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NUR 311 Exam 3 Content > Cardiac Pharm Powerpoint > Flashcards

Cardiac Pharm Powerpoint Flashcards

1
Q

What does inotropic mean?

A

The strength of the contraction

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2
Q

What does chronotropic mean?

A

Time between each contraction

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3
Q

Primary or essential hypertension

A

No known cause
Examples include :
Smoking, obesity, having a poor sedentary lifestyle, etc…

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4
Q

Secondary hypertension

A

Known cause, usually have an injury to another organ that causes hypertension. Examples include:
Kidney or liver failure

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5
Q

List the blood pressure stages in your head

A

Normal is 120/80
Elevated is over 120
Stage one hypertension is 140/190 stage Stage two hypertension is over 160/100

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6
Q

DASH diet

A

Dietary approaches to stop hypertension, so eat lean meats and avoid sodium and sugar

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7
Q

Potassium sparing diuretic used in combination with thiazide diuretics

A

SPIRONOLACTONE
TRIAMTERENE

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8
Q

Adrenergic agent drug that reduces sympathetic nervous system activation, and therefore decreases renin
production

A

CLONIDINE

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9
Q

What is a nursing consideration with patients taking an ace inhibitor?

A

Monitor for persistent cough, which may indicate angioedema. monitor vitals and weight and ask patient to contact you immediately if there’s any swelling in the face or lips

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10
Q

Arb’s

A

Losartan and valsartan

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11
Q

What is a nursing consideration with ARB’s?

A

Monitor kidney function and assess potassium levels

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12
Q

Beta blockers, how do they work?

A

By affecting beta, one receptors in the heart decreasing heart rate

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13
Q

What are some considerations with a patient taking beta blockers?

A

Monitor respiratory status as it’s contraindicated with asthma or COPD patients as it may worsen symptoms. Monitor dizziness, fatigue, and weight levels.

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14
Q

CCB drugs

A

VERAPAMIL
AMLODIPINE
DILTIAZEM

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15
Q

What are some contraindications while taking a CCB?

A

Liver disease, heart failure, digoxin therapy

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16
Q

What does dromotropic mean?

A

Rate of conduction of the impulse example being how fast is the SA node talking to the AV node

17
Q

Anticholinergic drug used to maintain heart rate and is an antidote for Brady cardio event

A

ATROPINE

18
Q

List two cardiac glycosides

A

LANOXIN, and DIGOXIN

19
Q

What is the antidote to a cardiac glycoside such as digoxin?

A

DIGABIND

20
Q

What drug is effective ventricular arrhythmias, and works on the perKenje system

A

Lidocaine

21
Q

What drug inhibits repolarization and limits refractoriness and is known as a class three drug

A

Amiodarone

22
Q

What are side effects and patient teaching with amiodarone?

A

Causes photosensitivity, increased weight gain, hypotension, report, lethargy, cold intolerance

23
Q

What are some nitrate drugs?

A

Nitroglycerin
Isosorbide denitrate

24
Q

CCB patient teaching

A

-Don’t use with class 4 drugs, such as digoxin
-Watch for lethargy, hypotension, edema, and swelling, shortness of breath

25
Q

Beta blocker nursing concerns

A

-Do not discontinue drug suddenly you usually have to taper off contraindicated and patients with chronic heart failure, and lung conditions
-Used for a longer-term treatment of angina

26
Q

General patient teaching for cardiac medication’s

A

– Follow up visits to monitor blood pressure, heart rate
– Check heart rate and BP at home
– Should have periodic eye exams
– Clonidine with CNS depresents, can cause severe drowsiness
– Don’t miss doses

27
Q

Normal cholesterol count

A

<200

28
Q

Normal LDL count

A

100

29
Q

Optimal HDL count

A

60

30
Q

What are nursing considerations when administering statins?

A

Rnhabdomyolisis risk, leg cramps, older adults may have confusion, liver disease

31
Q

What drug is known as a bile acid sequestrant preventing reabsorption of bile

A

CHOLESTYRAMINE (QUESTRAN)

32
Q

What are some nursing considerations for QUESTRAN?

A

May cause G.I. upsets, constipation, elevates, triglycerides, decreased absorption of other drugs, such as Coumadin

33
Q

What drugs are known as fabric acid derivatives that break down cholesterol

A

Have FIB in the middle of their name
FENOFIBRATE
GENFIBROZIL

34
Q

What are nursing considerations with fabric acid derivatives?

A

Can cause gallstones, myopathy, high risk for RHABDOMYOLYSIS if taken with statin, contraindicated in liver or renal diseases

35
Q

What is the bee vitamin that decreases triglycerides?

A

NAICIN

36
Q

What are some considerations for NIACIN?

A
  • Flushing and pruritus are significant side effects
    – Hyperglycemia and hyperuricemia also SE
37
Q

What drug is a selective cholesterol absorption inhibitor

A

ZETIA

NUR 311 Exam 3 Content (4 decks)

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