\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{ssz44f}
\pdfinfo{
  /Title (drugs-for-heart-failure.pdf)
  /Creator (Cheatography)
  /Author (ssz44f)
  /Subject (DRUGS FOR HEART FAILURE Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{BF1341}
\definecolor{LightBackground}{HTML}{FBF0F3}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{DRUGS FOR HEART FAILURE Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ssz44f} via \textcolor{DarkBackground}{\uline{cheatography.com/34643/cs/10854/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ssz44f \\
  \uline{cheatography.com/ssz44f} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 15th June, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{x{1.64784 cm} x{1.78516 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{ACE INHIBITORS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{PROTOTYPE DRUG}} & {\bf{lisinopril (Prinivil, Zestril)}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 2 (+ 0)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Drug of choice for HF} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Reduce afterload} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Increases cardiac output} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
Enhance excretion of sodium and water & - Lowers peripheral resistance and reduces blood volume \tn 
% Row Count 8 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 8 (+ 0)
% Row 7
\SetRowColor{white}
{\bf{PRIMARY USE:}} & To decrease BP and reduce blood volume; dilate veins   \tn 
% Row Count 11 (+ 3)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 11 (+ 0)
% Row 9
\SetRowColor{white}
{\bf{ADVERSE EFFECTS:}}   & - First-dose hypotension \{\{nl\}\} - Cough \{\{nl\}\} - Hyperkalemia \{\{nl\}\} - Renal failure \tn 
% Row Count 16 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.16722 cm} x{2.26578 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{ANGIOTENSIN II RECEPTOR BLOCKERS (ARBs)}}  \tn
% Row 0
\SetRowColor{LightBackground}
END IN & "-SARTAN" \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
{\bf{PROTOTYPE DRUG:}} & {\bf{candesartan (Atacand)}} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 3 (+ 0)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Actions very similar to ACE inhibitors} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Usually used for pts who are unable to tolerate ACE inhibitors} \tn 
% Row Count 6 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 6 (+ 0)
% Row 6
\SetRowColor{LightBackground}
{\bf{PRIMARY USE:}} & HTN and HF (for those who can't tolerate ACE inhibiitors) \tn 
% Row Count 9 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 9 (+ 0)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{{\bf{ADVERSE EFFECTS:}}} \tn 
% Row Count 10 (+ 1)
% Row 9
\SetRowColor{white}
 & Hypotension \{\{nl\}\} Hyperkalemia \tn 
% Row Count 12 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 12 (+ 0)
% Row 11
\SetRowColor{white}
{\bf{PATIENT TEACHING:}} & Sodium \& potassium restrictions \{\{nl\}\} Contraception \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.13289 cm} x{2.30011 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{DIURETICS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{PROTOTYPE DRUG}} & furosemide (Lasix) \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Increase urine flow} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Reduce & - blood volume and cardiac workload \{\{nl\}\} - Edema and pulmonary congestion \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Prescribed in combination with other drugs} \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 7 (+ 0)
% Row 5
\SetRowColor{white}
{\bf{PRIMARY USE:}} & Diuretic \tn 
% Row Count 9 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 9 (+ 0)
% Row 7
\SetRowColor{white}
{\bf{ADVERSE EFFECTS:}} & - Electrolyte imbalances \{\{nl\}\} - Hypovolemia \{\{nl\}\} - Orthostatic hypotension \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.13289 cm} x{2.30011 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{CARDIAC GLYCOSIDES}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{PROTOTYPE DRUG}} & digoxin (Lanoxin) \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 2 (+ 0)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Increase forcec of heartbeat, slow heart rate} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Improve cardiac output} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Second-line treatment for HF} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Narrow therapeutic range} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 6 (+ 0)
% Row 7
\SetRowColor{white}
{\bf{PRIMARY USE:}} & To increase contractility or strength of myocardial contraction \tn 
% Row Count 9 (+ 3)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 9 (+ 0)
% Row 9
\SetRowColor{white}
{\bf{ADVERSE EFFECTS:}} & - Neutropenia \{\{nl\}\} - Dysrhythmias \{\{nl\}\} - Digital toxicity \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.13289 cm} x{2.30011 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Beta-Adrenergic Blockers  "-olol" (Antagonists)}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{PROTOTYPE DRUG}} & metoprolol (Lopressor, Troprol XL) \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 2 (+ 0)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Slow HR and reduce BP} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{(Negative) inotropic effect} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Reduce workload of heart} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 5 (+ 0)
% Row 6
\SetRowColor{LightBackground}
{\bf{PRIMARY USE:}} & - Reduce symptoms of HF \{\{nl\}\} - Slow progression of disease \tn 
% Row Count 8 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 8 (+ 0)
% Row 8
\SetRowColor{LightBackground}
{\bf{ADVERSE EFFECTS:}} & - Fluid retention \{\{nl\}\} - Worsening of HF \{\{nl\}\} - Fatigue \{\{nl\}\} - Hypotension \{\{nl\}\} - Bradycardia \{\{nl\}\} - Heart block \tn 
% Row Count 13 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.13289 cm} x{2.30011 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{PHOSPHODIESTERASE INHIBITORS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{PROTOTYPE DRUG}} & milrinone (Primacor) \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 2 (+ 0)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Block enzyme phospho diesterase} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Increase calcium for myocardial contraction} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Cause positive inotropic response and vasodilation} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{Increase contractility \& decrease afterload} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Short-term therapy only} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 7 (+ 0)
% Row 8
\SetRowColor{LightBackground}
{\bf{PRIMARY USE:}} & As a short term therapy for HF \tn 
% Row Count 9 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{} \tn 
% Row Count 9 (+ 0)
% Row 10
\SetRowColor{LightBackground}
{\bf{ADVERSE EFFECTS:}} & - Hypokalemia \{\{nl\}\} - Hypotension \{\{nl\}\} - Ventricular dysrhythmias \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.09856 cm} x{2.33444 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{DIRECT VASODILATORS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{PROTOTYPE DRUG:}} & hydralazine (Apresoline) \{\{nl\}\} Sometimes used in combination with isosorbide dinitrate (Isordil) \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
 & . \tn 
% Row Count 5 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{{\bf{PRIMARY USE:}}} \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
 & - Antihypertensive \{\{nl\}\} - Treatment of hypertensive crisis \tn 
% Row Count 9 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{{\bf{ADVERSE EFFECTS:}}} \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
 & - Stopping abruptly can cause rebound HTN \{\{nl\}\} - Flushing \{\{nl\}\} - Reflex tachycardia \{\{nl\}\} - Palpatations \{\{nl\}\} - Lupus-like reaction \{\{nl\}\} - Hypotension \tn 
% Row Count 16 (+ 6)
% Row 6
\SetRowColor{LightBackground}
 & CONTRAINDICATED IN THOSE WITH: \{\{nl\}\} - Tachycardia \{\{nl\}\} - Angina \{\{nl\}\} - Rheumatic heart disease \tn 
% Row Count 20 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}