Therapeutics - Cardiac testing

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Author:
kyleannkelsey
ID:
263216
Filename:
Therapeutics - Cardiac testing
Updated:
2014-02-21 16:24:25
Tags:
Therapeutics Cardiac testing
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Therapeutics - Cardiac testing
Description:
Therapeutics - Cardiac testing
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  1. Lexiscan
    Adenosine receptor agonist -increase heart perfusion for pharmacological stress test
  2. Adenosine
    Increase heart perfusion for pharmacological stress test
  3. Dobutamine
    Increase oxygen demand of the heart for pharmacological stress test
  4. Atropine
    Added to Dobutamine to reach target HR for pharmacological stress test
  5. Technetium-99
    Radiopharmaceutical nuclear agent for Nuclear stress test
  6. Thallium-201
    Radiopharmaceutical nuclear agent for Nuclear stress test
  7. Drugs that cause false negatives on cardiac tests and should be withheld 48 hours prior to a DIAGNOSTIC stress test:
    BB, CCB, Dipyridamole and Nitrates
  8. Drugs that are suspected to have some Stess test impact on results, but is currently unclear what that is and should be continued during a stress test:
    ACEIs and ARBs
  9. Drugs that cause false negatives on cardiac tests and should be continued during a stress test:
    Amiodarone, Statins
  10. Ending for Beta blockers
    -olol
  11. Ending for Ca channel blockers
    –dipine or -pamil
  12. Drugs that can cause false positives on Stress tests, but is currently unclear when they should be stopped to prevent this occurance:
    Estrogen and Digoxin
  13. Drugs that can cause false negatives on Stress tests, and interact with a coronary perfusion agent:
    Caffeine, theophylline, and dipyridamole
  14. Caffeine should be held how long before a Diagnositc stress test?
    12 hours
  15. Theophylline should be held how long before a Diagnositc stress test?
    24 hours
  16. Dipyridamole should be held how long before a Diagnositc stress test?
    48 hours
  17. Drugs that need to be stopped prior to Cardiac Catheterization or Angiography:
    Warfarin, Metformine and Potentially Antiplatelets
  18. Before and after an angiography or Cardiac cath, when can you start/stop Metformin?
    Stop: 48 hours prior, Start: 48 hours after
  19. Drugs used during an Angiography or Cardiac Cath:
    Midazolam or Brevitol, Heparin, NTG (PRN) and Morphine (PRN)
  20. Optison
    Contrast Dye for ECHO
  21. Definity
    Contrast Dye for ECHO
  22. Medications commonly needed to perform CT angiography:
    BB to reduce HR below 65 BPM

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