CHF medications: Difference between revisions

Revision as of 01:26, 18 December 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

@@ Line 49: / Line 49: @@
 |}
-<br/>Carvedilol: decreases mortality 67%
+*Carvedilol: decreases mortality 67%
+*Digoxin: decrease syx/hospitaliz
-Digoxin: decrease syx/hospitaliz.
+*Aldactone in Class IV dec mortality
+*Isordil: cor. VD; +BP if ischemia
-Aldactone in Class IV dec mortality
+*ISDN/HYDRA. decreased mortality in CHF
+*ACEI GREAT mortality benefit
-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)
-Hydralazine: 100 TID start 25
+^Consider when need afterload reduction
-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)
+[[Congestive Heart Failure (CHF)]]
 [[Category:Cards]]
 [[Category:Drugs]]