QUESTIONS AND ANSWERS
- increases cardiac contractility which will increases cardiac output
- decreases HR
- decreases AV nodal conduction
- used in pts with advanced HF - ANS What are the effects of Digoxin?
if you check the apical pulse for a whole minute and it is less than 60 - ANS When would you
not give digoxin?
- anorexia
- NVD
- confusion (in older patients)
- blurred vision (halos)
- arrhythmias - ANS What are the adverse drug reactions of digoxin?
hypokalemia or anything that decreases dig clearance - ANS What makes dig toxicity worse?
digibind; b/c it is an antibody to dig that pulls it out of circulation - ANS How is dig toxicity
treated and why?
1
Page
@COPYRIGHT SIRJOEL 2025/2026
, milrinone; b/c it increases the force of contraction - ANS What treats HF in acute pts and
why?
ACEI - ANS What if the first-line treatment for Congestive Heart Failure?
- any drug that ends in "pril" is an ACEI
- ex. lisinopril - ANS What do the ACEI drugs end in? Give an example.
approved for HF following an MI - ANS What do ramipril and trandolapril do?
- cough
- angioedema (life-threatening)
- hyperkalemia - ANS What are some side effects of ACEI?
- angiotensin II receptor blockers
- also used in CHF pts
- ex. valsartan, losartan, any drug ending in "sartan" - ANS What is an ARB? Give examples.
b/c they would have a decreased cough - ANS Why would you switch a pt from an ACEI to an
ARB?
- sacubitril/valsartan
- causes diuresis, sodium loss, and decreased BP - ANS What is a popular combination drug
used to treat CHF and what does it do?
2
- used to treat CHF; indicated for pts with resting HR of 70 taking beta blockers at the highest
Page
dose
@COPYRIGHT SIRJOEL 2025/2026