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Cardiac Drugs
Cardiac drugs
| Question | Answer |
|---|---|
| nitroglycerin isobid | vasodilate to treat and prevent angina |
| adverse of nitroglycerin | HA, hypotension, dizziness, N/V, flushing, tachy |
| Tenormin Lopressor | vasodilates by interrupting beta 1 or 2 for angina |
| Lipitor Zocor | blocks synthesis for cholesterol to decrease cholesterol |
| when is cholesterol synthesized | at night |
| adverse of Lipitor/Zocor | constipation |
| Questran | inhibit or increase excretion of bile acid for high cholesterol |
| adverse of Question | constipation |
| Lopid | increase enzyme lipoprotein lipase for high cholesterol |
| Adverse lopid | diarrhea |
| Zetia | inhibits cholesterol absorption in small intestine for high cholesterol |
| Prinivil/Zestril Capoten | ACE inhibitor for HEART FAILURE and HYPERTENSION |
| Adverse of ACE inhibitors | hypotension, angioedema |
| Cozier/Diovan | Block angiotensin 2 for HEART FAILURE AND HYPERTENSION |
| Natrecor | increase CO in ACUTE HEART FAILURE |
| Adverse of Natrecor | severe hypotension and dysrhythmias |
| Primacor | inhibit phosphodiesterase enzyme for ACUTE HEART FAILURE |
| Primacy adverse | severe hypotension and dysrhythmias |
| Lanoxin | slow rate increasing CO for HEART FAILURE AND TACHY |
| adverse of Lanoxin | bradycardia |
| What do you give if Lanoxin becomes toxic? | Digibind |
| Quinidine/Pronestyl/Norpace | Sodium channel blockers for SUPRAVENTRICULAR/VENTRICULAR ARRYTHMIAS |
| Adverse of Quinidine | tinnitus |
| Adverse Pronestyl | blood disorders and lupus |
| Xylocaine | for SERIOUS VENTRICULAR DYSRHYTHMIAS |
| adverse Xylocaine | bradycardia, hypotension |
| Rythmol Tambocor | decrease conduction o ventricles in VENTRICULAR ARRYTHMIAS |
| Inderal Brevibloc Betapace | Beta blockers that treat SUPRAVENTRICULAR TACHYCARDIA |
| Cordarone | slow VENTRICULAR DYSRHYTHMIAS |
| Calan Cardiazem | calcium channel blockers to prevent SUPRAVENTRICULAR DYSRHYTHMIAS AND HYPERTENSION |
| adverse Calan and Cardiazem | nausea, leg cramps, hypotension, bradycardia |
| Adenocard | slows conversion of PSVT for the OCCASIONAL RAPID HEART RATE |
| Important thing to remember for Adenocard | 10 second half life.... PUMP IT FASTER C'MON... causes asystole for a time |
| What is the first line of treatment for HTN | thiazide diuretics |
| Diuretics | decreases preload for HTN |
| Lasix | loop diuretic for HTN, PULMONARY EDEMA, EDEMA |
| Loop diuretic | increase water excretion by blocking the reabsorption of Na and Cl in loop of Henle |
| Adverse of Loop diuretics (Lasix) | hypokalemia, dehydration |
| Aldactone | potassium sparing diuretics for HTN, |
| Hydrodiuril | Thiazide diuretic for HTN AND HEART FAILURE |
| Thiazide diuretics do? | decrease reabsorption |
| Adverse of Hydrodiuril | dehydration, electrolyte imbalance |
| What are the calcium channel blockers? | Procardia Norvasc Cardizem |
| What do calcium channel blockers do? | inhibit calcium from entering channels... VASODILATION |
| What do calcium channel blockers treat? Procardia, Norvasc, Cardizem | HTN, ANGINA, RAYNAUD'S |
| What do you have to remember about calcium channel blockers? | no grapefruit juice |
| What are the adverse effects of Ca channel blockers? Procardia, Norvasc, Cardizem | hypotension, flushing, lower edema |
| Nipride Apresoline | causes vasodilation for HTN EMERGENCIES |
| Adverse effects of vasodilators | tachycardia |
| What is the anti platelet drug? | Plavix |
| What is Plavix used for? | prevent MI, CVA, and STENT |
| What are the anticoagulants? | heparin, lovenox, arixtra, coumadin |
| What do you need to monitor with heparin? | PTT |
| What does coumadin interfere with? | vitamin K |
| What do thrombolytics do? Activase | dissolve clots for ACUTE MI, STROKE, PE |
| What are the adrenergic agents? | epinephrine, norepinephrine, dopamine, phenylephrine |
| What do adrenergic agents do? | widespread action in emergencies for CARDIAC ARREST, HYPOTENSION, BRONCHOSPASM ANAPHYLAXIS, HEART FAILURE, BLEEDING |
| Adverse effect of adrenergic agents | arrhythmia, hypertension, palpitations, angina, nervousness |