Cardiac Drugs Flashcards

1
Q

Inotrope

A

Affects the force of myocardial contraction

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2
Q

Chronotrope

A

Affects speed of heart rate

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3
Q

Dromotrope

A

Affects electrical conduction through the myocardial muscles

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4
Q

Vasodilator

A

Relaxes and widens blood vessels

Material, venous, or balanced

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5
Q

Inodilator

A

Positive inotrope and balanced vasodilator

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6
Q

Angiotensin Converting Enzyme Inhibitor, ACE Inhibitor

A

Blocked conversion of angiotensin I to angiotensin II

Prevents vasoconstriction

Reduces Na+ and water retention

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7
Q

Diuretic

A

Increases the volume of urine –> reduces the volume of extracellular fluid

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8
Q

Arrhythmogenic

A

Causes cardiac arrythmias

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9
Q

Anti-arrhythmic

A

Converts cardiac arrhythmias to normal cardiac rhythms

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10
Q

Pimobendin: Brand name, Type, Effect, Use

A

Vetmedin

Inodilator

Improves tissue perfusion

Congestive Heart Failure treatment

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11
Q

Digoxin/Digitoxin: Type, Effects, Use

A

Cardiac glycoside, narrow therapeutic index

Weak positive inotrope

Anti-arrhythmic AND arrhythmogenic

Arrhythmia treatment, not common

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12
Q

Enalapril: Type, Use, Monitoring

A

ACE Inhibitor

CHF treatment

Decreases GFR, baseline BW rec before and during treatment

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13
Q

Benazepril: Type, Use, Difference from Enalapril

A

ACE Inhibitor

CHF treatment

Eliminated through kidneys AND liver, safer for pt with renal disease

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14
Q

Nitroglycerin: Effect, Use, Administration

A

Venous vasodilator

Emergency stabilization of critical CHF pt

Not suitable for chronic use, pt quickly develops tolerance

Transdermal on shaved/hairless skin

Wear gloves, cover applied area

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15
Q

Furosemide: Brand name, Effect, Use, Administration

A

Lasix

Loop diuretic: inhibits Na+ and Cl- reabsorption in the loop of Henle

CHF treatment

IV: emergency stabilization

PO: chronic management

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16
Q

Furosemide: Side Effects

A

PU/PD: feature and a bug

pt needs free access to water AT ALL TIMES, prone to dehydration

pt need to be seen if they stop eating (likely not drinking as well)

Hypokalemia: muscle weakness

17
Q

Amlodipine: Effect, Use, Side effect

A

Arterial vasodilation

Systemic hypertension treatment

Hypotension

18
Q

Hydralazine: Effect, Use, Side effect

A

Arterial vasodilation

Systemic hypertension

Hypotension

19
Q

Antiarrhythmics: Mechanisms of action

A

Decreases myocardial excitability, stabilizes myocardial membranes

Beta-blocker sympatholytic

K+ channel blocker

Ca2+ blocker

20
Q

Lidocaine: Effect, Use, Administration

A

Stabilizes myocardial membranes

Emergency treatment of ventricular arrhythmias

IV (bolus or CRI)

21
Q

Lidocaine: Side Effects (3), Cautions (2)

A

Sedation

Respiratory depression

Seizures

Cats are very sensitive, require very low doses

Do not use lidocaine mixed with epinephrine

22
Q

Diltiazem: Effect, Uses

A

Calcium channel blocker

Tachyarrhythmias

Hypertrophic cardiomyopathy

23
Q

Clopidogrel: Brand name, effect, use

A

Plavix

Inhibit platelet aggregation, reduces risk of thrombi formation

Hypertrophic cardiomyopathy treatment in cats