>
+| -
-| --<br/>
+| --
-| ++<br/>
+| ++
-| -+<br/>
+| -/+
-| +-<br/>
+| +/-
 |-
-| ACEI
+| [[ACEI]]
-| -<br/>
+| -
-| -<br/>
+| -
-| -<br/>
+| -
-| +-<br/>
+| +/-
-| +<br/>
+| +
 |-
 | Minoxidil
-| ~<br/>
+| ~
-| ~<br/>
+| ~
-| --<br/>
+| --
-| +-<br/>
+| +/-
-| ++<br/>
+| ++
 |}
-<br/>Carvedilol: decreases mortality 67%
+*[[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
-Digoxin: decrease syx/hospitaliz.
+==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)
-Aldactone in Class IV dec mortality
+^Consider when need afterload reduction
-Isordil: cor. VD; +BP if ischemia
+==See Also==
+[[Congestive Heart Failure (CHF)]]
-ISDN/HYDRA. decreased mortality in CHF.
+[[Category:Cardiology]]
+[[Category:Pharmacology]]
-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
-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)
-<br/>[[Category:Cards]]