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Cardiac Medication Classifications
Major Cardiac Classification Classifications and Specific Med Examples
51
Nursing
Undergraduate 3
11/10/2012

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Term
Adrenergic Blocking Drugs
ALPHA BLOCKERS

Drugs that end in.....
Definition
-sin

Examples:
doxazosin (Cardura)
terazosin (Hytrin)
tamsulosin (Flomax)
Term
Adrenergic Blocking Drugs
ALPHA BLOCKERS

Effects & Benefits...
Definition
Lowers blood pressure by vasodilation
Term
Adrenergic Blocking Drugs
ALPHA BLOCKERS

Indications...
Definition
Hypertension
BPH
Bladder Problems
Term
Adrenergic Blocking Drugs
ALPHA BLOCKERS

Adverse Reactions...
Definition
Wheezing
Bradycardia
Hypotension
Term
Adrenergic Blocking Drugs
ALPHA BLOCKERS

Nursing Considerations...
Definition
Monitor I&O
Monitor Weight (2 lbs/24 hrs or 5 lbs/1 wk)
Check BP (<100)
Check HR (<60)
Term
Adrenergic Blocking Drugs
BETA BLOCKERS

Drugs Ending in...
Definition
-lol

Examples:
metoprolol (Lopressor)
atenolol (Tenormin)
esmolol (Breviblock)
Term
Adrenergic Blocking Drugs
BETA BLOCKERS

Effects & Benefits...
Definition
Lowers blood pressure by reducing heart rate.

Vasoconstricts bronchioles
Term
Adrenergic Blocking Drugs
BETA BLOCKERS

Indications...
Definition
Hypertension
BPH
Angina
Term
Adrenergic Blocking Drugs
BETA BLOCKERS

Adverse Reactions...
Definition
Wheezing
Bradycardia
Hypotension
Term
Adrenergic Blocking Drugs
BETA BLOCKERS

Nursing Considerations...
Definition
Monitor I&O
Monitor Weight (2 lbs/24 hrs or 5 lbs/1 wk)
Check BP (<100)
Check HR (<60)
Term
Angiotensin Converting Enzyme Inhibitors
"ACE Inhibitors"

Drugs ending in...
Definition
-pril

Examples:
lisinopril (Zestril
captopril (Capoten)
enalapril (Vasotec)
ramipril (Altace)
Term
Angiotensin Converting Enzyme Inhibitors
"ACE Inhibitors"

Effects & Benefits...
Definition
Lowers BP by not allowing ACE to convert into Angiotensin II (which normally causes vasoconstriction which raises BP)
Term
Angiotensin Converting Enzyme Inhibitors
"ACE Inhibitors"

Indications...
Definition
Hypertension
Term
Angiotensin Converting Enzyme Inhibitors
"ACE Inhibitors"

Adverse Reactions...
Definition
Angioedema
Swelling of mucous membranes
Persistant dry cough
Term
Angiotensin Converting Enzyme Inhibitors
"ACE Inhibitors"

Nursing Considerations...
Definition
Avoid salt
Check weight
Check BP (<100)
Term
Angiotensin II Receptor Blockers
"ARB"

Drugs that end in....
Definition
-artan

Examples:
valsartan (Diovan)
lorsantan (Corzaar)
Term
Angiotensin II Receptor Blockers
"ARB"

Effects & Benefits....
Definition
Lowers BP by blocking Angiotensin II receptors
Term
Angiotensin II Receptor Blockers
"ARB"

Indications....
Definition
Hypertension
Term
Angiotensin II Receptor Blockers
"ARB"

Adverse Reactions....
Definition
Orthostatic Hypotension
Potassium Retention
Term
Angiotensin II Receptor Blockers
"ARB"

Nursing Considerations....
Definition
Assess for Renal Impairment
Run Bloockwork for BUN & Creatine
Term
Calcium Channel Blocks

Drug Examples...
Definition
diltiazem (Cardisem)
amlodipine (Norvasc)
verapamil (Calan)
Term
Calcium Channel Blocks

Effects & Benefits...
Definition
Decreases HR by blocking uptake of CA into myocardium thus dilating coronary arteries
Term
Calcium Channel Blocks

Indications...
Definition
Dysrhythmia (tachy)
Hypertension
Angina
Term
Calcium Channel Blocks

Adverse Reactions...
Definition
Hypotension
CHF (Exhibited by Dyspnea)
Term
Calcium Channel Blocks

Nursing Considerations...
Definition
Assess HR (<60)
Orthostatic Hypotension (Falls)
Listen for Lung Crackles (CHF)
Term
Cardiac Glucoside
(Positive Inotrope)

Drug...
Definition
Digoxin
Term
Cardiac Glucoside
(Positive Inotrope)

Effects & Benefits...
Definition
Promotes better stroke volume by increasing diastolic filling. Reduces heart rate and improves cardiac output
Term
Cardiac Glucoside
(Positive Inotrope)

Indications...
Definition
Myocardial Infarction (MI)
Heart Failure (HF)
Atrial Fibrillation (A-Fib)
Term
Cardiac Glucoside
(Positive Inotrope)

Adverse Reactions...
Definition
Heart block & Heart failure
Ventricular fibrillation
Green Halo vision & Convulsions
High levels could be toxic
Term
Cardiac Glucoside
(Positive Inotrope)

Nursing Considerations...
Definition
Apical pulse (<60)
Bloodwork: Dig Levels (1-2) & K Level
Teach client to take radial pulse
Term
Antidysrhythmics (class III)

Drug Example...
Definition
amiodarone
Term
Antidysrhythmics (class III)

Onset & Half Life...
Definition
Onset: 1-3 wks
Half Life: 15-100 Days
Term
Antidysrhythmics (class III)

Effects & Benefits...
Definition
Lowers HR and suppresses dysrhythmias by slowing down conduction time of heart.
(Blocks Calcium channels, alpha & beta adrenergic receptors of the sympathetic nervous system.)
Term
Antidysrhythmics (class III)

Indications...
Definition
Pulmonary Toxicity
Thyroid Problems
Hypertension
Term
Antidysrhythmics (class III)

Adverse Reactions...
Definition
Hypo/Hyperthyroidism
Hypertension
Pulmonary Toxicity
Acute Respiratory Distress Syndrome
(Drug Interactions with Dig & Coumadin [Warfarin])
Term
Antidysrhythmics (class III)

Nursing Considerations...
Definition
Look for:
Bradycardia
Hypotension
Lung sounds
Bloodwork: TFT & LFTs
Term
Diuretics
CARBONIC ANHYDRASE INHIBITORS

Drug, Effects & Benefits...
Definition
acetazolamide (Diamox)

Reduces blood pressure by decreasing plasma levels
Term
Diuretics
LOOP (very potent)

Drug, Effects & Benefits...
Definition
furosemide (Lasix)

Reduces BP, reduction in preload and in central venous pressures (filling)
Term
Diurectics
OSMOTIC

Drug, Effects & Benefits...
Definition
mannitol

Expands extracellular fluid and plasma volume which increases blood flow to kidney, stopping loop of Henle from concentrating urine, which usually uses the high osmotic and solute gradient to transport solutes and water.

Used to reduce intracranial and intraocular pressure.
Term
Diuretics
POTASSIUM SPARING

Drug, Effects & Benefits...
Definition
Block epithelial sodium channels

Works best on brain cells, used for patients who have had head trauma (pressure)
Prevents sodium re-absorption and potassium and hydrogen ion secretion.
Term
Diuretics
THIAZIDE (gentle)

Drug, Effects & Benefits...
Definition
Inhibits reabsorption of Na+ and Cl−
Term
Diuretics
ALL

Indications...
Definition
Edema due to HF
Lowering of intraocular & Intracranial pressure
Hypertension
Term
Diuretics
ALL

Adverse Reactions...
Definition
Dehydration
Hypokalemia
Term
Diuretics
ALL

Nursing Considerations...
Definition
Check BP
Monitor I&O (15 min.)
Give diuretics with K supplement
Term
Anti-lipemics
HYDROXYMETHYLGLUTARYL COENZYME A(HMG-CoA)

Drug, Effects & Benefits...
Definition
atorvastatin (Lipitor)

When this enzyme is blocked, mevalonate cannot be generated and cholesterol cannot be synthesized.
Term
Anti-lipemics
BILE ACID SEQUESTRANTS

Drug, Effects & Benefits...
Definition
cholestyramine (Questran)

Bile acid breaks down cholesterol. Sequestrants take cholesterol-containing bile acids and form them into an insoluble complex which leaves your body through your stool.
Term
Anti-lipemics
B3 VITAMIN

Drug, Effects & Benefits...
Definition
Niacin

Lowers blood lipids by suppressing release of fatty acids.
Term
Anti-lipemics
FIBRIC ACID DERIVATIVE (FIBRATES)

Drug, Effects & Benefits...
Definition
gemfibrozil (Zetia)

Lowers blood triglycerides by reducing the liver's production of VLDL and by speeding up the removal of triglycerides from the blood.
Term
Anti-lipemics
ALL

Indications...
Definition
High Cholesterol
Term
Anti-lipemics
ALL

Adverse Reactions...
Definition
Rhabdomyolysis (Muscle tissue breaks down & Acute renal failure) - Niacin can increase risk when used with other Anti-lipemics

CHF
Term
Anti-lipemics
ALL

Nursing Considerations...
Definition
Check bloodwork for LFT's
Do Not Eat Grapefruit
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