CARDIAC

Question 1

Types of Cardiotonics?

Answer 1

1) cardiac glycosides
2) catecholamines
3) cAMP PDE-1

Question 2

Name of Cardiac Glycoside?

Answer 2

Digoxin

• CHF
• beware of digitalis poisoning
• can deplete K + Mg if given with diuretics
• do not give with Ca

Question 3

Name of Catecholamine?

Answer 3

Dopamine

• CHF and cardiogenic shock from MI, hypotension
• dose dependant: DA1=diuretic, B1=inotropism, a1=vasoconstrictor

Dobutamine

• CHF w/o hypotension, pulmonary hypertension
• selective for B1 receptors

Question 4

Name of cAMP PDE-1?

Answer 4

Milrinone + Amrinone

-refractory CHF

Question 5

Types of Cardiac Drugs?

Answer 5

1) Cardiotonics
2) Antianginals
3) Antiarrhythmics

Question 6

Types of Antianginals?

Answer 6

1) Nitrates
2) Ca Channel Blockers
3) B Blockers

Question 7

Name of Nitrate?

Answer 7

Nitroglycerin

-CHF, unstable angina, variant angina

Question 8

Name of Ca Channel Blocker?

Answer 8

Verapamil

-angina

Question 9

Name of B Blocker?

Answer 9

Propanolol + Nadolol

• unstable angina, HTN, specific arrhythmias
• non-selective

Metoprolol + Atenolol

• HTN, angina
• selective B1

Question 10

Types of Antiarrhythmics?

Answer 10

1) Class I-Na Blocker
2) Class II-B Blocker
3) Class III-K Blocker
4) Class IV-Ca Blocker
5) Class V-Others

Question 11

Name of Na Channel Blocker?

Answer 11

Ia-Procainamide
-VTach, SVT, Afib

IIb-Lidocaine
-MI ventricular arrhythmias

IIIc-Flecainide
-VTach not responding to Ia

Question 12

Name of Antiarrhythmic B Blocker?

Answer 12

Propanolol + Nadolol

• non-selective
• tachyarrhythmias, decreasing MI mortality

Metoprolol + Atenolol

• selective
• tachyarrhythmias, decreasing MI mortality

Question 13

Name of Antiarrhythmic K Blocker?

Answer 13

Amiodarone + Sotalol

-SVT

Question 14

Name of Antiarrhythmic Ca Channel Blocker?

Answer 14

Verapamil + Diltiazem

-SVT

Question 15

Name of Other Antiarrhythmics?

Answer 15

Adenosine
-paroxysmal SVT

Digoxin
-Afib, A flutter, CHF, paroxysmal atrial tachycardia