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Pharm - Drugs for hypertension & heart failure

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Heart Failure
- abnormal heart function
- signs of low CO and/or pulmonary or systemic congestion
- incomplete emptying of ventricle
- increased atrial/ventricular/pulmonary capillary pressure
- edema
- left or right sided heart failure




left-sided heart failure
pulmonary edema
right-sided heart failure
systemic/pedal edema
S&S of heart failure
- dyspnea
- fatigue (may limit exercise tolerance)
- fluid retention (may lead to pulmonary & peripheral edema)

Most used therapies for heart failure?
1. Diuretics
2. Beta-Blocker
3. ACE Inhibitor
4. Digoxin
5. ARB



Cardiac Output?
CO = HR x SV
Cardiac Preload?
pressure in right side of the heart as blood returns to the heart
Cardiac Afterload?
pressure the heart must pump against within the arterial system to eject blood (PVR)
Ischemic Heart Disease?
- SYSTOLIC heart failure
- reduced blood supply of the heart due to CAD
Chronic hypertension or volume overload?
- DIASTOLIC heart failure
Myocardial injury (Pathophysiology):
- causes a fall in LEFT ventricular performance
- RAAS & SNS activated causing:
- vasoconstriction - increased BP, HR
- Na+ & H20 retention
- vascular remodelling & worsening of LEFT ventricle function
- myocardial toxicity --> morbidity/mortality




RAAS (renin-agiotensin-aldosterone system)
Regulates:
- BP
- VOL
- fluid/electrolyte balance (aldosterone)


What causes activation of RAAS?
- low BP
- low blood volume
- decreased renal perfusion
- beta 1 stimulation by SNS


What is the RAAS process?
renin released --> angiotensin I (inactive) ---converted by ACE (lung) to---Angiotensin II (active) --> aldosterone (adrenals) --> Na+ retention/H20 retention & increased K+ excretion (kidneys)
What are the effects of angiotensin II (active)?
- stimulate aldosterone release
- most potent vasoconstriction (increases cardiac pumping & O2 demand)
- vascular remodelling

Heart Failure Medications:
BAADDA
B - Beta Blockers
A - Ace Inhibitors
A - Angiotensin II Receptor Blockers (ARBS)
D - Diuretics
D - Digoxin
A - Aldosterone inhibitors





Ace-inhibitor drugs:
(Angiotensin Converting Enzyme Inhibitors)
- Catopril (Capoten)
- Enalapril (Vasotec)
- Lisinopril (Zestril)
- Ramipril (Altace)




Who should take ACE inhibitors?
- all patients with heart failure symptoms
- symptoms of ejection fraction (EF) less than 40% or asymptomatic EF of less than 35%
- myocardial infarction (obstruction of blood supply)
***should take maximum tolerated dose


What are some precautions for ACE inhibitors?
- DIURETICS increase effects
- taking with BETA BLOCKERS & DIURETICS can cause hypotension
- NSAIDS increases Na+ reabsorption (decrease effects of ACE inhibitors)
- ACE inhibitors cause retention of K+. K+ supplements should be avoided (could cause hyperkalemia)
- cause dry, hacking cough
- angioedema - edema in blood vessels (rare but life threatening)




Captopril (Capoten) - ACE inhibitor
- 3 times per day (TID)
- well-absorbed (less when taken with food)
- Peak: 1-2 hrs
- Half-life: 1-2 hrs
- Duration: 6-12 hrs
- Dose: 12.5-50 mg tid




Enalapril (Vasotec) & Lisinopril (Zestril) - ACE inhibitors
- 10-20 times MORE POTENT than captopril (capoten) with LONGER EFFECTS
- similar side effects as captopril (capoten)
- enhanced compliance
- reduced cost
- less pills/day
Enalapril (Vasotec) --> bid
Lisinopril (Zestril) --> daily





ARB Drugs (Angiotensin II Receptor Blockers)
Atacand (Candesartan)
Diovan (Valsartan)
Cozaar (Losartan)
Avapro (Irbesartan)


Who should take ARBs (Angiotensin II Receptor Blockers)?
- heart failure
- if intolerant to ACE inhibitors (because of cough)
- used in conjunction with ACE inhibitors (if persistent heart failure symptoms) OR if beta blocker is not tolerated or contraindicated

What are the functions of the kidney?
- cleansing/maintenance of extracellular fluid (ECF)
- acid-base balance
- excretion of metabolic wastes & foreign substances



Who should take diuretics?
- heart failure patients with congestive symptoms (pulmonary/peripheral edema)
- supervised self-adjustment based on weight & symptoms
- volume overload



***lowest dose once congestion clears





What additional drug should be taken if persistent volume overload?
- Thiazide diuretic
OR
- low dose Metolazone (prototype: Furosemide (Lasix) - high ceiling loop diuretic)

**monitor weight, renal function, & K+ levels



What risks are associated with Diuretics?
1. dehydration/hypovolemia
2. hypotension
3. electrolyte depletion (hyponatremia/hypokalemia)
4. Azotemia (increased blood urea nitrogen)
5. Ototoxicity (ear)
6. Hyperglycemia (high blood sugar levels)
7. Hyperuricemia
8. Neurohormonal activation (RAAS)






Classification of Diuretics:
1. Mannitol - Osmotic (Proximal Convoluted Tubule)
2. Furosemide (Lasix) - high ceiling ascending loop of hence (decreased Na+ & Cl- reabsorption)
3. Thiazide (Hydrochlorothiazide/Hydrodiuril) - early distal convoluted tubule
4. Spironolactone/Adactone - K+ retention (aldosterone antagonist) - late distal convoluted tubule




What percentages of Na+ & Cl- is excreted for various diuretics and where?
1. Mannitol (65%) - PCT
2. Furosemide (20%) - ascending loop
3. Thiazide (10%) - EDCT
4. Spironolactone (5%) - LDCT


Which diuretic is common, safe, and effective?
Loop diuretics Furosemide (Lasix), ethacrynic acid
Which diuretic is the 1st choice for hypertension & is mild?
Thiazide diuretics:
- Diuril (hydrochlorothiazide)
Which diuretics have additive value?
Thiazide analogs:
Zaroxolyn (metolazone)
Which diuretics should be taken for people with hypokalemia?
potassium-sparing diuretics:
Aldactone (Spironolactone)
What are Thiazide Diuretics?
Hydrochlorothiazide (hydrodiuril)
- most widely used for mild hypertension
- less potent than loop diuretics
- bind at early distal convoluted tubule
- dependant on good renal function
- peak: 4-6 hrs




Adverse effects of Thiazide diuretics:
SAME AS LOOP DIURETICS (except NOT ototoxic!! - relating to ear)
1. dehydration/hypovolemia
2. hypotension
3. electrolyte depletion (hyponatremia/hypokalemia)
4. Azotemia (increased blood urea nitrogen)
5. Hyperglycemia (high blood sugar levels)
6. Hyperuricemia
7. Neurohormonal activation (RAAS)






Potassium Sparing Diuretics
(Aldosterone Inhibitors) MOA:
Spironolactone (Aldactone):
- binds to aldosterone receptors in late DCT
- K+ is retained and 5% of Na+ is excreted

Who should take potassium-sparing diuretics (aldosterone inhibitors)?
People with:
- hypertension
- edema
- severe heart failure (WITH hypokalemia) - low K+
- primary hyperaldosteronism (too much aldosterone produced by adrenal glands)



What is the main osmotic diuretic?
Mannitol (osmitrol)
- receptor site: proximal convoluted tubule
Who should take osmotic diuretics such as mannitol (osmitrol)?
- people who have renal failure
- increased intracranial pressure (ICP)
- increased intraocular pressure (IOP)

What are the adverse effects of osmotic diuretics? Mannitol (Osmitrol)
- very potent (should be used in ICU (intensive care units)
Who should take Digoxin (Lanoxin) - Inotropic drugs?
- moderate to severe heart failure with symptoms, in sinus rhythm
- little or no effect on survival but may increase exercise tolerance
- for chronic atrial fibrillation (too many contractions & poor cardiac output) & rate control despite beta blocker
- limited affect when used alone to treat heart failure


Digoxin (Lanoxin) - Inotropic drug MOA?
- inhibits Na+K+ ATPase in cardiac cell membranes (inhibits Na+ release and K+entry)
- intracellular Na+ & Ca++ increases
causing:
1. increased actin-myosin coupling --> increases FOC --> increases CO
2. slows SA node depolarization/conduction --> decreases HR --> increased filling & CO

***overall - stronger contraction but less often





What are digoxin (Lanoxin) precautions?
- long half-life
- easily retained in small people, elderly, women, renal impairment and can cause toxicity
- hypokalemia increases effects of Digoxin & worsens risk of toxicity
- TOXICITY:
- N/V
- visual changes
- dysrhythmias
- anorexia
- headache
- confusion
- antacids increase absorption & effect
- check pulse: if less than 50 (don't give)










What is the onset, half-life, duration and therapeutic range for digoxin (lanoxin)?
- Onset: 0.5 hrs IV, 3 hrs PO
- Half-life: 32-48 hrs
- Duration: 6 days
- Therapeutic Range: 0.5 - 1.1 mg/ml (VERY NARROW)
**monitor serum levels carefully!



What is Inotropic?
modifying the force or speed of muscle contraction
What are some inotropic drugs for heart failure?
Cardiac glycosides:
Digoxin (Lanoxin)
What are drug interactions with Digoxin (Lanoxin)?
1. Antacids - increase absorption & effect of digoxin
2. Quinidine, Verapamil
- displaces digoxin from tissue binding sites
- decreases renal excretion of digoxin


What are some non-pharm measures for heart failure?
- moderate aerobic exercise
- Na+ restriction
- daily weights
- flu/pneumonia vaccine
- 1.5-2L of fluids/day



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