Heart Drugs

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Author:
charissa
ID:
108953
Filename:
Heart Drugs
Updated:
2011-10-15 00:21:20
Tags:
Pharm
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Description:
review IV
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  1. Catagories of Hypertension
    • Prehypertension: 120-139/80-89
    • Stage 1: 140-159/90-99
    • Stage 2: 160/100
  2. Damage by sustained Hypertension
    • Heart- works harder=heart failure
    • Brain- damages vessels carrying blood and oxygen in brain can lead to TIA and CVA
    • Renal Function- vascular damage in arteries of kidneys lead to progressive loss of function
    • Eyes- vessels in retina can rupture or become occluded leding to visual impairment or blindness
  3. What lab results are most important for Diuretics and Digoxin?
  4. What should Asthma patients NOT take?
    Betablockers
  5. What can happen when an ER patient comes in with really high BP and is given a vasodilator to lower it?
    BP can rise due to autoresponse
  6. Cardia Output x Systemic vascular resistance=
    Blood Pressure
  7. What can Beta Blockers do to heart rate?
    lower it
  8. What is the correlation between chronic hypertension and heartfailure?
    When the BP is always high, the heart works harder and gives out
  9. Triglycerides
    • most common body fat
    • work most when body needs energy
  10. Phospholipids
    • essential to building plasma membranes
    • lecithins best known
  11. Steroid cholesterol
    • most widely known
    • most widely known for role in promoting atherosclerosis
  12. Good Cholesterol
    HDL
  13. Statins
    • Report any muscle aches or weakness (can lead to rhaodomyolysis)
    • give in evenings b/c cholesterol biosynthesis is higher at night.
    • Lipitor, Pravachol, Crestor
  14. Sequestrans
    • Do not give with other meds
    • Give about 4 hours between meds
    • often combined with statins
  15. Niacin
    • Give aspirin 30 min b/4 to help prevent hot flashes and flushing se
    • a B complex vitamin
  16. Angina
    • steady, intense, heavy chest pains
    • starved for O2
    • onset by exercise, caffiene, stress, alcohol
  17. Heart Attack (MI)
    part of the heart dies
  18. What can NOT be taken with erectile dysfunction meds?
    Nitro
  19. What do you check before giving Digoxin?
    Apical pulse for a full minute
  20. Left sided heart failure causes?
    • Cough
    • Trouble breathing
    • fluid backup in lungs
  21. Right sided heart failure causes?
    • Feet swelling
    • Liver congestion (fills with blood, feels firm and engorged)
  22. Sign of toxicity from Digoxin
    Neasua is the most serious se
  23. What do you check before giving Ace Inhibitors?
    BP
  24. How does the diuretic HCTZ (Hydrochlorothiazide) work?
    • lowers the blood volume to lower BP
    • flushes all out through kidneys
  25. What conditions complicate taking Beta Blockers?
  26. What do you teach a patient about weight gain?
    call Dr if gain 2lb/day or 5lb/week
  27. Heart Failure Signs
  28. MI signs
  29. What causes dysrhythmia?
    Phosodiurace inhibitors
  30. High risk factors for high cholesterol?
    age, high lipid levels, family history
  31. Primary goal of Angina meds?
    • Raise O2 supply
    • Reduce O2 demand
  32. What meds lower heart rate?
    • beta blockers
    • calcium channel blockers
  33. Normal Potassium level
    • 3.5-5
    • call Dr if out of range (high or low) even if only a few pts
  34. Major SE of anti-dysrythmics
    can cause other disrythmic problems
  35. Ace Inhibitors
    • can have 1st dose phenomenon: profound hypotension
    • end in PRIL
    • dry cough most common se
    • not for asthma or copd
  36. Causes of Heart Failure
    • Chronic hypertension
    • Mocardial infarction (MI)
    • Mitral Senosis
    • Valvular heart disease
    • Congenital heart disease
    • Aging heart
    • Diabetes
  37. Types of Diuretics
    • Loop Diuretics: (Lasix)
    • Potassium Sparing Diuretic: (Spironolactone)
  38. Coronary Artery Disease (CAD)
    • One of leading causes of mortality in US
    • May be up to 50% or more occluded before any symptoms
  39. Streptokinase
    • Clot Buster
    • watch for orientation and alertness b/c could cause brain bleeding
  40. Signs of Bleeding
    • dark tarry stool
    • bleeding gums
    • Petechiae (small round red spots)
    • Ecchymosis (bruising)
    • Purpura (lg red/purple spots)
    • Vital sign changes: increased heart rate, low blood pressure, increased resp

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