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A look at standard medications for LVSD

A look at standard medications for LVSD heart matters A look at standard medications for LVSD By Maryanne Crowther, RN, APN, ACNP-BC, ANP-BC, CCRN Cardiology Nurse Practitioner � St. Joseph’s Regional Medical Center � Paterson, N.J. Pharmacologic management of left ventricu- When an ACE inhibitor or an ARB Looks like there lar systolic dysfunction (LVSD) is standard can’t be used, a combination of hydralazine are several and evidence-based, prescribed based on the and isosorbide dinitrate may be prescribed drugs to keep patient’s stage of heart failure (HF). Let’s to provide the same balanced vasodilatory me going. I just take a closer look. effect. Hydralazine prevents the tolerance love variety! effects of the nitrate, and nitrate enhances ACE inhibitors the effectiveness of hydralazine. Angiotensin-converting enzyme (ACE) Additionally, a combination of hydralazine inhibitors are the gold standard for treating and nitrate can augment the protective HF. This class of medication lessens neuro- effects of ACE inhibitors or ARBs and hormonal responses and prevents the con- beta-blockers. version of angiotensin I to angiotensin II. Beta-blockers ACE inhibitors also offload fluid and Beta-blockers are a powerful class of med- pressure from the heart and lungs and provide cellular effects that improve ication used in the treatment of LVSD. heart function http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nursing Made Incredibly Easy! Wolters Kluwer Health

A look at standard medications for LVSD

Nursing Made Incredibly Easy! , Volume 7 (6) – Nov 1, 2009

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Copyright
© 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1544-5186
eISSN
1552-2032
DOI
10.1097/01.NME.0000363316.17540.a6
Publisher site
See Article on Publisher Site

Abstract

heart matters A look at standard medications for LVSD By Maryanne Crowther, RN, APN, ACNP-BC, ANP-BC, CCRN Cardiology Nurse Practitioner � St. Joseph’s Regional Medical Center � Paterson, N.J. Pharmacologic management of left ventricu- When an ACE inhibitor or an ARB Looks like there lar systolic dysfunction (LVSD) is standard can’t be used, a combination of hydralazine are several and evidence-based, prescribed based on the and isosorbide dinitrate may be prescribed drugs to keep patient’s stage of heart failure (HF). Let’s to provide the same balanced vasodilatory me going. I just take a closer look. effect. Hydralazine prevents the tolerance love variety! effects of the nitrate, and nitrate enhances ACE inhibitors the effectiveness of hydralazine. Angiotensin-converting enzyme (ACE) Additionally, a combination of hydralazine inhibitors are the gold standard for treating and nitrate can augment the protective HF. This class of medication lessens neuro- effects of ACE inhibitors or ARBs and hormonal responses and prevents the con- beta-blockers. version of angiotensin I to angiotensin II. Beta-blockers ACE inhibitors also offload fluid and Beta-blockers are a powerful class of med- pressure from the heart and lungs and provide cellular effects that improve ication used in the treatment of LVSD. heart function

Journal

Nursing Made Incredibly Easy!Wolters Kluwer Health

Published: Nov 1, 2009

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