Cardiac Meds.txt

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Author:
blloyd
ID:
8216
Filename:
Cardiac Meds.txt
Updated:
2010-02-26 12:16:31
Tags:
med surg 1 quiz 3
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CM
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  1. Ace Inhibitors tend to have drugs that end in __________
    -pril
  2. 3 actions of Ace Inhibitors:
    Block angio conversion

    • Block vasoconstriction
    • (Decrease afterload)

    • Block aldosterone release
    • (Decrease preload)
  3. Ace Inhibitor

    Indications:
    • HTN
    • HF
    • Post-MI
    • Kidney protection
  4. Ace Inhibitors

    Side effects:
    • Angioedema - life-threatening swelling of tongue, lips, airway
    • HPN
    • Hyponatremia
    • Hyperkalemia
    • Cough
  5. Ace Inhibitors are contraindicated with _________ and __________
    Renal artery stenosis

    Pregnancy
  6. Angiotensin Receptor Blockers tend to have drugs that end with
    -sartan
  7. Angiotensin Receptor Blockers

    Method of action:
    Block receptors instead of enzyme
  8. Angiotensin Receptor Blockers

    Side effect:
    • Angioedema
    • HPN
    • Hyponatremia
    • Hyperkalemia
  9. Calcium channel blockers tend to have drugs that end in __________
    -ipine
  10. What are the two different types of calcium channel blockers?
    • Dihydropyridines
    • Non-Dihydropyridines
  11. Calcium Channel Blockers - Dihydropyridines

    What is the effect on afterload, BP and heart rate?
    Decrease afterload and BP

    No effect on heart rate
  12. Calcium Channel Blockers - Dihydropyridines

    Side effects:
    Indications:
    • Edema
    • Headache
    • HPN

    • HTN
    • Angina
  13. Calcium Channel Blockers - Non-Dihydropyridines

    Method of action:
    Decrease peripheral constriction
  14. Calcium Channel Blockers - Non-Dihydropyridines

    What are the effects on the heart rate, contractility and cardiac output?
    • Decrease heart rate
    • Decrease contractility
    • Decrease cardiac output
  15. Calcium Channel Blockers - Non-Dihydropyridines

    Side effects:
    • Constipation
    • Bradycardia
    • Heart block
    • HF
  16. Calcium Channel Blockers - Non-Dihydropyridines

    Indications:
    • HTN
    • Angina
  17. Beta blockers tend to have drugs that end in __________
    -olol
  18. Beta blockers

    What are the actions of Beta 1 and Beta 2 block?
    • Beta 1: Decrease contractility, heart rate, cardiac output
    • Beta 2: Bronchoconstriction
  19. Beta blockers

    Side effects:
    • Masks hypoglycemic response
    • Bradycardia
    • HPN
    • Dyspnea
    • Impaired perfusion
    • Bronchospasm/Wheeze
  20. Beta blockers

    Indications:
    • Angina
    • Tachycardia
    • HTN
    • MI
  21. What are first line therapies for HTN?
    • Thiazides
    • Beta Blockers
    • Ace Inhibitors
    • Angiotensin Receptor Blockers
    • Calcium Channel Blockers
  22. Thiazides increase the secretion of what electrolytes which does what to the volume and preload?
    • Sodium
    • Potassium

    Decreases volume and preload
  23. What is the second line therapy for HTN?
    Combination of 2 first line therapies.
  24. Third and Fourth line therapies for HTN consist mainly with what drugs?
    • Alpha Blockers
    • Vasodilators
    • Centrally Acting Alpha2 Agonist
  25. Alpha Blockers tend to have drugs that end in _________
    -zosin
  26. Alpha Blockers

    Method of action:
    • Block vasoconstriction
    • Decrease preload
  27. What are examples of vasodilators?
    • Hydralazine (Apresoline)
    • Minoxidil (Rogaine)
  28. What effects do vasodilators have on preload and afterload?
    • Possibly decrease preload.
    • Decrease afterload.
  29. What are examples of Centrally Acting Alpha2 Agonists?
    • Clonidine
    • Methyldopa
  30. Centrally Acting Alpha2 Agonists

    What are the effects of the heart rate and contractility?
    • Decreases heart rate
    • Decreases contractility
  31. Centrally Acting Alpha2 Agonists

    Side effects:
    • Anticholinergic
    • (dry mouth, fatigue, depression)
  32. Digoxin (Lanoxin)

    Effects contractility:
    Therapeutic index:
    Increase contractility

    0.5-2mg/ml
  33. What drugs should be avoided in heart failure?
    • Calcium Channel Blockers
    • (Decrease contractility)

    • NSAIDS
    • (Sodium retention, increase afterload)

    • Anti-Arrhythmics
    • (Decrease contractility)

    • Glitazones
    • (Edema, fluid retention)
  34. Nitroglycerin

    What are the protocols of how to administer and how many times?
    Give sublingually

    One tab every 5 minutes x3
  35. When taking Nitroglycerin, be sure the patient is NOT taking any ____________
    • Medications for erectile dysfunction
    • (Viagra, Levitra, Cialis)
  36. What are the four meds for MI?
    • Morphine
    • Oxygen
    • Nitroglycerin
    • Aspirin

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