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HTN/Cardiac
Marian Spring 2011
| Question | Answer |
|---|---|
| Congestive Heart Failure | liquid in lungs and periphery |
| Impaired contraction (systolic) | Heart cannot relax |
| Impaired Relaxation (diastolic) | Heart cannot dqueeze enough |
| dynspnea | Shortness of breath |
| Major signs and symptoms | Dyspnea and fatigue |
| Diuretics | Water pill |
| ACE inhibitors | angiotension |
| ARB | Blockers |
| NTG | Cardiac glycosides |
| Digoxin/Lanoxin | CHF Drug |
| can you give Digoxin IM | NO |
| Lanoxicaps elixir | Better absorption than tablets |
| What works by increasing pumping ability of the heart | Digoxin |
| Can you change between tabs and elixir (Dig) | NO |
| Digoxin works 3 ways | Slows down ventricular contraction, stimulates the vagus nerve, increased efficiency of the heart contraction |
| 3 Indications for Digoxin | 1. Management of CHF 2. A fib 3. A flutter |
| Don't use Digoxin for the following: | 1.Myocarditis 2. VF/VT 3. Electrolytes Imbalances 4. risk for dysrhythmia 5. renal impairment |
| Therapeutic range for Digoxin | .5-2 (very narrow) |
| N/V; anorexia; abdominal discomfort; blurred vision; mental status change | S/S of Digitoxicity |
| What can hypothyroidism do to Digoxin | Can lead to toxicity because it slows down the metabolism |
| When do you hold Digoxin | PULSE < 60 in adults; and < 100 in peds |
| What drug do you use to reverse digoxin toxicity | Digibind |
| What is the goal for HTN in a normal adult | 140/90 |
| What is the goal for HTN in a diabetic person | 130/80 |
| What is the first drug used in HTN | Thiazide Diuretic |
| What other types of drugs would you add to Thiazide for HTN | ACE/ARB/BB/CCB |
| ACE Inhibitors do? | Inhibitors the conversion of Angiotensin 1 to Angiotension 2 |
| ACE inhibitors do? | Lowers B/P |
| ACE Inhibitors do? | Increases renal sodium and water excretion (Aldosterone) |
| How can you tell if it is ACE drug? | PRIL |
| Capatopril (capoten) | ACE |
| Lisinopril (prinivil) | ACE |
| Quinapril (Accupril) | ACE |
| Ramipril (altace) | ACE |
| Enalapril (Vasotec) | ACE |
| Most common side effect for ACE Inhibitor is? | dry/hacky cough |
| Is ACE inhibitor recommended for diabetics with renal protective? | YES |
| What do you have to watch for when you stop ACE inhibitors abruptly? | Rebound HTN |
| Angiotension 2 Receptor Blockers (ARB) | Competes with angiotensin 2 for tissue binding sites, blocking the vasoconstriction and aldosterone secretin thus lowering BP |
| Adverse effects to ARB | Severe hypotension |
| Becareful with ARB with what dysfunction | LIVER |
| Does ARB cause you to have more or less of a cough? | LESS |
| How can you tell if it is a ARB drug? | ARTAN |
| Losartan Postassium (Cozaar) | ARB drug |
| Candesartan (atacand) | ARB Drug |
| Irbesartan (Avapro) | ARB Drug |
| What is Beta Blockers (LOL) drugs used for? | HTN |
| Prazosin (minipress) | Anti-adrenergic drug used for HTN |
| Clonidine (catapress) | Alpha 2 drugs used for HTN |
| Calcium Channel Blocker | Used for HTN |
| Diuretics | Used for HTN |
Created by:
1408890060
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