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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{| style="width: 500px" border="1" cellpadding="1" cellspacing="1" | |||
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| '''Agent<br/>''' | |||
| | |||
'''RA''' | |||
Carvedilol: decreases mortality 67% | | | ||
'''RCW''' | |||
| | |||
'''SVR''' | |||
| | |||
'''BP''' | |||
| | |||
'''CO''' | |||
|- | |||
| Isordil60 | |||
| -<br/> | |||
| -<br/> | |||
| (-)<br/> | |||
| -<br/> | |||
| -+<br/> | |||
|- | |||
| 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. | ||
| Line 19: | Line 66: | ||
ACEI GREAT mortality benefit. | ACEI GREAT mortality benefit. | ||
== Target Doses == | |||
Hydralazine: 100 TID start 25 | Hydralazine: 100 TID start 25 | ||
| Line 46: | Line 92: | ||
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 == | |||
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)
