Congestive Heart Failure 15
BUY
THE CHEAPEST DRUGS ONLINE FROM: DrugstoreOnlineShop.com
13. Labs: SMA7 and 12, magnesium. Cardiac enzymes: CPK-MB, troponin T
STAT and q6h for 24h. LDH and isoenzymes. CBC, INR/PTT, UA.
Congestive Heart Failure
1. Admit to:
2. Diagnosis: Congestive Heart Failure
3. Condition:
4. Vital signs: q1h. Call physician if P >120; BP >150/100 <80/60; T >38.5
C;
R >25, <10.
5. Activity: Bed rest with bedside commode.
6. Nursing: Daily weights, measure inputs and outputs. Head-of-bed at 45
degrees, legs elevated.
7. Diet: 1-2 gm salt, cardiac diet.
8. IV Fluids: Heparin lock with flush q shift.
9. Special Medications:
-Oxygen 2-4 L/min by NC.
Diuretics:
-Furosemide 10-160 mg IV qd-bid or 20-80 mg PO qAM-bid [20,40,80 mg]
OR
-Torsemide (Demadex) 10-40 mg IV or PO qd; max 200 mg/day [5, 10, 20,
100 mg] OR
-Bumetanide (Bumex) 0.5-1 mg IV q2-3h until response; then 0.5-1.0 mg IV
q8-24h (max 10 mg/d); or 0.5-2.0 mg PO qAM.
-Metolazone (Zaroxolyn) 2.5-10 mg PO qd, max 20 mg/d; 30 min before loop
diuretic [2.5,5,10 mg].
ACE Inhibitors:
-Quinapril (Accupril) 5-10 mg PO qd x 1 dose, then 20-80 mg PO qd in 1 to
2 divided doses [5,10,20,40 mg] OR
-Lisinopril (Zestril, Prinivil) 5-40 mg PO qd [5,10,20,40 mg] OR
-Benazepril (Lotensin) 10-40 mg PO qd, max 80 mg/d [5,10,20,40 mg] OR
-Fosinopril (Monopril) 10-40 mg PO qd, max 80 mg/d [10,20 mg] OR
-Ramipril (Altace) 2.5-10 mg PO qd, max 20 mg/d [1.25,2.5,5,10 mg].
-Captopril (Capoten) 6.25-50 mg PO q8h [12.5, 25,50,100 mg] OR
-Enalapril (Vasotec) 1.25-5 mg slow IV push q6h or 2.5-20 mg PO bid
[5,10,20 mg] OR
-Moexipril (Univasc) 7.5 mg PO qd x 1 dose, then 7.5-15 mg PO qd-bid [7.5,
15 mg tabs] OR
-Trandolapril (Mavik) 1 mg qd x 1 dose, then 2-4 mg qd [1, 2, 4 mg tabs].
Angiotensin-II Receptor Blockers:
-Irbesartan (Avapro) 150 mg qd, max 300 mg qd [75, 150, 300 mg].
-Losartan (Cozaar) 25-50 mg bid [25, 50 mg].
-Valsartan (Diovan) 80 mg qd; max 320 mg qd [80, 160 mg].
-Candesartan (Atacand) 8-16 mg qd-bid [4, 8, 16, 32 mg].
-Telmisartan (Micardis) 40-80 mg qd [40, 80 mg].
