Question

Discuss medications to treat congestive heart failure (CHF). What medications are used to treat CHF? What specifically should patients be taught about CHF medications to prevent adverse side effects?

Answer 1

CHER Congestive Ideart failure It is úmples Clinical synckome charactesized by abnormalities of left ventriceilas function & nuuso hormonal regulation which are accompanied by effort intoleresice, fluid retention kreduced lengevity. → Treatment goals for CHE i> Incsease cardiac output iiy reduce hypertrophy qiz Reduce the fluid load & - To increase cardiac Output Following drug classess can be used. (They act by increasing casdiác contactility & diminish afterload) is positive jonotropic Okugs - ep. Digoxin, calcium catecholamines etc Hy ACE (Angiotensin converting Enzyme) inhibitors og eg.capto piil, analapril, o is nito vaso dilators reg: NIG ( Nitroglycerine sinitrodil Diethylene glycol dinikate) ou

1) To reduce hypertrophy following drugs ast - used Betablockers (They are sympathetic antagonist They produce a negative ionotropic effect, reducing the progression of heart failure ef: Atenolol, Metoprolol, propranolol: * ACE inhibitors.q: captopril, lisinopril, Ramipril: > To reduce the fhich load Dinsetics are used. Diuretics cause the kidneys to remove more water & salt (Sodium) from the body this can help relieving swelling that happens because of heart failure. 7 18op Dinsetie : Lasix Thiazide : chlorthalidones hydrochlorothiazide y Vasodilators: They open blood vessels, affect the muscles in the wall of arteries & veins preventing from tightening & narrowing of vessels. eg: Nitropy usside , Nitric oxide.

cons. 2 side-effects of CHF medication include tachycardia 9 palpitations, nausea, vomiting headache , chest pain, dicuness, flushing Patient teaching - Blood pressure need to be checked often → Rise slowly from bed to prevent orthostatic hypotension > check the expiry date on labels - Avoid alcohol & coffee beverages → observe for the allergic reactions Inexease Huick water wintake. → Do not take more than recommended dose store at room temperature, away from children reach - Take the medicine with food