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PHARM E3 FQ18 :<3:HEART FAILURE DRUGS katie (Drugs WITHOUT Inotropic…
PHARM E3 FQ18
:<3:HEART FAILURE DRUGS
katie
:arrow_up_small::
Inotropic Agents
Digitalis
Digoxin
Phosphodiesterase Inhibitors
(Bipiridines)
:red_cross: Phosphodiesterase
:arrow_up: cAMP
Inamrinone
Milrinone
Sypathomimetics
Calcium Sensitizers
Levosimendan
Pimobendan
:red_cross: Phosphodiesterase III
Increases Ca sensitivity
Experimental
Dopamine
Direct action on heart
Dobutamine
B1 Agonist
increase contractility, not much tachycardia
increase O2 comsumption
IV
Drugs WITHOUT Inotropic Effects
Diuretics
Loop Agents
Furosemide
Bumetanide
Torsemide
Ethacrynic Acid
Potassium Sparing Diuretics
Triamterene
Amiloride
Thiazides & Related Comp.
Hydrochlorothiazide
Chlorothiazide
Meolazone
Indapamide
Aldosterone Antagonists
Spironolactone
Eplerenone
BNP
IV admin.
Decompensated HF - acute tx
Treats elevated PCWP
Nesiritide
SNS Blockers
Metoprolol
B1 Blocker
Cardioselective
Bisoprolol
B1 Blocker
Cardioselective
Carvediol
Alpha & Beta Blocker
Vasodialators
Sodium Nitroprusside
IV (emergencies)
Arteries & Veins
Hydralazine
Oral
Tolerance issues
Only Arterioles
Isosorbide Dinitrate
& Nitroglycerine
Tolerance issues
Veins > arteries
If Channel Inhibitors
Hospitalized HF pt
:red_cross:cardiac pacemaker SA node
Ivabradine
Neprilysin Inhibitor
Allows for glucagon, enephalines, substance P, bradykinin, natriuetc peptide
:red_cross:pathogenic growth
Sacubitril
(combined w/
Valsartan
)
Block RAAS
ACE Inhibitors
Catopril
"-opril" drugs
Angiotensin Receptor Blocker
(AT1 Receptor)
Losartan
"-sartan" drugs