CHF medications: Difference between revisions

(Created page with " RA RCW SVR BP CO Isordil60 - - (-) - -+ hydral100 ~ ~ - +- ++ hy (MR/AI) - -- ++ -+ +- ACEI - - - +- + Minoxidil ~ ~ -- +- ++ Carvedilol: decreases mortality 67% Digo...")
 
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RA RCW SVR BP CO
{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
Isordil60 - - (-) - -+
|-
hydral100 ~ ~ - +- ++
| '''Agent<br/>'''
hy (MR/AI) - -- ++ -+ +-
|
ACEI - - - +- +
  '''RA'''
Minoxidil ~ ~ -- +- ++
   


Carvedilol: decreases mortality 67%
|
'''RCW'''
 
|
'''SVR'''
 
|
'''BP'''
 
|
'''CO'''
 
|-
| Isordil60
| -<br/>
| -<br/>
| (-)<br/>
| -<br/>
| -+<br/>
|-
| &nbsp;hydral100
| ~<br/>
| ~<br/>
| -<br/>
| +-<br/>
| ++<br/>
|-
| hy (MR/AI)
| -<br/>
| --<br/>
| ++<br/>
| -+<br/>
| +-<br/>
|-
| ACEI
| -<br/>
| -<br/>
| -<br/>
| +-<br/>
| +<br/>
|-
| Minoxidil
| ~<br/>
| ~<br/>
| --<br/>
| +-<br/>
| ++<br/>
|}
 
<br/>Carvedilol: decreases mortality 67%


Digoxin: decrease syx/hospitaliz.
Digoxin: decrease syx/hospitaliz.
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ACEI GREAT mortality benefit.
ACEI GREAT mortality benefit.




==Target Doses==


== Target Doses ==


Hydralazine: 100 TID start 25
Hydralazine: 100 TID start 25
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Nitroprusside (Initial dose 5-10ug/min, increased every 3-5 minute to dose range 5-400ug/min)
Nitroprusside (Initial dose 5-10ug/min, increased every 3-5 minute to dose range 5-400ug/min)


* Consider when need afterload reduction
*Consider when need afterload reduction


==See Also==


== See Also ==


Cards: Congestive Heart Failure (CHF)
Cards: Congestive Heart Failure (CHF)


 
<br/>[[Category:Cards]]
 
 
[[Category:Cards]]

Revision as of 18:43, 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)