Cardiac drugs

Question 1

Nitroglycerin

Answer 1

• Vasodilator
• Smooth muscle relaxer
• Sitting or laying
• No ED drugs
• Special IV tubing
• Given to reduce hypertension in myocardial ischemia
• Side effect: HEADACHE

Question 2

Morphine

Answer 2

• Vasodilator
• Given if nitro does not control pain.
• Controls pain, vasodilates, anxiolytic

Question 3

Dopamine

Answer 3

• Vasopressor

* Improves BP, cardiac output,

Question 4

Dobutamine

Answer 4

• Adrenergic
• POSITIVE INOTROPIC
• Produces cardiac stimulation
• Increases cardiac output, stroke volume
• Decreases peripheral resistance
• Treats HF caused by decreased contractility

Question 5

norepinephrine (Levophed)

Answer 5

• Vasoconstrictor
• Increases BP and cardiac output
• Last line of drug to give

Question 6

Digoxin

Answer 6

• Negative chromotropic (slows HR)
• Positive inotropic (beats stronger)

treats atrial rhythms

Question 7

ACE inhibitors

-pril

Answer 7

• Blocks enzyme that causes blood vessels to narrow
• HTN, CHF, L ventricular dysfunction, acute MI within 24 hours
• Causes cough
• Low Na diet. Avoid K and high Na foods
• Monitor daily I/O, weight

Question 8

Calcium Channel Blockers

Answer 8

• Negative inotrope
• Chronic stable angina
• HTN
• Gingival hyperplasia
• Alternative to beta blockers that may have caused fatigue

diltiazem for afib

Question 9

Beta blockers

Answer 9

• Negative inotrope
• Hold HR <60
• Monitor for HTN
• Slows HR
• Arrhythmia prevention
• CHF, arrhythmia, angina, HTN

Question 10

Lidocaine

Answer 10

• Suppresses ventricular automaticity
• Treats VENTRICULAR arrhythmias with pulse (stable patient)
• Treats pulseless VTACH/VFIB
• Decreases arrhythmias
• Notify doc if tremor, GI distress, blurred vision

Question 11

Amiodarone

Answer 11

• Slows sinus rate, increase PR interval
• Treats tachyarrhythmia and ventricular arrhythmia (stable patient)
• Manages vfib/PEA after CPR and failed defib
• Assess apical pulse 1 min
• Low sodium diet

Question 12

Adenosine

Answer 12

• Treats SVT
• Negative inotropic
• antiarrhythymic

Question 13

Lasix

Answer 13

• Heart failure treatment

* Diuretic

Question 14

Heparin

Answer 14

• Anticoagulant
• Treats arterial, pulmonary emboli, A-fib with embolus,
• Prevents clotting during arterial/heart surgery
• PTT
• Protamine sulfate is antidote
• Electric toothbrush

Question 15

Coumadin

Answer 15

• Vitamin K is antidote
• Thrombolytic
• Take with food
• PT/INR checked
• Avoid aspirin anything
• Notify dentist