Angina Meds Flashcards
Beta Blockers
End in
Olol
Calcium channel blockers
End in
2 uncommon ones
ipine
Verapamil
Diltiazem
Nitrates
med names 2
What they do
Nitroglycerin
Isorbide dinitrate
Sublingual
Beta blockers
What they do
Block sites in heart in kids (protect them) to prevent sympathetic (stress) response
Watch for response in asthma and COPD,
DECREASES: HR, contractibility, CO slow conduction through AV node, release of renin
Beta blocker
Contraindication
PC
Contraindicated Bradycardia
Calcium channel blockers
What do they do
Calms excitable and slows conduction and repolarization
Calcium channel blockers
Contraindications
PC
Contraindicated with heart block low BP and HF
PC hypotension, arrhythmia, HF, n/v
Cns changes- dizzy weakness fatigue
Nitrates
What they do
Direct vasodilator
Relax smooth muscle improves blood flow and oxygen by pooling blood in periphery
Take sublingual or spray
Nitrates
Contraindications
Side effects
Instructions
Severe hypotension, severe anemia, head trauma, carebral hemorrhaging, renal and hepatic, use of erectile dysfunction med (decre med)
Side effect- skin flush, pulsing headache, interact ETOH (incre hypotension)
Instruct sit down before taking & >3
Short acting Acute attack nitrate
Amyl nitrate
Nitro glycerin- take q 5min up
Long acting nitrates
Uses
Prevent angina
Nitroglycerin
ISO dinitrate
ISO mononitrate
Nitrate implication
Teach carry all times prevent ischemia Cool dark place Sit down prior to taking No swallow Contact Ems no chest relief after 3 tab Monitor BP prior to taking Take it in anticipation of any action bring it on
Anti-platelet agents
2 meds
What it does
Aspirin and thienopyrides
Prevent platelet agreegation and thrombus that can cause clot
Aspirin
PC
Dosage
Teach
Risk for Gi upset and bleeding
81-325 mg daily
Take daily even if taking other analgesics (acetominephen)
Thienopyrides
Effect
2meds
May take few days for effect
May be giving with ASA
–Grels
Clopidogrel
Prasugrel- (new used coronary events and intervention )
