click below
click below
Normal Size Small Size show me how
Myocardial Infarctio
Drug Class
| Question | Answer |
|---|---|
| Nitroglycerin (Nitrostat, Nitromist, Nitro-Dur) | Sublingual (Nitrostat, Nitromist) Transdermal (Nitro-Dur) Dialates ( opens up) arteries in the heart reducing angina Can cause headache, dizziness, lightheadedness, nausea vomiting and weakness |
| Beta Blockers | atenolol (Tenormin) metoprolol tartrate (Lopressor) metroprolol succinate XR ( Toprol XL) nebivolol (Bystolic) propranolol ( Inderal XL) carvedilol ( Coreg) Labetalol |
| atenolol (Tenormin) metoprolol tartrate (Lopressor) metroprolol succinate XR ( Toprol XL) nebivolol (Bystolic) propranolol ( Inderal XL) carvedilol ( Coreg) Labetalol | Can cause dizziness and fatigue Monitor BP and heart rate Carvedilol should be taken with food to help prevent orthostatic hypotension |
| atenolol (Tenormin) metoprolol tartrate (Lopressor) metroprolol succinate XR ( Toprol XL) nebivolol (Bystolic) propranolol ( Inderal XL) carvedilol ( Coreg) Labetalol | Oral, lowers BP and heart rate making less work for the heart |
| Ace Inhibitors | benazepril (Lotensin) captopril enalapril (Vasotec) lisinopril (Prinivil) quinapril (Accupril) ramipril ( Altace) |
| benazepril (Lotensin) captopril enalapril (Vasotec) lisinopril (Prinivil) quinapril (Accupril) ramipril ( Altace) | Oral, Blocks the formation of a chemical that raises BP |
| benazepril (Lotensin) captopril enalapril (Vasotec) lisinopril (Prinivil) quinapril (Accupril) ramipril ( Altace) | Can cause high K+ which may change heart rhythm Can cause dry cough, low BP and kidney injury Angioedema ( swelling of the lips and tongue) is a potentially life threatning side effect |
| Antiplatelet agents | aspirin clopidogrel ( Plavix) dual antiplatelet therapy ( aspirin plus one of the following agents) clopidogrel (Plavix) ticagretor (Brilinta) prasugrel (Effient) |
| aspirin clopidogrel ( Plavix) dual antiplatelet therapy ( aspirin plus one of the following agents) clopidogrel (Plavix) ticagretor (Brilinta) prasugrel (Effient) | Oral, prevents platelets from gathering, decreasing the chance of clots/blockages developing |
| aspirin clopidogrel ( Plavix) dual antiplatelet therapy ( aspirin plus one of the following agents) clopidogrel (Plavix) ticagretor (Brilinta) prasugrel (Effient) | Can Cause nausea, stomach upset and diarrhea Can increase bledding risk |
| Statins | atorvastatin (Lipitor) lovastatin (Altoprev) pravastatin (Pravachol) rosuvastatin (Crestor) simvastatin |
| atorvastatin (Lipitor) lovastatin (Altoprev) pravastatin (Pravachol) rosuvastatin (Crestor) simvastatin | Oral, Blocks a substance the body needs to make cholesterol. Reduces the risk of fatty deposits breaking off in the arteries and causing MI |
| atorvastatin (Lipitor) lovastatin (Altoprev) pravastatin (Pravachol) rosuvastatin (Crestor) simvastatin | Contraindicated in residents with liver disease or failure Can cause breakdown of muscle (rhabdomyolysis) resulting in muscle aches and weakness Grapefruit juice must be avoided with statins Monitor for reddish. dark urine ( sign of muscle breakdown) |