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1
Q

Dromotropic

A

Electrical conduction

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2
Q

Inotropic

A

Force of contraction of heart
+ = increases contraction
- = decreases contraction

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3
Q

If Inotropic - then

A

Dromotropic -

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4
Q

Cardiac glycosides

A

Treat heart failure, atrial dysrhythmias
Digoxin
Monitor apical pulse for 60 seconds

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5
Q

Digoxin + Potassium wasting diuretics =

A

Can cause toxicity

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6
Q

Antianginal

A

Nitrates = vasodilate
Decrease blood pressure
Don’t exceed 3 pills
Monitor vital signs before, between, and after

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7
Q

Beta blockers

A

Bronchoconstriction

Taper off slowly = reflex tachycardia

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8
Q

-LOL

A

Beta blockers

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9
Q

-IPINE

A

Calcium Channel Blockers

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10
Q

Calcium channel blockers

A

Decrease workload of heart
Relax coronary arteries
SE: hypotension, bradycardia, & peripheral edema
Need water if mouth dry

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11
Q

A1

A

Vasoconstriction

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12
Q

A2

A

Vasodilation

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13
Q

Diuretics

A

First line agent

Decrease blood pressure

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14
Q

Sympopatholytics

A

👇🏻 bp, dysrhythmias, 👇🏻 HR

SE: decrease pulse, bp, bronchospasm, depression, insomnia, nightmares, hypoglycemia, orthostatic hypotension

Don’t stop abruptly = rebound hypertension

Can mask SS of hypoglycemia

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15
Q

Centrally acting alpha 2 agonists

A

Decrease bp
Stimulate fight or flight
Slow and dry, peripheral edema, rebound hypertension

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16
Q

Alpha adrenergic blocker

A

Decrease blood pressure
Vasodilation
Don’t impact blood sugar
Orthostatic hypotension

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17
Q

-ZOSIN

A

Alpha adrenergic blocker

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18
Q

Adrenergic means..

A

Sympathetic

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19
Q

Adrenergic neuron blocker

A

Decrease bp, pulse
Potent
Edema, nightmares, suicidal thoughts
Side effects can linger

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20
Q

Alpha 1 & Beta 1 adrenergic blocker

A

Orthostatic hypotension, dry mouth, fatigue

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21
Q

Alpha 1 blocker

A

Vasodilation

Decrease blood pressure

22
Q

Beta 1 blocker

A

Rate and contractility decreased

23
Q

Arteriolar vasodilators

A

Moderate to severe
Relax blood vessels
Reflex tachycardia, palpitations, edema

24
Q

ACE inhibitors

A 
Elderly don't do well on this
Hyperkalemia, nonproductive cough
Avoid foods high in potassium 
Can alter taste
Don't give to pregnant ladies
25
Angiotensin 2 blocker
No cough
26
-SARTAN
Angiotensin 2 receptor blocker
27
Calcium channel blocker
Vasodilation | Dizziness, peripheral edema
28
Diuretics
Work in kidney Used for edema and hypertension Can lose electrolytes
29
Thiazide diuretic
``` Potassium wasting Doesn't work if kidney isn't Increase calcium Increase blood glucose levels* Blood dyscrasia, orthostatic hypotension ```
30
Loop diuretic*
Potassium wasting Impact blood sugar Digoxin interaction, too rapidly= ototoxicity* Take in the morning, with food
31
Osmotic
``` Not used often Intracranial , inter ocular pressure, chemo Mannitol*** Works 1-3 hours after giving Warm hands before giving ```
32
Carbonic anhydrase inhibitors
Altitude sickness, epilepsy, diuresis
33
Potassium sparing diuretics
Don't take with K+ supplements | Gi distress, numbness/tingling of hands and feet
34
Where we develop the most clots
Veins in legs
35
Heparin monitor...
PTT
36
Anticoagulants
Maintain/restore circulation
37
Warfarin*
Stops liver from making Vitamin K which clots blood Monitor PT, INR (1.3-2) Antidote: Vitamin K, plasma Inform dentist, electric razor, soft tooth brush
38
Aspirin
Stops aggregation of platelets in arteries | Need to be held a little bit before surgery
39
Thrombolytics
Clot busters HA= 4 hours Stroke= 3 hours Monitor for bleeding
40
-ASE, -PLASE
Thrombolytics
41
Other uses for cardiac glycosides 🌟
Allergies and inflammation
42
Anticholinergic overload 🌟
Excessive sweating, drooling
43
If tremors... 🌟
Give medication
44
Drugs that act as antihypertensive agents 🌟
Angiotensin 2 Calcium channel blocker Diuretics
45
Teach at discharge of beta blocker 🌟
Monitor bp & pulse
46
Chronotropic
Time + = speed up - = slow down
47
Thrombolytics 🌟
Dissolve clots
48
Anticoagulants 🌟
Prevent clotting
49
Antiplatelets 🌟
Prevent platelet aggregation
50
Children on CNS stimulants should avoid 🌟
Caffeine
51
If on ACE, a cough is an indication of 🌟
Normal side effect

Pharmacology Exam 3 (1 decks)

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