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In: Nursing

what type of iv medication would you use for heart faliure and why would the client...

what type of iv medication would you use for heart faliure and why would the client receive this be specific?

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Expert Solution

Positive inotropic agents used to treat heart failure with reduced ejection fraction (HFrEF) include intravenous phosphodiesterase (PDE)-3 inhibitors (eg, milrinone), beta adrenergic receptor agonists (eg, dobutamine), intravenous calcium-sensitizing agents (eg, levosimendan)

Milrinone, commonly known and marketed under the brand name Primacor, is a medication used in patients who have heart failure. It is a phosphodiesterase 3 inhibitor that works to increase the heart's contractility and decrease pulmonary vascular resistance.
Dobutamine is a medication used in the treatment of cardiogenic shock and severe heart failure. It may also be used in certain types of cardiac stress tests. It is given by injection into a vein or intraosseous as a continuous infusion. The amount of medication needs to be adjusted to the desired effect.
Levosimendan is a calcium sensitiser that can be administered intravenously (IV) to patients with acute decompensated congestive heart failure (CHF). At therapeutic dosages levosimendan enhances myocardial contractility without increasing oxygen requirements, and causes coronary and systemic vasodilation.


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TALWIN -therapeutic use -medication administration -interaction -client education -evaluation of medication effectiveness -action
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