Cardiac Drugs

Question 1

SNS Agonists/Adrenergic Agonists/Vasopressors are what two classes or drugs?

Inotropic?
Chronotropic?
Dromotropic?

Answer 1

Dopamine and Epinephrine

I: + force
C: + HR
D: X

Question 2

Digoxin teaching

Answer 2

Count pulse for 1 full minute
Don’t take with antacids
Eat increased potassium

Question 3

Signs of digoxin toxicity

Answer 3

Bradycardia 
Abdominal pain 
N/V 
Visual disturbances 
Fatigue
Muscle weakness

Question 4

Side effects of cardiac glycosides

Answer 4

Bradycardia
Hypokalemia
Renal toxicity

Question 5

What do calcium cardiac glycosides treat?

Answer 5

CHF
A fib
A flutter
PSVT

Question 6

Digoxin is what kind of a drug?

Inotropic?
Chronotropic?
Dromotropic?

Answer 6

Cardiac glycoside

I:+force
C: - HR
D: - conduction

Question 7

What do calcium channel blockers treat?

Answer 7

A fib
Aflutter
PSVT

Question 8

Side effects of calcium channel blockers?

Answer 8

Hypotension
Bradycardia
Constipation 
Heart failure 
Edema

Question 9

Teaching for calcium channel blockers

Answer 9

Encourage high fiber
Teach how to take pulse
Avoid grapefruit

Question 10

What kind of drugs are ditiazem and verapmil?

Inotropic?
Chronotropic?
Dromotropic?

Answer 10

Calcium channel blockers

I: vasodilation
C: - HR
D: - conduction

Question 11

Beta blockers
B1?
B2?

Inotropic?
Chronotropic?
Dromotropic?

Answer 11

B1 heart
B2 lungs

I: vasodilation
C: -HR
D: - conduction

Question 12

Beta blockers treat or prevent what?

Answer 12

Afib
Aflutter 
PSVT 
Vtach 
VFib

Question 13

Side effects of beta blockers?

Answer 13

Heart block
Hypotension 
Bradycardia 
Bronchospasm
GI upset

Question 14

Amiodarone is what kind of channel blocker?

Inotropic?
Chronotropic?
Dromotropic?

Answer 14

Potassium channel blocker

I:X
C: -HR
D: -conduction

Question 15

Amiodarone can be used to treat what?

Answer 15

Afib
Aflutter
PVCs
VT/VF

Question 16

Side effects of Amiodarone

Answer 16

Pulmonary toxicity
Bradycardia 
Hypotension 
Visual disturbances
Muscle weakness

Question 17

Inotropic

Answer 17

Influences the force of contraction

Question 18

Chronotropic

Answer 18

Influences the rate of contraction

Question 19

Dromotropic

Answer 19

Influences conduction

Question 20

What does atropine do?
Action?
Tx?
SE?

Answer 20

Inhibits action of ACH and suppressed the parasympathetic system

Tx: symptomatic bradycardia

SE: chest pain, tachy, dry mouth, urinary retention, and drowsiness or blurred vision

Question 21

Administration of adenosine

Answer 21

Very short half life
Give IVP very quickly followed by IVP NS bolus
Adverse reactions will last less than 1 minute

Question 22

Side effects of adenosine

Answer 22

Significant sinus bradycardia
Dyspnea
Flushing face
N/V

Question 23

Adenosine
Action?
Tx?

Answer 23

Slows AV node conduction to interrupt de-entry pathways

Treats: SVT, Wolff Parkinson white syndrome

Question 24

Side effects of sodium channel blockers

Answer 24

Hypotension
HF
Worse or new dysthymias
NVD

Question 25

Sodium channel blockers class 1 c
Meds?
Tx?

Answer 25

Flecainide
Propafenone
SE: worsened or new dysthymia

Tx: 
Afib 
Aflutter 
PSVT
Vtach 
Vfib

Question 26

Sodium channel blockers class 1B
Meds?
Tx?

Answer 26

Lidocaine 
SE: pulmonary fibrosis 
Tx:
PVC 
Vtach 
Vfib

Question 27

Sodium channel blockers class 1A
Meds?
Tx?

Answer 27

Procainamide
Quinidine
Bad GI effects

Tx:
Afib
PSVT
Vtach

Question 28

What do dopamine and epi do?

Answer 28

Increase CO, BP, renal perfusion

And epi causes bronchodilation

Question 29

Thrombolytics

Answer 29

Streptokinase 
Alteplase
Urokinase
Anisteptace 
Tenecteplase

Question 30

Nursing care for thrombolytics

Answer 30

Suitable candidate 
3 IV sites
Baseline EKG 
Decrease chest pain 
Reperfusion
Oozing
Reocclusion/infarct 
Major hemorrhage or stroke