Therapeutics: DHF

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Author:
kyleannkelsey
ID:
267493
Filename:
Therapeutics: DHF
Updated:
2014-03-22 18:11:38
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Therapeutics DHF
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Therapeutics: DHF
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Therapeutics: DHF
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  1. What diuretics should you use in DHF and at what doses?
    • Furosemide 20-40 mg/day
    • HCTZ 12.5-25 mg/day
  2. What is the difference between SHF and DHF treatment with diuretics?
    DHF = don’t want to decrease preload anymore, so need to be very cautious with diuretics and start low
  3. What would be a normal Lisinopril dose for DHF?
    2.5 mg/day
  4. What would be a normal Enalapril dose for DHF?
    2.5 mg/day
  5. Are ACEIs first line therapies in ACEI?
    Yes
  6. Are Diuretics first line treatments in DHF?
    Yes
  7. What dose of Candesartan would be used in DHF?
    4 mg/day
  8. What dose of Irbesartan would be used in DHF?
    150 mg/day
  9. Are ARBs first line in DHF?
    No, used if ACEI intolerance
  10. What is a normal dose of Metoprolol tartate for DHF?
    25 mg BID
  11. What BBs can be used for DHF?
    Any, not specific like with SHF
  12. What situation should you use caution in with a BB?
    Excessive Bradycardia
  13. What are the initial goals for BB use in DHF?
    • Resting HR = 60 bpm
    • Exercise-induced HR <110 bpm
  14. Are BBs 1st line in DHF?
    Yes
  15. What aspects of DHF are controlled by BBs?
    HR, MI and BP
  16. Can non-DHP CCBs be used in DHF?
    Yes
  17. Are Non-DHP CCBs 1st line drugs in DHF?
    No, 2nd line
  18. What aspects of DHF are controlled by Non-DHP CCBs?
    HR, BP and MI
  19. What is a normal DHF dose of Verapamil?
    120-240 mg
  20. Can you use Non-DHP CCBs in SHF?
    No
  21. What is a normal dose of Diltiazem in DHF?
    90-120 mg
  22. What situation warrents cauton of aldosteron eantagonists in DHF?
    Hyperkalemia
  23. What is a normal dose of Spirolactone in DHF?
    12.5mg-25 mg/day
  24. What is a normal dose of Eplerenone in DHF?
    25 mg/day
  25. Are Aldoseterone antagonist 1st line therapies in DHF?
    No, add on therapy if patient is still symptom
  26. Are Nitrates a 1st line drug in DHF?
    No, used to control MI
  27. What are Nitrates used for in DHF?
    MI control
  28. What type of Nitrates are used in DHF?
    Long acting nitrates like Imdur
  29. What is a normal Imdur dose for DHF?
    30 mg/day
  30. When should you exercise caution in Nitrate treatment of DHF?
    Excessive preload reduction due to vasoldilitory properties
  31. DHF pharamcotherapies target what symptoms?
    • BP
    • HR
    • Fluid retention
    • MI
  32. What is the first line DHF therapy for BP control?
    ACEI
  33. What is the first line DHF therapy for HR control?
    BB
  34. What is the first line DHF therapy for alleviating fluid retention?
    Duretics: HCTZ or low dose furosemide
  35. What is the first line DHF therapy for alleviating MI?
    BBs

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