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SFCC Meti-man

R/O MI

QuestionAnswer
Aspirin 325 mg EC Salicylates, antipyretics , prophylaxis of transient ischemic attacks and MI. Reduces inflammation and decreases platelet aggregation.
Nitroglycerin antianginal, (nitrate) management of angina, treatment of MI, dilates coronary arteries increasing blood flow (vasodilation). Increases cardiac output. Side effects include, dizziness, headache, hypotension and tachycardia
Morphine opioid agonist, treatment for pain associated with MI (severe pain) Binds to opiate receptors in the CNS, alters the perception of and response to painful stimuli while producing generalized CNS depression.
Morphine side effects confusion, sedation, hypotension, constipation
Nitroglycerin drip prn and titrate for chest pain
Metoprolol Beta blocker Used for hypertension, angina pectoris, prevention of MI and decreased mortality in pt with recent MI, Blocks stimulation of beta1 adrenergic receptors, decreases BP and heart rate. IV= immediate onset, peak in 20 min and duration of 5-8 hr.
Metoprolol side effects fatigue, weakness, hypotension.
Metoprolol unlabeled use Unlabeled use=ventricular arrhythmias/tachycardia
Quinapril Ace inhibitor, management of hypertension and CHF, Improves survival and decreases development of overt CHF and MI. Block the conversion of angiotensin I to the vasoconstrictor angiotensin II
Quinapril side effects hypotension, cough, taste disturbances
Captopril Ace inhibitor, management of HTN, management of hypertension and CHF, Improves survival and decreases development of overt CHF and MI. Block the conversion of angiotensin I to the vasoconstrictor angiotensin II
Captopril side effects hypotension, dizziness, cough sob
Diltiazem (Calcium Channel Blocker) For HTN, angina, SVT and rapid ventricular rates in atrial flutter or fib. Inhibits transport of calcium into myocardial and vascular smooth muscle cells. Decreases bp, coronary vasodilation resulting in decreased frequency and severity of angina
Diltiazem side effects peripheral edema, cough, dyspnea, arrhythmias, hypotension
Simvastatin HS (lipid lowering agent) HMG-CoA reductase inhibitor, management of hypercholesterolemia. Decreases risk of MI, Lowers LDL and triglycerides
Enoxaparin Anticoagulant (antithrombotic) prevention of ischemic attacks , tx of ST segment elevation MI , prevents thrombus formation Caution if creatine clearance less than 30
Enoxaparin side effects , risk of bleeding increased, urinary retention
Heparin Anticoagulant, prevention of thrombus formation
Heparin side effects anemia, thromycytopenia, pain at site, watch for bleeding
Amiodarone Antiarrhythmic Class III, management of life threatening arrhythmias, management of Ventricular fib/pulselessness, action=slows the sinus rate
Amiodarone side effects dizziness, fatigue, malaise, corneal microdepostis, brady, hypotension, N/V , ARDS, worsening of arrhythmias
Dopamine inotropic, vasopressor (adrenergics) tx of shock unresponsive to fluid replacement, increases renal perfusion in low doses, increases blood pressure and cardiac output, improves renal blood flow
Dopamine side effects arrhythmias, hypotension
Created by: shellic
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