Exam 3 Medications

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Exam 3 Medications
2011-04-14 21:03:05
Cardiac Respiratory Meds

Exam 3 medications
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  1. HydroDiuril
    Thiazide diuretic
  2. Lasix
    Loop diuretic
  3. Midamor
    K sparing diuretic
  4. Aldactone
    Aldosterone Receptor Blockers
  5. Catapress
    Central Acting Adrenergic Antagonists
  6. Peripheral Acting Adrenergic Antagonists
  7. Minipress
    Alpha Adrenergic blocker
  8. Tenormin (Atenolol)
    Beta Adrenergic Blocker
  9. Benazepril (Lotensin)
    ACE inhibitor
  10. Nifedipine (Procardia)
    Amlodipine (Norvasc)
    Calcium Chanel Blocker
  11. Days to weeks
    BP elevated but no target organ damage
    Severe HA, nosebleeds, blurred vision
    HTN urgency
  12. Hrs to days
    BP >180/120 with target organ s/sx esp neuro
    Unstable angina, edema, seizures, renal insuf.
    Stupor, Coma
    • HTN emergency-
    • Direct vasodilators -monitor neuro for stroke
  13. Severe, abrupt increase in BP
    >140-240SBP and >100-120 DBP
    Rate of increase is more imp than abs value
    HTN crisis
  14. Embolic strokes are often caused when irregular HR cause chamber to retain some blood that eventually clots
  15. Fem-Pop bypass
    evaluate pulses distal to graft qhr x 8 hrs then q 2 hrs x 24 using doppler
  16. Antidote for heparin and LMWH
    Protamine sulfate
  17. Antidote for Warfarin
    Vit K
  18. Air hunger
    Chest pain
    Coughing up blood
  19. T or F
    You will usually have to take anticoagulant (Warfarin) for at least 6 months after a PE
  20. Best method for dx PE
    Pulmonary angiography
  21. Apresoline is a direct vasodilator reserved to
    treat hypertensive crisis
  22. What type of drug is aldactone?
    K sparing diuretic
  23. What type of drug is Lopressor?
  24. What type of drug is Alteplaste (Activase)
    Tissue plasminogen activator (t-PA)
  25. What type of drug is Diltiazem (Cardizem/Norvasc)?
    Calcium Channel Blocker
  26. What type of drug is digoxin (Lanoxin)?
    Cardiac glycoside-Promotes movement of Ca from extracellular to intracellular and strengthens myocardial contraction. Also slows conduction through SA and AV nodes. (CHECK HR BEFORE ADMIN)
  27. What type of drug is Budesonide (Rhinocort)?
    Corticosteroid-Reduces nasal inflammation
  28. What type of drug is albuterol (Proventil)?
    Adrenergic---Bronchodilator may cause HTN, tachycardia, nervousness
  29. What does Penicillin G treat?
    Pneumococcal pneumonia
  30. What type of drug is Solu-Medrol?
    • Glucocorticoid--treats inflammation (severe)
    • Side effect: Heart failure, HTN, edema, DVT risk
  31. What type of drug is erythromycin?
    Macrolide (Anti-infective)
  32. What does erythromycin treat?
    Mycoplasmas, Legionnaires
  33. What dos tetracycline treat?
  34. What do cephalosporins treat?
  35. What does Bactrium treat?
  36. These are all forms of:





    influenza viruses
    Community acquired pneumonia
  37. What type is §Streptococcus pneumonae
    Hospital acquired
  38. What type of pneumonia is:
    §“Walking Pneumonia”

    §Severe Acute Respiratory Syndrome (SARs)
    Atypical pneumonia
  39. What type of pneumonia is:
    Pneumocystis - HIV
    Immunocompromised related (Opportunistic)
  40. mycoplasma pneumoniae –
    • Walking pneumonia
    • Dry hacking cough-very contagious
  41. Pneumocystis Pneumonia
    • Immunocompromised-opportunistic
    • Abrupt onset
    • Respiratory distress can be signif.
  42. The_____ lobe of the lung is the most frequent location of aspiration pneumonia
    Right lower lobe
  43. Legionnaires’ Disease (Bronchopneumonia): Legionella
    • At Risk:
    • Smokers, older adults, chronic diseases, impaired immune system
  44. Pneumonia Complications
    Atelectasis--—Usually clears with cough and deep breathing

    ¢Bacteremia--—Bacterial infection in the blood

    • ¢Lung abscess--—Seen when caused by S. aureus and
    • gram-negative pneumonias

    • ¢ Empyema--—Requires
    • antibiotics and drainage of exudate

    • ¢Pericarditis--Spread of
    • microorganism to heart

    • ¢Meningitis--—Patient
    • who is disoriented, confused, or
    • somnolent should have lumbar puncture

    • ¢Endocarditis--Microorganisms
    • attack endocardium and heart valves--Manifestations
    • similar to bacterial endocarditis

    • ¢Respiratory Failure--The level
    • of oxygen in the blood becomes too low or the level of carbon dioxide in the blood becomes too high
  45. Respiratory failure
    • Hypoxemic respiratory failure
    • PaO2 <60 mm Hg on inspired O2concentration >60%

    • Hypercapnic respiratory failure
    • PaCO2 above normal (>45 mm Hg)
    • Acidemia (pH <7.35)
  46. ¢Corona virus (cold virus)
    • SARS
    • Onset 2-10 days
    • Contagious symptoms-2 weeks--droplet isolation
    • Impaired gas exchange--Productive cough
    • Low WBC count
    • ¢Blood
    • chemistries

    • —ALT and
    • CPK are sometimes elevated.

    • —LDH
    • levels are often elevated.

    • —Sodium
    • and potassium are sometimes low.

    • ¢Chest
    • x-ray or chest CT scan

    • ¢Complete
    • blood count (CBC)

    • —White
    • blood cell (WBC) count may be low.

    • —Lymphocyte
    • count may be low.

    • —Platelet
    • count may be low.
  47. Insidious onset
    —Foul-smelling, purulent,
    blood-streaked sputum




    —Anorexia &weight loss

    —Decreased or absent
    breath sounds or crackles

    —Pleural friction rub
    Lung abcess
  48. To prevent aspiration pneumonia:
    —Assess NG/feeding tube placement--Check residual every 4 hrs
  49. Pleural conditions
    ¢Pleurisy: —An inflammation of both layers of the pleurae

    ¢Pleural Effusion: Accumulation of fluid in the pleural space

    ¢Empyema: Accumulation of thick, purulent fluid in the pleural space

    • ¢Pulmonary Edema:Abnormal accumulation of fluid in the lung tissue, alveolar space or both. Severe &
    • life-threatening
  50. cause sharp pain that is intensified with inspiration
    —Pleural friction rub
  51. —Accumulation of fluid in the pleural space
    Pleural effusion
  52. What is Indocin used to treat?
    Pain in pleurisy