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23 Cards in this Set
- Front
- Back
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NYHA I
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Cardiac disease but no functional limitation
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NYHA II
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Ordinary activity leads to dyspnea, palpitations, fatigue, or angina
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NYHA III
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Comfortable at rest.
Less than ordinary activity will lead to Sx |
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NYHA IV
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Uncomfortable at rest
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Stage A HF
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No evidence of damage nor signs and sx.
Hypertension, Coronary artery disease, DM |
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Stage B HF
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Evidence of structural heart disease but no signs nor sx.
Myocardial infarction, ventricular hypertrophy, impaired systolic function |
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Stage C HF
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signs and sx of HF.
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Stage D HF
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signs and sx at rest despite maximal medical therapy.
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Drugs that can worsen HF
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Drugs with (-) ionotropic effects:
Class IA antiarrhythmics Oral antifungals Calcium channel blockers Anthracyclines TZD NSAIDs Glucocorticoids |
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Aceon
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Perindopril
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Altactone/Inspra Scr cutoffs
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2.5 Male
2.0 Female |
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Medications that increase digoxin
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Verapamil, Amiodarone, Quinidine
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Medications that decrease digoxin
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Antacids,
Bile acid resins Kaolin-pectin Metoclopramide |
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Digoxin concentration for HF
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0.5-1.0ng/mL
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When to collect digoxin blood smaple
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6-12hr after last dose
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Digoxin dose
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125-250mcg po qd
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Mykrox
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Metalazone
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Dopamine infusion rate dependent effects
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0-3mcg/kg/min improve renal perfusion
3-10mcg/kg/min beta-receptor stimulation >10mcg/kg/min alpha receptor stimulation |
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Intropin
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Dopamine
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Dobutrex
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Dobutamine
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Primacor
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Milrinone
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Dobutamine infusion rate for ADHF
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2.5-20mcg/kg/min
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Milrinone infusion rate
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50mcg/kg bolus over 10 min
0.375mcg/kg/min. Can titrate to 0.75mcg/kg/min |
