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Cardiac Meds
NPTE
| Question | Answer |
|---|---|
| What is most important to monitor for a patient using digoxin? | HR, pt and their family should be educated on how to monitor the pt's HR. Any increase > 100bpm or decrease <60bpm must be reported to MD. |
| What type of an agent is digoxin | positive iontropic |
| What effect does digoxin have on myocardial contraction and HR | increases the force of the contraction, therefore allows for decreased HR. Reduces HR by decreasing conduction through the AV node. |
| What happens to the sympathetic nervous system with digoxin? | SNS is decreased |
| What are alpha adrenergic agents used for | Hypertension - causes artery and vein dilation |
| What is a SE of alpha adrenergic agents? | Orthostatic Hypotension |
| What do ACE inhibitors end in? | Pril |
| What do ACE inhibitors do to BP and and afterload | decrease both |
| What are some SE of ACE inhibitors? | orthostatic hypotension, dry cough, hyperalkemia and hyponatremia |
| A dry cough may be a SE of what cardiac med? | ACE inhibitors |
| BB are in what class of cardiac meds? | Anti-arrythmics. Along with Ca channel blockers and Na channel blockers |
| What are 3 SE of anti-arrythmic agents? | cardiac arrythmias, dizzyness, hypotension - all must be reported to MD |
| What cardiac med may cause peripheral edema? | Ca channel blockers - always monitor any weight gain |
| When are ACE inhibitors used (2 conditions) | CHF and HTN |
| When are anticoagulants used? | s/p CABG, DVT, A-fib |
| What type of meds cause GI distress? (3) | Anticoagulants, antihyperlipedemia and digoxin |
| How do diuretics work? Simply put | excretion of sodium and urine causes decreased plasma volume which will decrease BP |
| What type of drug is thiazide? | Duiretic. Others are loop and potassium sparing |
| What are SE of diuretics? | dizzyness, dehydration, hypotension, electrolyte imbalance, polyuria, arrythmias and increased LDL |
| With what drug is it important to monitor mm cramping and mm fatigue? | Diuretics: electrolyte imbalances |
| What drug is used for gluacoma? | diuretics |
| What drug is likely to be used for any edema as a result of HF? | duiretics |
| What is a common SE of antihyperlipedemia drugs? | Statins = myalgia |
| Lipitor, Zocor and Tricor are what type of drug? | Statins (SE: myalgia, rash, h/a, GI distress) |
| What are the SE of lipitor? | GI distress, myalgia, rash, h/a |