Term
| What are the two categories of arrhythmias? |
|
Definition
| Supraventricular and Ventricular |
|
|
Term
| Digoxin may cause which type of dysrhythmia? |
|
Definition
|
|
Term
| Torsades de Pointes is associated with which type of dysrhythmia? |
|
Definition
|
|
Term
| Quinidine and Procainamide are under what class of antidysrhythmics? |
|
Definition
|
|
Term
| What are the 3 ADRs for Quinidine? |
|
Definition
1. Proarrhythmia
2. Diarrhea
3. Cinchonism (tinnitus, nausea, headache, vertigo) |
|
|
Term
| Which class of sodium channel blockers prolongs the QT interval? |
|
Definition
|
|
Term
| Which drug is associated with causing hypotension and a Systemic Lupus Erythematosus-like syndrome? |
|
Definition
|
|
Term
| Which Class I drug has side effects of hypotension and heart failure? |
|
Definition
|
|
Term
| How are class Ib drugs different than Ia in regards to repolarization? |
|
Definition
| Class Ib ACCELERATES repolarization whereas Ia delays repolarization. |
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|
Term
| What is the major side effect of Lidocaine? |
|
Definition
|
|
Term
| What is the major side effect of class Ic Flecainide? And what population is especially at risk? |
|
Definition
| Death; People with structural heart abnormalities |
|
|
Term
| What are the 4 adverse effects of Class II Beta Blockers? |
|
Definition
1. Sluggishness
2. Heart block
3. Heart failure
4. Bronchospasms |
|
|
Term
| What class of antidysrhythmic drugs is Amiodarone? And what are it's 6 side effects? |
|
Definition
Class III- K channel blockers
1. lung toxicity
2. heart toxicity
3. skin (gray)
4. eyes
5. liver
6. thyroid |
|
|
Term
| What drug do you especially not want to combine with Amiodarone? |
|
Definition
|
|
Term
| What are the drugs that block the AV node? |
|
Definition
|
|
Term
| Which Class III drug is also a beta blocker? |
|
Definition
|
|
Term
| What do you need to monitor when pts are taking dofetilide? And if it is low what are they at risk for? |
|
Definition
| Monitor Mg and K; If low, increase risk for Torsades |
|
|
Term
| Which class III drug is used for drug induced cardioversion (procedure where an electrical shock is delivered to the heart to convert an abnormal heart rhythm back to a normal rhythm)? |
|
Definition
|
|
Term
| What are 5 Adverse effects of Verapamil and Diltiazem? |
|
Definition
1. Heart block
2. Hypotension
3. Heart failure
4. GERD
5. Constipation |
|
|
Term
| What is the major adverse effect of Adenosine? |
|
Definition
| Patients will FLAT LINE for a few seconds. |
|
|
Term
| What is the first symptom of an adverse rxn to Digoxin and what are the other two? |
|
Definition
Nausea;
1. Bradycardia
2. Arrhythmia |
|
|
Term
| Tx for chronic stable angina. |
|
Definition
|
|
Term
| What are your Drugs of Choice for chronic stable angina? |
|
Definition
1. Nitrates
2. Beta blockers
3. Calcium channel blockers |
|
|
Term
| What is the pathophysiology of variant angina? |
|
Definition
| Spasm that occurs at any time. |
|
|
Term
| Beta blockers are not indicated for which type of angina? |
|
Definition
|
|
Term
| What are your drugs of choice for Variant angina? |
|
Definition
1. Nitrates
2. Calcium Channel |
|
|
Term
| What is the pathophysiology of unstable angina? |
|
Definition
| vasospasm, platelet aggregation, thrombi/emboli |
|
|
Term
| What are your drugs of choice for unstable angina in order of use and what is the drug used after these to help maintain structure of the heart? |
|
Definition
1. (MONA) Morphine, Oxygen, Nitrates, ASA
2. ACE Inhibitor |
|
|
Term
|
Definition
|
|
Term
| Which type of angina do you want to pay particularly close attention to the adverse rxn of Nitrates and what is this rxn? |
|
Definition
| Unstable angina; Hypotension |
|
|
Term
| What are the 3 adverse effects of Nitrates? |
|
Definition
1. Headache
2. Hypotension
3. Tachycardia |
|
|
Term
| Name a drug interaction to be careful with when using Nitrates? |
|
Definition
| Phosphodiesterase 5 Inhibitors (Viagra, Cialis) |
|
|
Term
| What is the MOA of beta blockers? |
|
Definition
1. Slow AV node
2. Decrease Contractility |
|
|
Term
| Name 4 Adverse effects of Beta blockers? |
|
Definition
1. Heart failure
2. Asthma/COPD
3. Depression
4. Diabetes |
|
|
Term
| CCH's are not used in which type of angina? |
|
Definition
|
|
Term
|
Definition
| Reduction of afterload and some block AV node |
|
|
Term
| Name 5 side effects of CCBs. |
|
Definition
1. Tachycardia
2. Bradycardia
3. Constipation
4. Edema
5. GERD |
|
|
Term
| What is the overall therapy for Angina? |
|
Definition
1. Antiplatelet meds.
2. Cholesterol lowering meds
3. Angiotensin-converting enzyme inhibitors |
|
|
Term
| List 5 ways to decrease chances of Angina. |
|
Definition
1. Lower cholesterol
2. lose weight
3. normal blood pressure
4. no diabetes
5. exercise |
|
|
Term
| Which route do you not want to give heparin? |
|
Definition
|
|
Term
| What is heparin used for? |
|
Definition
| prevention of clots or prevent clot from growing |
|
|
Term
| What are 2 Adverse effects of heparin? |
|
Definition
1. bleeding
2. HIT (Heparin Induced Thrombocytopenia) |
|
|
Term
| What do you want to monitor when patient is on heparin? |
|
Definition
1. apTT (activated partial thromboplastin time)
2. platelets |
|
|
Term
| What do you especially need to monitor for patients on LMWH? |
|
Definition
|
|
Term
| Used in DVT and PE prevention. |
|
Definition
|
|
Term
| True or false. Fondaparinux and Direct Thrombin Inhibitors do not cause HIT. |
|
Definition
|
|
Term
| What are the 2 uses for Direct Thrombin Inhibitors? |
|
Definition
1. HIT
2. ACS (Acute Coronary Syndrome) |
|
|
Term
| Adverse effect of Warfarin |
|
Definition
|
|
Term
| What is the normal INR (international normalization ratio) range to monitor for patients taking warfarin? |
|
Definition
|
|
Term
| What is the prevention/tx range to monitor for patients taking warfarin? |
|
Definition
|
|
Term
| Name one ADP receptor antagonist |
|
Definition
|
|
Term
| Name the only type of med that dissolves clots. |
|
Definition
|
|
Term
| Name 5 contraindications for Thrombolytic meds. |
|
Definition
1. INTRACRANIAL HEMORRHAGE
2. Stroke
3. Intracranial neoplasm
4. Internal bleeding
5. Aortic dissection |
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