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S470 Medication Exam 1
S470 Medication Exam 1
15
Nursing
Undergraduate 4
09/04/2013

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Term
Atropine
Definition
Anticholinergic/Muscarinic Antagonist
Used to:
Increased heart rate in bradycardias
Effects on hemodynamics
Increased HR with eventual effect on CO
Term
Dobutamine
Definition
Beta 1 Agonist
Used to:
Increase CO in HF
Less effect on HR than dopamine, but still may accelerate
Effect on hemodynamics
Increased SV leads to increased CO
Term
Dopamine
Definition
Beta 1 Agonist, Dopamine Agonist
Used to:
Increased CO and MAP
Increased HR
Also has alpha 1 properties at higher doses
Dilates renal arteries at lower doses??
Effects on hemodynamics
At moderate doses—increased SV and CO
At higher doses—increase CVP, PAP, SVR, MAP
Term
Inamrinone (aka Amrinone/Inocor)
Minrinone (Primacor)
Definition
Inotropic, vasodilator (phosphodiesterase inhibitor)
Used to:
Increase CO
Effects on hemodynamics
Increased SV and CO
Decreased CVP, SVR, MAP, PAP
Term
Epinephrine
Definition
Adrenergic Agonist (Alpha, Beta 1, Beta 2)
Used to:
Increase CO, MAP, HR
Vasoconstriction (venous & arterial)
Increased FOC
Increased HR
Bronchial dilation
Effects on hemodynamics
Increased SV and CO
Increased SVR, MAP, PAP, CVP
Also dose dependent (↑ doses = alpha)
Term
Norepinephrine
Definition
Adrenergic Agonist (Alpha***, Beta 1)
Used to:
Increase MAP
Vasoconstriction*** (venous & arterial)
Increased FOC
May cause reflexive bradycardia
Effects on hemodynamics
Increased SVR, MAP, PAP, CVP
Mild increase CO
Term
Vasopressin
Definition
ADH—Vasopressor
Used to:
Increase MAP
Vasoconstriction (venous and arterial)
Effects on hemodynamics
Increased SVR, MAP, PAP, CVP
Term
Phenylephrine
Definition
Alpha 1 Agonist
Used to:
Increase MAP
Vasoconstriction (venous & arterial)
Effects on hemodynamics
Increased SVR, MAP, PAP, CVP
Term
Nitroglycerin
Definition
Nitrate
Used to:
Improve cardiac O2 supply and demand
Venous vasodilator (strong)
Arterial vasodilator (mild)
Effects on hemodynamics
Decreased CVP***, MAP, PAP, SVR
May increase CO indirectly
Term
Nitroprusside
Definition
Direct vasodilator
Used to:
Decrease MAP, relieve HF
Venous vasodilator (moderate)
Arterial vasodilator (strong)
Effects on hemodynamics
Decreased CVP, MAP, PAP, SVR***
May increase CO indirectly
Term
ACE Inhibitors
Definition
Venous & arterial vasodilation
Prevents aldosterone release
Term
Beta Blockers
Definition
Arterial vasodilation
↓ HR & FOC
Inhibit renin release
Term
Calcium Channel Blockers
Definition
Arterial vasodilation
↓ HR & FOC
Term
Digoxin
Definition
↓ HR, ↑ FOC
Term
Morphine
Definition
Mostly venous vasodilation, some arterial
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