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Pharm_Kee42_Cardiac
Pharm: Kee Ch42: Cardiac drugs definitions
| Question | Answer |
|---|---|
| Congestive Heart Failure | Heart failure or cardiac failure |
| Heart failure | Heart weakens & enlarges, loses ability to pump blood thru heart & into systemic circulation |
| Cardiac glycosides | Naturally occuring, found in plants |
| Digitalis glycosides | Group of drugs that inhibit sodium-potassium pump => result in increase of intracellurlar Na => influx of Ca => cardiac muscle fibers contract more efficiently |
| Positive inotropic action | Increases stroke volume |
| Negative chronotropic action | Decreases HR |
| Negative dromotropic action | Decreases conduction of heart cells |
| A-fib | Cardiac dysrhythmia w/ rapid uncoordinated contractions of atrial myocardium |
| Atrial flutter | Cardiac dysrhythmia w/ rapid contractions of 200-300bpm |
| Therapeutic serum level for digoxin | 0.5-2ng/ml |
| Bradycardia | HR less than 60bpm |
| Hypokalemia | Low serum potassium level; normal range from 3.5-5.5 |
| Antianginal drugs | Treat angina pectoris |
| Angina pectoris | Acute cardiac pain due to inadequate blood flow to myocardium due to plaque occlusions w/in or spasms of coronary arteries |
| Nitrates | Developed in 1840s, 1st agents used to relieve angina |
| Preload | Amount of blood in ventricle at end of diastole |
| Afterload | Peripheral vascular resistance |
| Myocardial ischemia | Lack of blood supply to heart muscle |
| Beta blockers | Decrease effects of SNS by blocking action of catecholamines (epinephrine & norepinephring) => decreasing HR & BP |
| Calcium channel blockers (CCB) | Treatment of stable & variant angina pectoris, certain dysrhythmias, & HTN |
| Cardiac dysrhythmia (arrhythmia) | Any deviation from normal rate/pattern of heartbeat |
| Tachycardia | HR too fast, greater than 100bpm |
| Repolarization | Return of cell membrane potential to resting after depolarization |
| Hypoxia | Lack of O2 to body tissues |
| Hypercapnia | Increased CO2 in blood |
| Depolarization | Myocardial contraction |
| Antidysrhythmic (antiarrhythmic) drugs | Restore cardiac rhythm to normal |