Cardiac Meds

Question 1

Digoxin

Answer 1

• Rate control in pts w/ A-fib, and improves symps in CHF

- Contra-indicated for MI bc can increase O2 demand

Question 2

B-blockers

Answer 2

• Improves mortality in MI, but not if pulm edema

- OD: brady, HoTN, wheezing, seizures, cardiogenic shock (Tx: IV fluids, atropine, IV glucagon)

Question 3

Spironolactone

Answer 3

• Use for chronic mgt of CHF
• K-sparing diuretic
• Inhibits aldosterone

Question 4

Verapamil

Answer 4

• Ca channel blocker used for HTN and SVT
• 2nd line drug for angina
• Not indicated for acute MI or CHF

Question 5

Furosemide

Answer 5

Can be used in acute MI if pulmonary edema is present

Question 6

Amlodipine

Answer 6

• Dihydropyridine Ca channel blocker for HTN

- Can cause reflex tachy (don’t use for MI, CHF)