hemodynamic effects of digoxin
negative chronotropy (increase HR)
positive inotropy (increase cardiac contractility)
MOA of entresto
decrease aldosterone concentration
increases vasodilatory peptide concentrations
drugs that can worsen HF
NSAIDS
Thiazolidinediones
anthracyclines
dpp 4 inhibitors
tnf inhibitors
non dhp ccbs
intraconazole
Class I & II anti arrhythmia
digoxin electrolyte abnormalities
increase ca
decrease mg
decrease K
just like htcz
max dose for ARNI
97/ 103 mg BID
max dose for ACE
Mostly 40 mg daily (1 or 2 doses)
ramipril: 10 mg
ARBS max dose
Losartan: 50-150 mg daily
Valsartan: 160 mg BID
BB max dose
metoprolol Suc: 200 QD
Carvedilol IR: <85 kg= 25mg BID, >85= 50 mg BID
Carvedilol CR: 80 mg
aldosterone receptor agonist max dose
25-50 mg qd
sglt2i max dose
10mg qd
equivalent dose for potassium chloride 10% oral solution
10%= 20 mEq KCL /15 mL
natural products
Omega 3
CoQ 10
hawthorn