1 Flashcards

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
Q

Angiotensin 2 blocker

A

No cough

26
Q

-SARTAN

A

Angiotensin 2 receptor blocker

27
Q

Calcium channel blocker

A

Vasodilation

Dizziness, peripheral edema

28
Q

Diuretics

A

Work in kidney
Used for edema and hypertension
Can lose electrolytes

29
Q

Thiazide diuretic

A
Potassium wasting
Doesn't work if kidney isn't
Increase calcium
Increase blood glucose levels*
Blood dyscrasia, orthostatic hypotension
30
Q

Loop diuretic*

A

Potassium wasting
Impact blood sugar
Digoxin interaction, too rapidly= ototoxicity*
Take in the morning, with food

31
Q

Osmotic

A
Not used often
Intracranial , inter ocular pressure, chemo
Mannitol***
Works 1-3 hours after giving
Warm hands before giving
32
Q

Carbonic anhydrase inhibitors

A

Altitude sickness, epilepsy, diuresis

33
Q

Potassium sparing diuretics

A

Don’t take with K+ supplements

Gi distress, numbness/tingling of hands and feet

34
Q

Where we develop the most clots

A

Veins in legs

35
Q

Heparin monitor…

A

PTT

36
Q

Anticoagulants

A

Maintain/restore circulation

37
Q

Warfarin*

A

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
Q

Aspirin

A

Stops aggregation of platelets in arteries

Need to be held a little bit before surgery

39
Q

Thrombolytics

A

Clot busters
HA= 4 hours
Stroke= 3 hours
Monitor for bleeding

40
Q

-ASE, -PLASE

A

Thrombolytics

41
Q

Other uses for cardiac glycosides 🌟

A

Allergies and inflammation

42
Q

Anticholinergic overload 🌟

A

Excessive sweating, drooling

43
Q

If tremors… 🌟

A

Give medication

44
Q

Drugs that act as antihypertensive agents 🌟

A

Angiotensin 2
Calcium channel blocker
Diuretics

45
Q

Teach at discharge of beta blocker 🌟

A

Monitor bp & pulse

46
Q

Chronotropic

A

Time
+ = speed up
- = slow down

47
Q

Thrombolytics 🌟

A

Dissolve clots

48
Q

Anticoagulants 🌟

A

Prevent clotting

49
Q

Antiplatelets 🌟

A

Prevent platelet aggregation

50
Q

Children on CNS stimulants should avoid 🌟

A

Caffeine

51
Q

If on ACE, a cough is an indication of 🌟

A

Normal side effect