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Adult Health Nursing

Ch 8 HEART PHARM MEL

ClassificationGeneric(Trade)ActionN ISide Effects
Vasopressors Dopamine(intropin) Raise systemic arterial pressure and cardiac output vasopressor
Thrombolytic agents Streptokinase(streptase) Restore blood flow and limit infarct size, dissolution of blood clots, W/acute MI symptoms are less than 6 hours, preferably 30 minutes to 1 hour duration Thrombolytic agents
Nitrates Nitroglycerin isosorbide atenolol(Tenormin) Daily blood vessels by reducing coronary artery spasms, increase coronary artery blood supply, and decrease oxygen demands Monitor blood pressure for hypertension, monitor for headache and flushing
Beta-adrenergic blockers LOL Propranolol (Inderal) Nadolol(Corgard) Metoprolol(Lopressor) Block b-a stimulation and decrease myocardial oxygen demands, decreasing myocardial damage; decreased mortality rates
Calcium channel blockers Nifedipine(Inderal) Diltiazem(Cardizem) Verapamil(Calan,isootin) Amlodipine(Norvasc) Dilate blood vessels, increased coronary artery blood supply, and decrease myocardial oxygen demands
Antidysrhythmics Lidocaine(Xylidocaine) IV Treat ventricular dysrhythmia(rarely used except for ventricular tachycardia)
Inotropic agents Cardiac Glycosides Digoxin(Lanoxin) Amrinone(inocor) IV dobutamine(dobutrex) Increase the heart's pumping action (contractility through the AV node) indicates when left ventricle failure is present, slows HR
Anticoagulant Heparin warfarin(Coumadin) Reduced incidence of clotting
Angiotensin-converting enzyme(ACE) inhibitors PRIL Captopril(Capoten) Enalapril(Vasotec) Prevent conversion of angiotensin I - lowers BP to angiotensin II raises BP prevent or slow the progression of HF
Created by: diamondgirljaz
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