Pharmacology

Card Set Information

Author:
amgomez
ID:
107067
Filename:
Pharmacology
Updated:
2011-10-07 02:39:07
Tags:
Cardiovascular System Drugs
Folders:

Description:
Contraindications
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user amgomez on FreezingBlue Flashcards. What would you like to do?


  1. What are some contraindications that would make taking the class IV/calcium channel blocker verapamil (Calan)? risky for the patient?
    • Severe hypotension
    • Cardiogenic shock
    • Second or third degree atrioventricular (AV) block
    • Wolff-Parkinson-White syndrome
    • Sick sinus syndrome
    • Extended-release tablets are contraindicated for patients younger than 18 years.
  2. What are some contraindications that would make taking the class IB/sodium channel blocker lidocaine (Xylocaine)risky for the patient?
    • Allergy to lidocaine or amide anesthetics
    • Supraventricular dysrhythmias
    • Untreated bradycardia, heart block
  3. What are some contraindications that would make taking the class IC/sodium channel blockers flecainide (Tambocor) and propafenone (Rythmol) risky for the patient?
    • Allergy to flecainide
    • Second or third degree atrioventricular (AV) block
    • Certain types of bundle branch block or prolonged QT interval
    • Recent myocardial infarction (MI)
    • Shock
    • Electrolyte imbalance (correct before starting flecainide therapy)
  4. What are some contraindications that would make taking the alpha/beta blocker carvedilol (Coreg) risky for the patient?
    • Severe unstable heart failure
    • Asthma or other chronic respiratory disorders
    • Heart block or severe bradycardia
    • Cardiogenic shock
    • Lactation
  5. What are some contraindications that would make taking the centrally acting alpha2 agonist clonidine (Catapres) risky for the patient?
    • Anticoagulant therapy
    • Transdermal patch: Polyarteritis nodosa or scleroderma
  6. What are some contraindications that would make taking the alpha1 adrenergic blocker doxazosin (Cardura) risky for the patient?
    • Allergy to doxazosin or other alpha1 adrenergic blockers
    • Hypotension; history of syncope
    • Child
  7. What are some contraindications that would make taking the calcium channel blockers (dihydropyridines) nifedipine (Adalat, Procardia) risky for the patient?
    • Allergy to nifedipine
    • Acute myocardial infarction
    • Unstable angina
    • Aortic stenosis
    • Obstruction in gastrointestinal (GI) tract
    • Child
  8. What are some contraindications that would make taking the direct-acting vasodilator (hydralazine) drug, hydralazine (Apresoline) risky for the patient?
    • Mitral valve dysfunction caused by rheumatic heart disease
    • Myocardial infarction
    • Tachycardia
  9. What are some contraindications that would make taking the phosphodiesterase inhibitor milrinone (Primacor) risky for the patient?
    • Allergy to phosphodiesterase inhibitors
    • Aortic or pulmonary valve disorder
    • Acute myocardial infarction (MI)
  10. What are some contraindications that would make taking the class II/beta adrenergic blocker propranolol (Inderal) risky for the patient?
    • Sinus bradycardia or second-to third-degree heart block
    • Pulmonary edema
    • Mitral or aortic valve disease
    • Cardiogenic shock
    • Peripheral vascular disease, Raynaud's disease
    • Asthma, severe COPD, or other chronic respiratory disorder
  11. What are some contraindications that would make taking the class IA/sodium channel blocker drugs quinidine (Apo-Quinidine, Novo-Quinidine) and procainamide (Pronestyl) risky for the patient?
    • Allergy to quinidine or quinine (quinidine)
    • Allergy to procainamide or procaine or yellow dye #5 (procainamide)
    • Bundle branch block or widened QT wave
    • Severe heart block
    • "Torsades de pointes" dysrhythmia
    • Quinidine: Severe heart failure (HF), hypotension, thyrotoxicosis
    • Procainamide: Low white blood cell count (WBC) or agranulocytosis, myasthenia gravis, systemic lupus erythematosus
  12. What are some contraindications that would make taking the fibrate drug gemfibrozil (Lopid) risky for the patient?
    • Gall bladder disease
    • Liver dysfunction
    • Severe renal impairment
  13. What are some contraindications that would make taking the cardiac glycosides digoxin (Lanoxin) risky for the patient?
    • Ventricular fibrillation or tachycardia, unless caused by heart failure
    • Digoxin toxicity
  14. What are some contraindications that would make taking the sympathomimetic drug dobutamine (Dobutrex) risky for the patient?
    • Allergy to sympathomimetics or sulfites
    • Ventricular tachycardia
    • Hypertrophic aortic stenosis
    • Dehydration
    • Child younger than age 2
  15. What are some contraindications that would make taking the HMG-CoA reductase inhibitor (statin) drug simvastatin (Zocor)risky for the patient?
    • Pregnancy (risk category X)
    • Lactation
    • Current liver disease, jaundice, elevated transaminase or greatly elevated aspartate aminotransferase (AST) or alanine aminotransferase (ALT)
    • Renal failure
    • Rhabdomyolysis or myopathy
    • Multiple sclerosis
    • Child younger than 10 years old
  16. What are some contraindications that would make taking the potassium-sparing diuretic, spironolactone (Aldactone) risky for the patient?
    • Pregnancy (risk category D)
    • Renal failure and severe renal insufficiency, or increase in renal impairment
    • Hyperkalemia
  17. What are some contraindications that would make taking the class III/potassium channel blocker amiodarone (Cordarone) risky for the patient?
    • Pregnancy (risk category D)
    • Lactation
    • Allergy to amiodarone or benzyl alcohol
    • Shock
    • Bradycardia, heart block or sinus node dysfunction
    • Severe hepatic disease
  18. What are some contraindications that would make taking the angiotensin receptor blocker (ARB) losartan (Cozaar) risky for the patient?
    • Pregnancy (risk category D for second and third trimesters [fetal damage])
    • Allergy to losartan
    • Child younger than 6 years old
    • Child older than 6 who has a very low creatinine clearance
  19. What are some contraindications that would make taking the loop diuretic furosemide (Lasix) risky for the patient?
    • Allergy to furosemide or sulfonamides
    • Pre-eclampsia or eclampsia of pregnancy
    • Hepatic coma
    • Electrolyte imbalance or dehydration
    • Increase in oliguria
  20. What are some contraindications that would make taking the nitrate drugs nitroglycerin (Nitrostat, Nitro-Dur, Nitro-Bid) and isosorbide dinitrate (Isordil) risky for the patient?
    • Allergy or tolerance to nitroglycerin or isosorbide
    • Head injury, increased intracranial pressure
    • Severe anemia
    • Glaucoma (sustained-release forms)
    • Gastrointestinal (GI) disease including hypermotility (sustained release isosorbide)
    • IV nitroglycerin: Hypotension, hypovolemia (correct before administering)
    • Constrictive pericarditis
  21. What are some contraindications that would make taking the beta adrenergic blockers atenolol (Tenormin) and metoprolol (Lopressor) risky for the patient?
    • Sinus bradycardia or greater than first degree heart block
    • Moderate to severe heart failure
    • Cardiogenic shock
    • Atenolol: Peripheral vascular disease, Raynaud's disease
    • Metoprolol: Child younger than 6 years old
  22. What are some contraindications that would make taking the adrenergic neuron blocker reserpine (Serpalan, Sk-Reserpine) risky for the patient?
    • Pregnancy (risk category D)
    • Lactation
    • Previous allergy to rauwolfia alkaloids
    • Depressive disorder
    • Peptic ulcer or ulcerative colitis
    • Use of MAOI antidepressants
    • Child
  23. What are some contraindications that would make taking the direct renin inhibitor aliskiren (Tekturna) risky for the patient?
    • Pregnancy risk category D (second and third trimesters) - fetal injury
    • Lactation
    • Allergy to aliskiren
    • Hyperkalemia, hypercalcemia, or dehydration
    • Child or adolescent younger than 18
  24. What are some contraindications that would make taking the thiazide diuretic hydrochlorothiazide (HydroDIURIL) risky for the patient?
    • Allergy to thiazides or sulfonamides
    • Greatly decreased urine output (anuria)
    • Electrolyte imbalance
  25. What are some contraindications that would make taking the aldosterone antagonist spironolactone (Aldactone) risky for the patient?
    • Serum potassium above normal levels (greater than 5.0 mEq/L)
    • Type 2 diabetes mellitus with microalbuminuria
    • Increased serum creatinine or decreased creatinine clearance
    • Lactation
  26. What are some contraindications that would make taking the angiotensin-converting enzyme (ACE) inhibitor drug captopril (Capoten) risky for the patient?
    • Pregnancy (risk category D [fetal damage])
    • Lactation
    • Angioedema or allergy to ACE inhibitors
    • Hypotension
    • Liver disease with elevated liver enzymes

What would you like to do?

Home > Flashcards > Print Preview