Cardiac Drugs Flashcards

1
Q

Drug class for digoxin

A

Cardiac Glycoside

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2
Q

What is Digoxin Used For

A

SVTa and HF from left ventricle dysfunction

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3
Q

Therapeutic range for digoxin

A

0.5-2.0 my/ml

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4
Q

Signs of Digoxin Overdose and treatment

A

GI symptoms
Arrhythmia
Confusion
Visual changes

Order a digoxin level test, electrolytes panel, Cr and serial EKGs

Give Digibind

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5
Q

Weird sources of Vit K

A

Mayo
Canola oil
Soybean oil

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6
Q

Indications and levels for Warfarin

A
A fib
PE
DVT
Stroke
Thromboemboli

INR 2-3 for afib

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7
Q

Coumadin dosing

A

Check baseline PT aPTT Cr LFTs INR

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8
Q

Examples of Thiazide Diuretics

A

HCTZ

Chlorthalidone

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9
Q

Thiazides contraindications

A

Sulfa allergy
Increased risk for lithium toxicity
Increase blood glucose in diabetics
Can elevate cholesterol
Can increase uric acid and cause gout attack
Can cause hypokalemia(muscle weakness and palpitations)

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10
Q

Alternative for thiazides

A

K sparing

Triamterene and amigo ride

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11
Q

Indications for loop diuretics

A

Edema from HF
Cirrhosis
Renal disease
HTN

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12
Q

Examples of loop diuretics

A

Furosemide

Bumetanide

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13
Q

Alerts from loop diuretics

A

Sulfa allergy
Lower electrolytes
Ototoxicity

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14
Q

Types of mineralcorticoid receptor antagonist and use

A

Spironolactone
HTN
HF
Hirsutism

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15
Q

Warnings for mineralcorticoids

A

Avoid K supplements

Avoid with severe renal disease because of elevated K risk

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16
Q

Indications for and examples of K sparing diuretics

A

HTN

Sulfa allergy

17
Q

Beta blockers treatment

A
HTN
MI
Angina
Aarthymias
Migraines
18
Q

Beta blockers contraindications

A

Shock
COPD, asthma, bronchitis and emphysema (bronchospasm)
Heart block over 1 degree

19
Q

Adverse effects of beta blockers

A
Bronchospasm 
Bradycardia 
Depression 
ED
Lowers hypoglycemic response in diabetes
20
Q

ACEIs and ARBs

A

ARBs end in sartan
Stop if become pregnant
Can cause angioedema, cough and hyperkalemia

21
Q

Calcium channel blockers

A

Used for HTN angina arrhythmia and Raynauds
Ends in pine zen

So not give with CHF or AV block 2-3 degree

Can cause HA and conatipation

22
Q

Warfarin interactions

A

Triamethoorim-sulfamethoxazole (Bactrim)

Sulfa