Heart Failure

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Indication for Aldosterone antagonists

Class III and Class IV HF
Contraindications for aldosterone antagonists
- K > 5.0 mEq/L
- SCr > 2.5 mg/dL
- CrCl < 30 ml/min
Indication for Beta-Blockers

Class II-IV HF
Beta-Blockers indicated for Heart Failure
- Bisoprolol
- Metoprolol XL
- Carvedilol
If pt on B-Blocker has HR < 55 bpm, __________.

Decrease dose of Beta-Blocker
Indication for Hydralazine/Nitrates

Black pts with Class III and Class IV HF
Sample regimen for chronic HF
- ACEI/ARB
- BB
- Bidil (if black)
- Loop diuretics
- Digoxin
First signs of digoxin toxicity
- N/V
- loss of appetite
- bradycardia
Associated with cyanide/thiocyanate toxicity

Nitroprusside