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cardiovascular SCC
meds, diagnostic test, disorder, nursing implications
| Question | Answer |
|---|---|
| Goal serum cholesterol level | <200mg/dl |
| What is the main lipid associated with arteriosclerotic vascular disease? | cholesterol |
| No alcohol for 24 hours before which test? | serum lipid |
| Which foods should be avoided in a low cholesterol diet? | animal sources such as animal fats, eggs, organ meats, and dairy products. Increase intake of fruits and veggies. |
| Increased levels of cholesterol are associated with what? | hypertension, MI, atherosclerosis, stress. |
| digoxin | Lanoxin |
| chlorothiazide | Diuril |
| Hydrothiazide | Microzide |
| furosemide | Lasix |
| bumetanide | Bumex |
| spironolactone | Aldactone |
| amiloride | Midamore |
| enalapril | Vasotec |
| lisinopril | Prinivil, Zestril |
| captopril | capoten |
| nitroglycerin | nitrostat |
| isordil | nitrobid |
| propranolol | Inderal |
| atenolol | Tenormin |
| nifedipine | Procardia |
| verapamil | Calan, Isoptin |
| streptokinase | Streptase |
| alteplase | TPA |
| warfarin | Coumadin |
| aspirin | ASA, empirin |
| ticlopidine | Ticlid |
| clopidogrel | Plavix |
| Inotropic Cardiac Glycosides | digoxin (Linoxin) |
| Thiazides diuretics | chlorothiazide (Diuril) |
| Thiazides diuretics | hydrothiazide (Microzide) |
| Loop diuretics | furosemide (Lasix) |
| Loop diuretics | bumetadine (Bumex) |
| Potassium sparing diuretics | spironolactone (Aldactone) |
| Potassium sparing diuretics | amiloride (Midamore) |
| ACE inhibitor | enalapril (Vasotec) |
| ACE inhibitor | lisinopril (Prinivil, Zestril) |
| ACE inhibitor | catopril (Capoten) |
| Beta blockers | propranolol (Inderal) |
| Beta blockers | atenolol (Tenormin) |
| Calcium Channel Blockers | nifedipine (Procardia) |
| Calcium Channel Blockers | verapamil (Calan, Isoptin) |
| Thrombolytics | steptokinase (Streptase) |
| Thrombolytics | alteplase (TPA) |
| anticoagulants | heparin |
| anticoagulants | warfarin (Coumadin) |
| antiplatelets | aspirin (ASA, Empirin) |
| antiplatelets | ticlopidine (Ticlid) |
| antiplatelets | clopidogrel (Plavix) |
| Isotropic Cardiac Glycosides MOA | slows and strengthen heart, increases myocardial contractility, exhange of ca and na ions into myocardial cells |
| diuretics MOA | decreases circulating blood volume inhibits reabsorption of sodium and other metabolites except for in potassium sparing |
| ACE inhibitors MOA | block the effect of renin-angiotensin-aldosterone system,reduces vasoconstriction, reduces sodium and water rentention, decreases cardiac workload and edema |
| Nitrates MOA | relaxes smooth muscle and blood vessels resulting in vasodialation= decreased venous pressure, decrease venous return decrease blood volume, decrease o2 need and workload of the heart |
| beta blockers MOA | blocks SNS stimulation, decreases HR, decreases BP, decreases myocardial contraction= decreased myocardial 02 demand |
| calcium channel blockers MOA | improves blood supply to myocardium by dialating coronary arteries, decreases work load of heart by dialating peripheral arteries, prevents movement of extracellular ca into cells, decreases myocardial contralitity and slows av node conduction. |
| thrombolytics MOA | act by stimulating conversion of plasminogen to plasmin. Plasmin is a proteolytic enzyme that breaks down fibrin famework of thrombus |
| anticoagulants MOA | inactivates clotting factors and thrombin so that thrombus formation is prevented. Does not dissolve existing thrombus but prevents it from getting larger |
| Warfarin (Coumadin) antidote | Vit K |
| Heparin antidote | protamine sulfate |
| antiplatelets MOA | inhibits platelet aggregation and thrombus formation |
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