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Mrs.Doleyres

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Question
Answer
Oxygen   given to patients with angina pectoris (acute severe chest pain). Causes vasodilatation and protects the tissues from hypoxia. Can b administeres through cannula or facial mask.  
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Epinephrine   Sympathetic drug used to manage cardiac arrest because it increases heart contractibility.  
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Isoproterenol (Isuprel)   Produces overall increase in heart rate and myocardial contractibility, but newer agents have replaced it in most clinical settings.  
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Dopamine (Intropin)   Indicated and used in cases with hypotension. Causes vasocontriction (narrowing of blood vessel). Should be used at lowest dose that roduces adequate perfusion of vital organs.  
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Beta Blockers: Propranolol, Metoprolol, Atenolol, and Esmolol   Reduce heart rate, blod pressure, myocardial contractibility,myocardial oxygen consumption which make them effective in treatment of angina pectoris & hypertension.  
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Beta Blockers: Propranolol, Metoprolol, Atenolol, and Esmolol (Continued)   Useful in preventing atrial fibrillation, atrial flutter,paroxysmal supra-ventricular tachycardia. Adverse effects are hypotension, broncho spasm, and CHF.  
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Lidocaine   Suppression of ventricular ectopy contractions. Excessive doses can produce neurological changes. In large doses it causes myocardia depression and circulatory depression.  
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Verapamil   Used in treatment of paroxysmal supraventricular tachycardia,effetive in ending moe than 90% of episodes in adults and infants. Vigiant monitoring of blood pressure is recommended.  
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Digitalis   Increases force of cardiac contraction and cardiac output. Has high toxicity and patients need monitoring for symptoms such as yellow vision, nausea, etc.  
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Morphine Sulfate   Traditional drug for pain and anxiety associated with acute myocardial infarction. In high doses it can cause respiratory depression. Controlled substance and tendency for abuse and addiction.  
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Nitroglycerin   Powerful smooth muscle relaxant effective in relieving angina pectoris . Headache is a common consequence and hypotension as well.  
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