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N105 Cardiac Medications
Meds for Heart Failure, HTN,
21
Nursing
Undergraduate 1
03/31/2012

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Cards

Term
Drugs that reduce the afterload - the resistence against which the heart must pump - how hard it pumps is vascular resistance)
Definition
ACE Inhibitors
ARB Inhibitors
Human B Naturetic Peptides
Diuretics
Nitrates,
Inotropics - (Beta adrenergic agonists, Phosphodiesterase Inhibitors, Calcium sensitizers, Digitalis)
Term
Lisinopril
Prinovil
Zestril, Vassotec, Monopril, Cappotin, Lucinapril
Definition
ACE Inhibitors
Term
ARB Inhibitors do what?
Definition
Agiotension Receptor Blockers - they block the receptor sites on Angiotension 2
Term
First line of defense for HTN

How does it work?
Definition
ACE Inhibitors

causes vassodilation, decreases afterload = decreases b/p
Term
What is a side effect of ACE Inhibitors
Definition
orthostatic hypotension - stay in bed for first several times after taking first or an increased dose, Syncope, Orthostatic Hyptension, dizziness, dry hacking cough
Term
What do ACE Inhibitors do?
Definition
Angiotension Converting Enzyme Inhibitors = inhibits the formation of the angiotension converting enzyme which prevents the formation of Angiotensin 2 - in the absence of this is vassodilation
Term
Acute Heart Failure Medication generally given IV

How does it work?
Definition
Human B Naturetic Peptides

dialates tissues and decreases workload
Term
What are teh medications for venous vassodilation?

What is an important education
Definition
Nitrates, Nitroglycerine

don't wear at night b/c of tolerance build up
Term
How does Digitalis work
Definition
Enhances the contractility of the heart. It slows and stregthens muscle fiber
Term
What is side effects of Digitalis
Definition
Bradycardia - ALWAYS ASSESS APICAL PULSE ONE MINUTE BEFORE ADMINISTRATION
Term
s/s of Digitalis toxicity
Definition
anorexia, malaise, confusion, fatigue, - notify dr if anorexic or confused
Term
What increases digitalis toxicity
Definition
Hypokalemia
Term
Drugs that enhance contractility of heart
Definition
Dabumine, Digitalist, Beta Aderlegic Markers
Term
Number 1 drug prescribed in america
Definition
Statins - cholesterol
Term
Lipitor, Lescol, Crestor, Pravacol, Mevacor, Zocor, Lescol
Definition
Statin Drugs - Report Muscle Tenderness, Monitor Liver Enzymes, Avoid Grapefruit Juice
Term
How do the statins work?
Definition
interfere with liver forming cholesterol
Term
What is a side effect of Nicotonic Acid?

Teachings
Definition
May cause flushing and itching

Take with Meals
Term
If you have liver damage, what cholesterol med should you take
Definition
Nicotonic Acid - it is the B vitamin of Niacin and elevates levels of it which lowers cholesterol
Term
Fibrate medications
Definition
Lopid and Tricor - not as effective take with meals - reduced side effects
Term
If you have genetic high cholesterol what medication should you use?
Definition
Zetia - inhibits cholesterol absorption in the intestines
Term
Vitorin is
Definition
High Cholesterol medication combination of Zetia and Zocor for dietary and genetic high cholesterol
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