Cardiac Drugs Flashcards
How does Lidocaine work?
suppresses ventricles by decreasing automaticity
What arrthymias does Lidocaine treat?
treats VT and VF
What does Lidocaine inhibit
NA+
How does Epinephrine work?
peripheral vasoconstriction leads to increased coronary perfusion
What does Epinephrine treat?
VT, VF, Asystole, PEA, Symptomatic Bradycardia
What 2 things does Epinephrine cause?
Increase HR and contractility
How does Atropine work?
increases SA and AV node activity by blocking vagal reflex
When is Atropine used?
Brady, 1st AVB, Wencke, Arrest
What is the chronotropic and dromotropic affect of Atropine?
positive
How does Verapamil work?
blocks CA and NA
Verapamil causes
increased vasodilation
Verapamil is used to treat what 2 rhythms
SVT, RVR
The chronotropic and inotropic affects of Verapamil are
negative
What 2 affects does Isuprel have on the body?
control brady and increase CO
What does Amiodarone treat?
AT, VT, VF, and SVT
Direct Arteriolar Vasodilators
relax arterioles
Nitroprusside Sodium is a
vasodilator
Nitroprusside Sodium (Nipride) is used for
hypertensive emergencies and LV failure
Nitrates are a
venodilator
Nitrates work by
relaxing the smooth muscles and decreasing blood flow
Acute angina preferrably is treated with
Nitrates
Examples of Nitrates are
Nitroglycerine and Isosorbide
Vasodilators do what 3 things?
lower BP
improve patency of coronary arteries
decrease work load
Vasodilators are used to mangage what 3 cardiac situations?
hypertension
CHF
CAD
Examples of vasodilators include
Nitrates
Nitroprusside Sodium
Direct Arteriolar vasodilators
4 Classes of Antihypertensives
Vasodilators
Alpha Adrenergic Blockers
Diuretics
Ace Inhibitors
3 Antiarrhythmic Types
NA Blockers
Beta Blockers
CA Blockers
Class 1 Antiarrhythmic example
Lidocaine
Lidocaine works by
managing the ventricles by blocking NA
Class II Antiarrhythmics are
Beta Blockers
Beta Blockers are used when arrhythmias are caused by
sympathetic response (stress and anxiety)
Class III antiarrhythmics work by
increasing the duration of the refractory period
Class IV antiarrhythmics are
CA blockers
An example of a Class IV antiarrhythmic is
Adenosine
Verapamil
Diltiazem
Cardiac Glycosides example
Digitalis
Digoxin
Digitoxin
Digoxin has what cardiotropic affects?
Positive inotropic
Negative chronotropic
Negative Dromotropic
Digoxin is used to treat what 2 cardiac conditions?
CHF atrial arrhythmias (PSVT)
Digoxin toxicity leads to
arrhythmias in >50%
ACE Inhibitors have what affect on the body?
lower BP
Beta Blockers have what 2 affects on the body?
decrease HR and BP
Ace inhibitors end in
pril
Beta Blockers end in
lol
CA Channel Blockers have what 2 affects on the body?
decrease HR and BP
CA Channel Blockers end in
pine
Digoxin has what affect on the heart rate?
decreases HR
Dilators cause the arterial system to
vasodilate
Diuretics have what affect on the blood pressure?
decrease BP (K+washing)
Intropic affects
contractility
Chronotropic affects
HR
Dromotrophic affects
conduction
Beta Blockers are an antagonist to
Beta 1 receptors
Beta Blockers inhibit
cardiac stimulation of sympathetic nervous system
Beta blockers are used to manage what 3 cardiac conditions?
CAD, arrhythmias, and increased BP
4 affects of Beta Blockers on the cardiac system
increased R-R
Decrease HR
Decrease BP
Decease contractility
Alpha Adrenergic Blockers are what class?
antihypertensive
Alpha Adrenergic Blockers examples
Doxazosin
Prozosin
Terazosin
Alpha Adrenergic Blockers (sin) works by
blocking vasoconstriction and causing dilation
Diuretics work by
increasing water loss and decreasing NA absorption
Diuretic examples
IDES Thiazides Acetazolamide Loop K+ sparing
Diuretics do what to volume and LV preload
decrease
Diuretics are used to treat what 3 conditions
chronic and acute CHF, edema, renal insufficiency
CA Channel Blockers “PINE” and “ZEM”
PINE is blocking the flow of CA
ZEM is Zen for the BP
Examples of CA Channel Blockers
Verapamil
Diltazem
Nifedipine
Amiodipine
CA Channels Blockers work to
block CA into Cardiac muscle which leads to vasodilation and Decreased HR
CA Channel Blockers are used to manage what 3 cardiac conditions?
angina, arrhythmias and hypertension
ACE Inhibitors “PRIL”
PRIL = PRICK that keeps me from ACING the test
Ace Inhibitors are
antihypertensives
ACE’s work by
blocking angiotensin II causing vasodilation
limit NA and water retention
ACE’s cause the preload, afterload, MAP and RAP to
decrease
ACE’s are used to treat
hypertension, CHF
What class of vasodilators are the best choice for post Mi
ACE