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Pharmacology
Cardio Drugs
63
Nursing
Undergraduate 2
02/28/2012

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Cards

Term
Any drug starting with nitro is probably what kind of drug?
Definition
Nitrates
Term
What are some side effects of nitrates?
Definition
- dizziness
- headache
- hypotension
- tachycardia
Term
What do Nitrates do to the body?
Definition
They cause a systemic vasodilation to the body.
Term
What do beta blockers do to the body?
Definition
They slow the HR and decreases contractility.
Term
What do beta block drugs end in?
Definition
lol
Term
What kind of drug is contraindicated in pt's with CHF?
Definition
Beta-Blockers
Term
What do calcium channel blockers do in the body?
Definition
They reduce the HR and decreases oxygen demand in the body.
Term
What must you check before giving a CCB?
Definition
- lung sounds
- apical pulse
Term
What do cardiac glycosides do in the body?
Definition
They increase the force of myocardial contraction.
Term
What kind of med is used to treat CHF and to prevent rapid HR?
Definition
Cardiac Glycosides
Term
Digoxin is what kind of drug?
Definition
Cardiac Glycosides
Term
What is a good digoxin level?
Definition
0.5-2
Term
What serum level sensitizes the heart to the toxic effects of glycosides?
Definition
low serum potassium
Term
When given digoxin if an adult pulse is , 60 and a childs < 100 what should you do?
Definition
reassess in 15 minutes
Term
What levels must you know before giving digoxin?
Definition
- Sodium
- Potassium
- weight
Term
What foods are high in Potassium?
Definition
- spinach
- orange juice
- bananas
- tomato juice
- grape fruit
- raisins
- fig
- prunes
Term
What is an example of an osmotic diuretic and how is it given?
Definition
Mannitol: IV
Term
What are osmotic diuretic's used to treat?
Definition
- anuria
- cerebral edema
- glaucoma
Term
What are carbonic anhydrase inhibitors used to treat?
Definition
- glaucoma
Term
What are some examples of carbonic anhydrase inhibitors?
Definition
Diamox: oral
Term
What are thiazide diuretics used to treat?
Definition
edema with hypertension
Term
What are some examples of thiazide diuretics?
Definition
- drugs ending in thiazide
- Hygroton
- Zaroxolyn
Term
What are loop diuretics used to treat?
Definition
Edema when pts become resistant to thiazide diuretic's.
Term
Commonly used loop diuretics?
Definition
- Bumex
- Lasix
- ethacrynic acid
- Demedex
Term
What lab value must you watch when giving a loop diuretics?
Definition
- potassium
Term
What are potassium sparing diuretics used to treat?
Definition
Edema when combined with thiazides and loop diuretics.
Term
what are some commonly used potassium sparing diuretics?
Definition
- Aldactone
- amiloride
- triamterence
Term
What most be monitored when given a diuretic?
Definition
- weight and I&O
- edema
- BP
- Pulse
- Lab Values: electrolytes, blood glucose, BUN, serum uric acid
Term
When should oral diuretics be given?
Definition
morning
Term
What is a normal K level?
Definition
3.5-5.0
Term
What is a normal sodium level?
Definition
135-145
Term
What are S/S of hypokalemia?
Definition
- N/V
- muscle pain
- weakness or cramps
- diarrhea
- palpitations
Term
What should pt's avoid while on a diuretic?
Definition
- hot weather (hot baths)
- long periods of standing
- alcohol
Term
What are sympathetic (adrenergic) blockers used to treat?
Definition
Used to reduce the hyperactivity of sympathetic nervous system.
Term
what are some common sympathetic blockers?
Definition
- clonidine
- guanabenz
- guanfacine
- methyldopa
Term
What is a side effect of conidine but will go away with in 3-4 weeks?
Definition
dry mouth
Term
Beta- blockers are not good for what kind of pt's?
Definition
- asthma
Term
How are vasodilator drugs used?
Definition
relaxes vascular smooth muscles resulting in a lower BP.
Term
What are some common vasodilators?
Definition
Apesoline
Term
What are some common calcium antagonists that vasodilate but also slow HR?
Definition
- Calan
- Cardizem
Term
What are some common calcium antagonist that are just vasodilators?
Definition
- end in pine
Term
What common calcium antagonist can cause tachycardia?
Definition
Nifidepine
Term
What are calcium antagonist (pine) sensitive to?
Definition
grape fruit
Term
What are some common ACE inhibitors?
Definition
- end in pril
Term
What should you monitor with pt's on anti-hypertensive meds?
Definition
- BP and pulse
- weight and I&O
- if systolic <100 question giving the drug
- assess for orthostatic hypertension when first starting med
Term
What anticoagulant dosage is determined on body size?
Definition
Heparin
Term
What lab must you monitor with Heparin?
Definition
PTT
Term
What is the antidote for Heparin?
Definition
Protamine sulfate
Term
What is LMW Heparin used for?
Definition
prevent clots after surgery
Term
What is a common LMW Heparin?
Definition
Lovenox
Term
What lab must you monitor with Coumadin?
Definition
- liver enzymes
- INR
Term
What is a normal INR?
Definition
2-3
Term
What is the antidote for Coumadin?
Definition
Vit K
Term
What are some common antiplatelts?
Definition
- Aspirin
- Persantine
- Plavix
- Ticlid
- Trental
Term
What kind of food should pt's on anticoagulants avoid?
Definition
Vit K foods
Term
What are some hypolipidemic drugs?
Definition
- statin
Term
What are some cholesterol absorption inhibitors?
Definition
- Zetia
Term
What should you monitor for hypolipidemic drugs?
Definition
- serum cholesterol <200
- serum triglyceride <150
- liver function 5-50
- muscle tenderness
- CK 60-400
Term
What is a normal LDL level?
Definition
< 90
Term
What is a normal HDL level?
Definition
> 50
Term
What should lovastatin be taken with?
Definition
food
Term
When should simvastatin be taken?
Definition
evening
Term
Tell pt to wear sunscreen to prevent photosensitivity when on?
Definition
lipid lowering drugs
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