Cardiac Meds Flashcards
ARBS
Drugs that end in SARTAN
Losartan (cozaar)
ARBs
Valsartan( Diovan)
ARBs
Irbesartan (Avapro)
ARBs
What is the action of ARBs
They block the action of angiotensin 2 at the receptor sites
Angiotensin 2 is a
Is a super powerful Vasoconstrictor that will increase BP
It also causes the secretion of
ALDOSTERONE which is a hormone in the adrenal glands that also elevates the BP
What are the effects of ARBs
- They lower BP and workload of the heart. Vessels (arteries and veins) dilate!
- Helps kidney excrete sodium and water
ARBs 4 contraindications
Patients with
- ) grapefruit
- )hyperkalemia
- )renal failure.
- )Pregnancy/breastfeeding
Ace Inhibitors
Drugs that end in pril
Lisinopril ( zestril)
Ace inhibitor
Catopril (capoten)
Ace inhibitor
Enalapril (vasotec)
Ace inhibitor
What is the action of ace inhibitors
They block the enzyme that convert angiotensin 1 into angiotensin 2
What are the effect of ace inhibitors
- They lower BP and workload of the heart. Vessels (arteries and veins) dilate!
- Helps kidney excrete sodium and water
Ace inhibitors contraindicated
A side effect is-
Avoid?
Patients with hyperkalemia or
Pregnancy/breastfeeding
Avoid potassium supplements
A side effect is -angioedma
(Notice the dry cough)
Beta blockers
Drugs that end In ololol
Beta blockers/ calcium channel blocker’s treat the same 3 things
But beta blockers get also treat _____?
- ) HTN
- ) Angina
- )Arrhythmias
But beta blockers get also treat glaucoma
F What is the action , effect and contraindications of beta blockers
Contraindications?
Hold if the HR is less than __?
Beta blockers
Action- block epinephrine and norepinephrine from binding to beta receptors on nerves
Effects- decrease BP and pulse and decrease contractility
Contraindications-asthmatics and Diabetic patients and OTC cold meds
Hold if the Heart rate is less than 60
Metoprolol
Beta blockers
Action- block epinephrine and norepinephrine from binding to beta receptors on nerves
Effects- decrease BP and pulse and increase contractility
Contraindications-asthmatics and diabetics
What is the action , effect and contraindications of Calcium channel blockers
Hold if HR is_____?
Drugs that end in pine
Action-block ion calcium from crossing into the heart muscle cells
Effects- decrease BP and ; pulse and increase contractility
Contra-indications-MI history , grapefruit
Hold if HR is less than 60
Nifedipine
Calcium channel blocker
Amlodipine
Calcium channel blocker
Cardiazem/Diltiazem
Anti- Arrhythmic ( also a CCB)
Action - use for Afib-slows the heart rate
Amiodarone
Anti-arrhythmic
Action- used for A-fib, V- Fib and V TACH -slows the heart rated to
Lidocaine
Anti-arrhythmic
Action-a fib/v-tach-slows the heart rate
Digoxin
Anti-arrhythmic
Action- used for afib- slow the heart rate
Digoxin action- _____?
Effects - ____ ?
Contraindications- always take an apical pulse 1st, hold if HR is less than ____ In adult and less than ___ in infants
Therapeutic level ___. If greater than ___,patient is toxic
action- nobody really knows exactly how digoxin works. However there are many theories!
Effects - slow down the heart rate, lowers BP and tissue perfusion
Contraindications- always take an apical pulse 1st, hold if HR is less than 60 In adult and less than 90 in infants
Therapeutic level 1-2. If greater than 2,patient is toxic
Signs of digoxin toxicity:
And ;
If patient is toxic , give_____?
What is a warning sign of digoxin toxicity in infants and children?
Patients must monitor ____levels?why?
Client will see yellow spots, nausea, vomiting and abdominal pain.
If patient is toxic , give activated charcoal or digiband
What is a warning sign of digoxin toxicity in infants and children? Bradycardia
Patient’s must monitor potassium levels. Low potassium levels can increase the risk of a digoxin toxicity
Atropine
Anti- Arrhythmic
Action-used for bradycardia-Speed the heart( can also be used for asystole AFTER epinephrine)
Can Also be used as an eye drop. It dilates the pupil( mydriatict)
Epinephrine
Anti-arrhythmic
Action- used for asystole (absent heart )-speeds the heat rate
Nitrate Action- vasodilator _____ preload and after load of the heart
Effects- _____ BP and _____ oxygenation of tissues
Contra-indication-
-if given nitro SL, a nurse can give only up to ______?Give one tablet every_____ minutes.
Do not do what while taking it?
- if giving nitroglycerin via a patch , never place over a _____ and remove before patient Goes into __
- If the MD orders nitro IV, place on an ____
Action- vasodilator stop reduce preload and after load of the heart
Effects- lowers BP and increase oxygenation of tissues
Contra-indication- do not take with sildenafil citrate. A client can take one or the other but not both because it will cause severe hypotension!
-if given nitro SL, a nurse can give only up to 3 tablets over 15 minutes. Give one tablet every 5 minutes. Call emergency medical service if the first tablet is ineffective and you require a second tablet.
Do not eat or drink while taking it
- if giving nitroglycerin via a patch , never place over a pacemaker and remove before patient Goes into MRI
- If the MD orders nitro IV, place on an infusion pump always.
Nitroglycerin
Nitrate
Imdur
Nitrate
Isordil
Nitrate
Hold nitrates if
If the systolic blood pressure is less than 100, or heart rate is less than 60
- Yes, client will complain of a headache after give the nitroglycerin because all the vessels dilate, even the ones in the head. If u get the nitroglycerin paste on your hands you will get a headache too so wear gloves
Any time you give a cardiac medication, watch for _____, ____. Before you give them, check ______ and _____???
Tell heart patients to stay away from __ and ____?
Any time you give a cardiac medication, watch for HEADACHE, HYPOTENSION. Before you give them, check BP and HEART RATE
Tell heart patients to stay away from caffeine ( pepsi, coca-cola,,tea, coffee) and nicotine
What are the 11 side effects of beta blockers?
Big boys hates weak fat nasty virgins
Don’t hate any black person not down
Side and adverse effects
- Bradycardia
- Bronchospasm
- Hypotension
- Weakness, fatigue
- Nausea, vomiting
- Dizziness
- Hyperglycemia
- Agranulocytosis
- Behavioral or psychotic response
- Nightmares
- Depression