Heart Failure Medicines ACE (angiotensin- converting enzyme) inhibitors ARBs (angiotensin receptor blockers) Beta-blockers Spironolactone Diuretics (water.

Slides:



Advertisements
Similar presentations
Heart Failure KIT Knowledge Inspiration Teamwork.
Advertisements

© 2008 Heart Failure Society of America, Inc. What You Should Know About Heart Failure presented by [insert speaker name] as a service of [insert institution.
Heart Failure, Fluids, and Diet Carolyn Scroggins, MSN, RN, GNP.
BACK TO BASICS: PHARMACOLOGY CHAD C. CRIPE, MD Department of Anesthesiology & Critical Care Medicine Division of Cardiothoracic Anesthesiology The Children’s.
Antihypertensives By: Carolyne Barnes 5/6/09. Facts! Antihypertensives are medications used to treat high blood pressure. High blood pressure is a sign.
Medications Cardiac Rehabilitation Program. Overview What’s in a name Types of medications Storage Disposal Travel and Safety.
Heart Failure: The Nursing Facility Responsibility
Preventing Diabetes Complications. What is a “complication”? Two problems at the same time A second illness caused by the first one A complication “complicates”
Heart Failure — What Is It ?
An Evening with your Pharmacists MENDED HEARTS.  Specialty Practice Pharmacist  Electrophysiology MIKE BOYD, PHARM D.
Hypertension – Summary
My Life Monday Taking care of your heart You are familiar with your heart beating but do you know why your heart beats? Your heart is a strong pump made.
Any of a group of antihypertensive drugs that relax arteries and promote renal excretion of salt and water by inhibiting the activity of an angiotensin.
Renal Diseases. Kidney Failure Kidney failure is also called renal failure. With kidney failure, the kidneys cannot get rid of the body’s extra fluid.
Hypertension Diagnosis and Treatment  Based on JNC 7 – published in 2003  Goal: BP
Managing Diabetes Medications. Topics What medications are available to –Manage diabetes? –Lower blood pressure? –Improve cholesterol? How can you keep.
Prepared by : Nehad J. Ahmed.  Heart failure, also known as congestive heart failure (CHF), means your heart can't pump enough blood to meet your body's.
Cardiac medications. Anticoagulants  Commonly prescribed include: Dalteparin (Fragmin), Danaparoid (Orgaran), Enoxaparin (Lovenox), Heparin (various),
© 2000 Heart Failure Society of America, Inc.
Congestive Heart Failure (CHF)
Dr. Jon Salisbury Visiting Physician Services A Member of VNA Health Group No Disclosures May 14, :40PM – 2:00PM ©AAHCM.
E LECTROCARDIOGRAM AND THE D IAGNOSIS OF C ONGESTIVE H EART F AILURE By Angela Thomas.
High Blood Pressure, Risk Factors, & Preventative Strategies Dr. Sameena Zahoor.
By: Kyra Alexander.  Heart Failure is a condition in which the heart cannot pump enough blood into the rest of the body.  Often a long-term (Chronic)
By Jessica Davies. Angiotensin Converting Enzyme Inhibitors Used to help control Hypertension Also they help with heart failure, preventing strokes, and.
Heart Failure, HF CHF develops when plasma volume increases and fluid accumulates in the lungs, abdominal organs (liver especially), and peripheral tissues.
Jacqueline Buckham AC-230
Drugs for CCF Heart failure is the progressive inability of the heart to supply adequate blood flow to vital organs. It is classically accompanied by significant.
Lifestyles, Fitness and Rehabilitation Heart Failure.
Supporting Patients with CHF Care Transformation Collaborative of R.I. MAUREEN CLAFLIN, MSN, RN. NCM UNIVERSITY MEDICINE GOVERNOR STREET PRIMARY CARE CENTER.
Congestive Heart Failure!!. Question 1 What’s a symptom of congestive heart failure?? A. shortness of breath B. chest pain C. No appetite D. all of the.
By Lisa Bruno Gateway Community College April 1, 2011 Instructors Ellen Cummings, RN, MSN, CNE Beth Walker, RN, MSN, CNE.
 Hypertension : BPDIASTOLIC SYSTOLIC Normal< 130< 85 Mild hypertension Moderate hypertension Severe Hypertension 180.
1 Hypertension Overview. 2 Leading Risks For Death (World Health Organization 2002) Cholesterol Alcohol HYPERTENSION Tobacco use Overweight.
Hypertension (High Blood Pressure)
AFAMS Cardiovascular Drugs (Insert Dari) EO Part 19.
6/3/ CARDIOVASCULAR MEDICATIONS. FIRST DO NO HARM 6/3/ There are 5 rights to patient medication administration: 1. Right patient 2. Right.
Safety update Anthony Ormerod. Why is safety important? Clinical trial / European directive MHRA / governance Severe disease Patients have large burden.
Hypertension By: Kenneth Hall and Matt McCallum Matt McCallum.
 This disease Narrows the blood vessels that carry oxygen-rich blood to your heart. This happens because of plaque build up in the vessels.  The coronary.
Heart Failure Medications Zachary Cox, PharmD Associate Professor Lipscomb University College of Pharmacy Clinical Pharmacist, Vanderbilt University Medical.
Sara Paul DNP, FNP Catawba Valley Cardiology Conover, NC.
Clinical Pharmacology of Drugs for Controlling Vascular Tone
Cardiovascular Calcium Chanel Blockers Ace Inhibitors Anticoagulant/ Diuretics Lipid Lowering.
Internal Medicine Workshop Series Laos September /October 2009
بسم الله الرحمن الرحيم.
Hypertension Hypertension can be classified as follows: Mild :Diastolic pressure mmHg Moderate: Diastolic pressure mmHg Sever: Diastolic pressure.
Atheroschlerosis The build up of fatty plaque inside arteries making them lose their elasticity and become narrowed or blocked.
Instructions for using this template.
Heart Failure Cardiac Insufficiency. What is Heart Failure? Heart failure is a progressive disorder in which damage to the heart causes weakening of the.
Heart Failure What is Heart Failure? The heart is not pumping properly.  Usually, the heart has been weakened by an underlying condition  Blocked arteries.
Heart Failure: medication Types of Heart Failure Systolic (or squeezing) heart failure –Decreased pumping function of the heart, which results in fluid.
Effect of some adrenergic drugs and its blockers on the blood pressure.
Decreasing the Load After the Fill May the Force be with you Clearing the Path Let it Flow
Renal Complications Associated with Diabetes By Gabriella Benavides FNP-BC.
Janice Herbert-Carter, MD, MGA, FACP Associate Professor of Medical Education.
MEDICINES & THE HEART. Medicines & the Heart You and your medicines You and your medicines Common heart medicines for preventing heart disease Common.
Internal Medicine Workshop Series Laos September /October 2009.
Heart surgery hospitals in India. What is Heart failure? The meaning of the heart failure means when the condition of the heart in which the heart can’t.
What Is Zestril Medication Zestril Cost how often do you take 20 mg lisinopril lisinopril hydrochlorothiazide diarrhea can i take aspirin with lisinopril.
Kristina Zurita, RN Heart Failure Unit Florida Hospital 2013.
1 Type 2 Diabetes: Are you at risk? Stop by for a risk assessment.  The good news is that you can manage your risk for Type 2 diabetes.  Small steps.
Understanding Rate and Rhythm Control Drugs
Parma Community General Hospital
Coronary Heart Disease
Metformin (Glucophage)
Heart Attack.
Heart Failure - Summary
Internal Medicine Workshop Series Laos September /October 2009
Presentation transcript:

Heart Failure Medicines ACE (angiotensin- converting enzyme) inhibitors ARBs (angiotensin receptor blockers) Beta-blockers Spironolactone Diuretics (water pills) Potassium Digoxin

ACE INHIBITORS Examples of these are: –Lisinopril –Fosinopril –Enalapril –Captopril

ACE inhibitors Block the effects of harmful hormones on your heart muscle. This prevents the heart from getting larger Lower the blood pressure Have benefits even if you do not have high blood pressure Helps to keep you out of the hospital and you may live longer

Side effects of ACE Inhibitors Cough Dizziness Skin rash High potassium levels in your blood **** If you develop swelling of the face, tongue, or mouth, stop taking the medicine and call your doctor ****

Angiotensin Receptor Blockers Examples of these are: –Losartan (Cozaar®) –Candesartan (Atacand®) Effects similar to ACE inhibitors –Keeps you out of the hospital –You may live a longer and healthier life

Beta-Blockers Examples of these are: –Carvedilol (Coreg  ) –Metoprolol (Lopressor, Toprol XL  ) –Atenolol –Propranolol

Beta-Blockers Block the effects of harmful hormones on your heart muscle. This prevents the heart from getting larger Lower your blood pressure Slow the heart rate  lessen the work your heart has to do Prevent heart attacks in patients who have coronary artery disease

By regularly taking these types of medications: The pumping action of the heart may improve over time Helps to keep you out of the hospital You may live a longer and healthier life

Side effects of Beta-Blockers Initially you may feel tired or dizzy. This usually gets better your body adjusts. It may take anywhere from 1 to 3 months to feel better. Stick with the regimen because the benefits are tremendous. If you have more shortness of breath or weight gain from fluid build-up, notify your provider

Target Dose Usually ACE-Inhibitors and Beta- blockers are started in low doses and increased gradually to the “target doses” If you cannot tolerate the higher doses your provider will get to a dose that is best for you.

What is meant by target dose? The target dose is the dose which has been shown in clinical research to give the most benefit

For example…. You may be started on Carvedilol mg twice daily On your next appointment the dose may be increased to 6.25 mg twice daily Would continue doing this till you reach the target dose 25 mg twice daily

Spironolactone Given to some patients with advanced heart failure A low dose reduces symptoms of heart failure Helps to keep you out of the hospital May increase the potassium level

Diuretics (“Water Pills”) Examples of these are: –Furosemide (Lasix  ) –Hydrochlorothiazide –Metolazone –Bumetanide

Diuretics (“Water Pills”) Help your body get rid of excess water. You will feel better and breathe better. Try to take these medications in the daytime no later than 4pm Your blood will be checked periodically to make sure your potassium level is normal.

Potassium Supplements When you take a water pill, your body may lose potassium. If your blood potassium level is low, then a supplement is prescribed.

Reminder….. You may be taking different types of medicines which may increase or decrease your potassium level. It is very important to go to your doctor’s appointments to have have your labs checked and medications adjusted.

Digoxin Helps reduces symptoms of heart failure Helps the heart to pump stronger Helps to keep you out of the hospital. Not given to all heart failure patients.

Digoxin Your provider may check your blood digoxin level Notify your provider if you experience any of the following: –Loss of appetite –Blurry vision –Stomach pain, nausea, vomiting –Confusion or extreme tiredness

Cholesterol Medicines Many of you may be taking: –Simvastatin (Zocor®), Atorvastatin (Lipitor®), Lovastatin or Fluvastatin Some other types include: Niacin (Niaspan ® ) Gemfibrozil (Lopid ® )

Tips to remember You should always take your morning medicines before your doctor’s appointment. If you miss a dose of a medication, it is important not to double up on the dose. Please do not to run out of your medicines

VA automated refill system Mail in slips Drop slips in box outside outpatient pharmacy Touch-tone phone