Term
| COREG carvedilol & Trandate (labetalol) class & action |
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Definition
| beta-blockers (Decreases force of contraction and conduction. Vasodilates, bronchoconstricts) |
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Term
| when you hear -lol you should think of this class |
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Definition
| BETA BLOCKERS (carvedilol, labetalol) |
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Term
| Catapres, cloNIDine & Minipress, prazosin Class and action |
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Definition
| Alpha-adrenergic blockers, lower BP by dilating vessels, decrease afterload & periph resistance) |
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Term
| digoxin, dopamine (Inotropin), dobutamine (Dobutrex), inamrinone, Milrinone (Primacor) CATEGORY |
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Definition
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Term
| CATEGORY atenolol ( Tenorium ); metroprolol (Toprol); propranolol (Inderal) |
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Definition
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Term
| the word ferrous in a medication means |
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Definition
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Term
| name 2 IV iron preparations? |
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Definition
| Iron dextran- Iron sucrose- |
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Term
| name 2 potent vasodilators used to optimize perfusion |
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Definition
| nitroprusside (nipride), nesiritide (Natrecor) |
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Term
| —Nitroglycerin: Intravenous (Nitro-Bid IV, Tridil ); Sublingual ( Nitrostat ); Translingual Spray ( Nitromist ); Ointment (Nitro-Bid ); Transdermal (Nitro-Dur ) —isosorbide dinitrate ( Isordil ) (sublingual, chewable tablets, sustained release capsules) —isosorbide mononitrate (Imdur) (sustained release capsules) |
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Definition
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Term
| these vasodilate coronary arteries & increase oxygen supply to myocardium and dilate peripheral vessels to decrease blood pressure |
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Definition
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Term
| __________ are a type of drug that increases the force of myocardial contraction. |
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Definition
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Term
| cholestyramine ( LoCholest , Questran , Prevalite ); colestipolHC ( Colestid ) are category |
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Definition
| Bile acid Sequestrants or Resins |
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Term
| CATEGORY? gemfibrozil ( Lopid ), fenofibrate ( Tricor ) |
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Definition
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Term
| Category Niacor , nicotinic acid, Slo - Niacin |
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Definition
| Nicotinic Acids or Niacins |
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Term
| Category: ezetimibe ( Zetia ) ( combination products Vytorin : simvastatin (Zocor) & Ezetimibe ( Zetia )) |
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Definition
| Cholesterol Absorption Inhibitors |
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Term
| atorvastatin ( Lipitor ); simvastatin (Zocor ); rosuvastatin (Crestor ); and provastatin (Pravachol) |
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Definition
| Statins 3-Hydroxy-3methyglutaryl Coenzyme A (HMG-CoA) reductase inhibitors |
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Term
| when you see -statin you should think of ___ |
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Definition
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Term
| RAAS drugs CATEGORY: captopril (Capoten); enalapril ( Vasotec ); linsinopril ( Zestril ) |
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Definition
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Term
| RAAS drugs Category losartan ( Cozaar ), valsartan ( Diovan ) combination product of losartan ( Cozaar ) & (HCTZ): Hyzaar |
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Definition
| Angiotensin II Receptor Blockers |
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Term
| amlodipine (Norvasc) nicardipine ( Cardene ) nifedipine (Procardia) verapamil ( Calan ) diltiazem (Cardizem) THESE ARE ____________ |
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Definition
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Term
| acetylsalicylic acid (Aspirin) dipyridamole ( Persantine ) clopidogrel ( Plavix ) ticlopidine ( Ticlid ) CATEGORY |
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Definition
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Term
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Definition
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Term
| name 3 common anticoags (1. PO, 2&3 SubQ) |
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Definition
| warfarin, Lovenox, Heparin |
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Term
| _______Blockers > reduced force of contractions & AV conduction (lower HR) _______ Blockers >Peripheral vasodilation, Bronchial vasoconstriction (specific beta blocker action) |
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Definition
| Beta 1, Beta 2 ( Beta Adrenergic Blockers) |
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Term
| broad category of drugs that blocks the sympathetic nervous system stimulation of alpha and beta adrenergic receptors |
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Definition
| Anti-andrenergics (alpha blocker, beta blocker or combo) |
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Term
| Class that lowers BP by dilating vessels in smooth muscle |
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Definition
| Alpha Andrenergic Blockers (Catapres, Minipress) |
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Term
| What class works these 2 ways: 1. decreases force of contraction, decreases AV conduction, lowers HR 2. causes periph. vasodilation & bronchial constrictin |
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Definition
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Term
| class that prevents new clots from forming & prevents existing clots from growing |
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Definition
| Anticoagulants (heparin, warfarin, Lovenox) |
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Term
| class that decreases platelet aggregation- lowering risk of clot formation |
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Definition
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Term
| Negative inotrope : decreases myocardial O2 demand. Negative chronotrope : slows the heart’s electrical conduction allowing for improved cardiac filling time. vasodilates peripheral vessels thus reduces afterload- vasodilates coronary arteries thus increases myocardial O2 supply. WHAT CLASS OF DRUG IS DESCRIBED? |
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Definition
| Calcium channel blockers (dipine) |
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Term
| negative inotrope ___ force of heart contraction, positive inotrope ___ force of contraction |
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Definition
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Term
| what does a negative chronotrope do to heart rate |
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Definition
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Term
| 2 kinds of RAAS affecting meds |
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Definition
| ACE inhibitors AngII receptor blockers |
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Term
| these drugs work in kidneys to promote excretion of sodium and water |
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Definition
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Term
| these antilipidemics decrease hepatic synthesis of cholesterol by enzyme inhibition |
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Definition
| -Statins (HMG-CoA reductase inhibitors) |
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Term
| 1st line of pharmacologic intervention for high cholesterol |
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Definition
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Term
| inhibits cholesterol absorption in the small intestine 1. name category 2. name 2 drugs |
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Definition
| 1. cholesterol absorption inhibitors 2. zetia, zocor |
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Term
| inhibits release of free fatty acids, decreases synthesis of lipoproteins & triglycerides |
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Definition
| Nicotinic Acids or Niacins (niacor, slo-niacin) |
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Term
| What Category? Decrease the hepatic synthesis of cholesterol & increase removal of triglyceride, lower triglyceride levels and increase HDL levels |
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Definition
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Term
| these drugs vasodialate coronary arteries to increase 02 to myocardium. vasodilates periph. vessels to decrease BP |
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Definition
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Term
| These drugs bind cholesterol in the intestine, increase bile breakdown. Lower LDL with little/no effect on HDL & triglycerides |
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Definition
| Bile Acid Sequestrants or Resins (they have -chol in name) |
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Term
| nitroprusside, (Nitropress, Nipride) sound like a nitrate but is actually this class |
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Definition
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Term
| patients on this drug need to monitored for cyanide poisoning |
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Definition
| nitroprusside, (Nipride, nitropress) |
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Term
| This vasoldilator drug is a form of bnp that inhibits ADH |
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Definition
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Term
| this category increase force of myocardial contraction |
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Definition
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Term
| this specific drug acts on the myocardium; ↓ the action of the sodium/potassium pump and ↑ the action of calcium. |
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Definition
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Term
| Vasodilators nitroprusside (Nipride) & nesiritide (Natrecor) are IV drugs that are delivered in a prescribed dose of ?/?/? |
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Definition
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Term
| when you see -dipine you should think of ____ |
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Definition
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Term
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Definition
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Term
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Definition
| teach about orthostatic h ypotension and reflex tachycardia |
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Term
| patients on these should be watched for bradycardia, bronchoconstriction, and asymptomatic hypoglycemia |
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Definition
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Term
| important teaching for diabetics on beta-blockers |
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Definition
| more frequent blood sugar checks (hypoglycemic s&s will be blunted) |
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Term
| unlabeled use for beta-blockers |
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Definition
| maigraine headache relief |
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Term
| T or F. Anticoagulants prevent clot formation and break down existing clots. |
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Definition
| False- they only prevent clots and keep existing clots from growing larger |
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Term
| What is ZORELTO? What is its major drawback? |
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Definition
| new anticoag med. drawback: no reversal agent. |
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Term
| what is the reversal agent of Coumadin (warfarin) |
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Definition
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Term
| What is this Nurse teaching all about? Cabbage, cauliflower, chick peas, egg yolks, soybeans, green leafy veggies. |
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Definition
| Foods high in vitamin K, coumadin pts need to know about. (coumadin antagonist) |
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Term
| why don't you massage heparin injections? |
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Definition
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Term
| T or F: Heparin has a short-half life of ~2 hours |
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Definition
| TRUE (mostly gone from body within 4 hours) |
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Term
| Plavix warning: if TTP call your doctor. What does that mean? |
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Definition
| Thrombotic Thrombocytopenic Purpura (little clots and polka dot bruises) |
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Term
| drugs that slow heart rate and dilate all arteries used to treat angina, hbp, and tachycardia from atrial problems |
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Definition
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Term
| what type of blockers are generally not used with a weak heart/heart failure? |
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Definition
| calcium channel blockers (because negative inotrope will make contraction too weak) |
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Term
| angiotensin II causes the reabsorbtion of __ and __, the excretion of ___ and stimulates the release of the hormone _____ |
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Definition
| sodium, water, potassium, aldosterone |
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Term
| what kind of drugs has -"sartan" in the name |
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Definition
| angiotensin II receptor blocker |
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Term
| T or F. If a pt on an Ace inhibitor develops a dry cough they will switch them to an AngII receptor blocker. |
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Definition
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Term
| What labs are periodically taken when pt is on RAAS effecting drugs? |
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Definition
| electrolytes and kidney function labs |
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Term
| t or f - liver labs need to be monitored fot pts on dyslipidemics |
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Definition
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Term
| patient teaching for statins (3 points) |
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Definition
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Term
| which class of dyslipedmic that would be most likely to cause constipation. |
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Definition
| bile acid sequestrants (-choles) |
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Term
| 2 major types of nitrates: ___ are sustained release and ___ is immediate acting |
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Definition
| isosorbides, nitroglycerin |
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Term
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Definition
| upset stomach, belching... (common side effect of antilypidemics) |
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Term
| 2 major types of nitrates: ___ used for angina prophylaxis and IV ___ is used during M.I. or hypertensive crisis |
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Definition
| isosorbide, nitroglycerin |
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Term
| when should a pt with chest pain who takes sl nitroglycerin call 911? |
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Definition
| they should take a dose every 5 minutes 3 times. If pain persists call 911 |
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Term
| 2 major side effects of nitroglycerine |
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Definition
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Term
| 4 drugs you give for chest pain |
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Definition
| nitroglycerin aspirin (324mg crushed) oxygen morphine (last resort) (MONA) |
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Term
| what should you do if pt complains that sl nitroglycerin burns under the tongue |
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Definition
| nothing- that means it is good (only stays good for 3-6 months) |
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Term
| T or F. Do not give nitroglycerin to a guy who took erectile dysfunction drug w/in 24 hours |
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Definition
| True- it will make the BP drop dangerously |
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Term
| what is the therapeutic range of digoxin? |
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Definition
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Term
|
Definition
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Term
| digoxin toxicity symptoms |
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Definition
anorexia
hallucinations/psychosis
yellow-green halos around objects
blurred vision |
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Term
| what is the antedote for digoxin toxicity? |
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Definition
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Term
low-dose dopamine
(0-2 mcg/kg/min) is used for what purpose |
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Definition
| diuretic (increased renal perfusion) |
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Term
| (2-10 mcg/kg/min) midrange dose dopamine is used for what |
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Definition
| HF for increased contractility and heartrate (+inotrope & +chronotrope) |
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Term
| high dose dopamine (10-20 mcg/kg/min) is used for what |
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Definition
| used to increase BP in an emergency situation |
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Term
| IV dopamine at a dose higher than 2 mcg/kg/min should be delivered how? why? |
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Definition
| Central line because it is very caustic and can result in extravasation |
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Term
| 2 antedotes for dopamine extravisation |
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Definition
| regitine (inject wagon wheel) or topical nitropaste |
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Term
| name 4 positive inotrope drugs |
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Definition
digoxin
dopamine
dobutamine
inamrinone |
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Term
| what foods should you NOT take iron within 1 hour of eating |
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Definition
| dairy, chocolate, eggs, caffeine |
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Term
| T or F- mid-dose dopamine (2-10mcg/k/min) should increase HR, CO and contractility |
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Definition
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Term
| T or F- IV dopamine must always be delivered through a central line due to extravasation risk |
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Definition
| FALSE- low dose (less than 2 mcg) can be delivered peripherally. |
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Term
| what class of drug is dobutrex and inocor |
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Definition
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Term
| t or f: high dose dopamine causes major vasoconstriction |
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Definition
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Term
| pt started on parenteral iron 2 days ago & develops flu-like symptoms. what should be suspected? |
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Definition
| delayed allergic reaction- call physician |
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Term
| which antilipidiemics may cause hyperuricemia |
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Definition
| absorbtion inhibitors (Zocor, zetia) |
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Term
| which type of antilipedemic is most likely to cause constipation |
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Definition
|
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Term
| most common side effect of nitrates |
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Definition
| headache (fast vasodilation causes) |
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