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Cardio

Pharm

QuestionAnswer
Cardiotonic drugs (2) Digoxin & digitoxin
Cardiotonics Action Drug stimulates heart muscle to beat more forcefully & slowly
Cardiotonics use CHF, treat tachycardia fib and flutter, stimulate - makes heart beat slower
Cardiotonics S/E (10) N/V/anorexia, weakness, fatigue, fainting, hypotension, bradycardia, visual disturbances, arrthymias
Cardiotonics NI (9) Digitalization, given loading dose then q2hrs after, dose is 0.125-0.25mg qd, watch K levels b/c hypokalemia - digoxin toxicity, k supplement, monitor HR, rhythm, daily wt & I&O, therapeutic blood levels for weeks after start of therapy, levels 0.8-2
Antiarrythmic Agents Drugs (4) Dilantin, Inderal, Quinaglute, Cardizem
Dilantin Action decrease excitability of myocardial tissue
Inderal uses (7) angina, cardiac arrthymias, hypertension, after MI to prevent recurrence, migraine, headaches, stage fright
Quinaglute Action & Uses (2) action - Works on heart muscle stabilizing the rate of conduction of impulses; use - arrthymias, atrial fib & flutter
Cardizem Action Block calcium ion flow across smooth and cardiac muscle, decrease cardiac output, O2 demand, dilate arteries and arterioles
Nitrate Family Drugs (4) Isordil, Nitro-Dur, Nitro-Bid, Nitrostat
Nitrate Family Action Dilate arteries & arteriloes in periphery thereby decreasing BP, the reduce BP greatly reduces work load of heart, lowering O2 demand
Nitrate Use treat/prevent angina - read notes
Nitrate S/E (5) flushing, hypotension, headache, dizziness, tolerence
Nitrate NI (2) BP & Apical for 1 min; <60 hold and call Dr
Beta-Blockers Family Drugs (3) Inderal, Lopressor, Tenormin
Beta-Blocker Action Block Beta 1 receptors, decrease cardiac output, O2 consumption, peripheral resistence & depress renin secretions
Calcium Channel Blocking Agents Drugs (2) Cardizem & Procardia
Calcium Channel Blocking Agents Action Block calcium ion flow across smooth & cardiac muscle, decrease O2 demand, cardiac output, dilating coronary arteries & arteroles
Peripheal Vasodilating Agents Drug Pavabid
Pavabid Action peripheal dilator
Antiadrenergic Drugs (2) Aldomet & Catapres
Aldomet Action decrease activity of SNS
Catapres Action Inhibit activity of SNS, HR & decrease cardiac output
Vasodilating Drug Aprseoline
Vasodilating S/E (4) edema, orthostatic hypotension, loss of appetite, lupus like syndrome - sx include fever,joint pain, chest pain, edema
Beta 1 & Beta 2 Blocking Agents (4) Inderal, Lopressor, Tenormin, Visken
Beta 1 & Beta 2 Blocking Agents Action Block stimulation of both Alpha & Beta receptors resulting in peripheal - vasodilation
Hypertensive Emergency Drug Nipride
Hypertensive Emergency Use Treat emergency hypertension w/impending organ damange, usually of brain, heart & eyes
Coagulant Drug Amicar
Coagulant Action Helps formation of blood clots
Parenteral Anicoagulant Drug Heparin sodium
Parenteral Anticoagulant Uses (4) Prevents post-op DVT & pulmonary embolus in pt undergoing some surgical procedures, prevent cerebral thromboses in pt who had stroke, treatment of coronary occulsion or acute MI, maintain patency of IV caths
Anticoagulant Oral Prep Drug Coumadin
Anticoagulant Oral Prep Action Inhibits action of vitamin K which is required for activation of clotting factors
Anticoagulant Oral Prep NI many drug interaction - check when starting Coumadin
Thrombolytic Agent Drug Streptase
Thrombolytic Agent Action Promote the disolution of insoluable fibrin, trapped in intravascular emboli & thrombi
Drugs used to lower cholestrol & triglycerides Drugs (2) Mevacor & Questran
Mevacor Action Inhibit & manufacture of cholestrol or promote breakdown of cholestrol
Mevacor S/E (4) Headache, abdominal blotting, increase liver fx test, myopathy includes muscle aches, soreness & weakness
Questran Action Sand like texture that stays in the intestine & binds biles acids. Bile acids are the degeneration products of cholestrol. The binding of bile acid by Questran mix w/fluid (4-6oz) may need vitamin supplement
cardizem categories (3) antiarrthymic, calcium channel blocking, anti-hypertensive
inderal categories (3) antiarrthymic, beta-blocker (anti-anginal and anti-hypertensive)
lopressor and tenormin categories (2) anti-anginal and anti-hypertensive
Created by: breinard
 

 



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