Cardio Meds Flashcards
What cardiac dysrhythmia medication TYPE decreases myocardial O2 demand, heart rate and workload of the heart? Examples: propranolol (Inderal), metoprolol (Lopressor) and carvedilol (Coreg)
Beta-blockers
LOL
Procainamide (Procan), lidocaine (IV), disopyramide (Norpace) , adenosine (Adenocard), amiodarone (Cordacone, Pacerone)
ARE EXAMPLES OF WHAT TYPE OF CARDIAC MEDICATION?
ANTIDYSRHYTHMICS
What cardiac medication TYPE produces relaxation of coronary vascular smooth muscle and dilate coronary arteries? Examples – verapamil (Calan, Isoptin), diltiazem (Cardizem)
Calcium channel blockers
What cardiac medication TYPE is used as treatment of atrial fibrillation with embolization to prevent complication of stroke? Example: warfarin (Coumadin)
Anticoagulants
What medication will dilate the coronary arteries and decrease workload of heart? For What cardiovascular disorder is this medication administered?
Nitroglycerin; angina pectoris
There is a LIST of meds for a patient who has had an MI and has had PTCA or CABG.
Look at the meds in the answer to be familiar.
Medications: morphine and valium for pain
vasopressors, analgesics, nitrates, beta-adrenergic blockers,
calcium channel blockers, antidysrhythmics,
inotropic agents, diuretics, stool softeners
ADDITIONALLY- ASPIRIN 81 MG QD drug of choice for anti-platelet aggregation (to avoid clotting)
Disorders of the Heart:: Management of Acute Coronary Syndrome
M- ______Which Helps dilate vessels, reduce pain, and relieve anxiety
O- ______ Provides extra to reduce ischemia
N- ______ Dilates coronary blood vessels
A- ______ Prevents blood clots- reduces platelet aggregation
Morphine
Oxygen
Nitroglycerin
Aspirin
For heart failure-
Diuretics (Med name?) – monitor for Hypokalemia – patient can show signs of fatigue and shallow respirations due to muscle weakness
Furosemide (lasix)
For Heart failure
If patient is non compliant with medications – collect more information to identify his reasons for noncompliance
Boom
What medication Increases cardiac output and slows the heart rate?
Digoxin (Lanoxin)
What medication is a diuretic and used to eliminate excess fluid (edema, pleural effusions) and decrease BP?
Lasix (Furosemide)
S/S of headache, bradycardia and nausea, Blurred and yellow vision can be an indication of WHAT medication toxicity?
If a client taking this medication reports ANY of the above S/S- What should you do as the nurse??
This medication has a therapeutic range- what is it? Too much?
DIGOXIN TOXICITY
Take their vital signs.
1.0 to 2.5
Too much= 2.6 or above
WHAT IS THE MEDICATION AND ITS DOSE FOR PERIPHERAL ARTERIAL DISEASE ACCORDING TO THE SLIDES?
Anti-platelet treatment – Aspirin (160 to 325 mg/day)
WHAT PAD DOES THIS DESCRIBE?
Blood clots in the arterial bloodstream
Clinical manifestations/assessment
• Severe Pain due to sudden loss of blood flow
• Absent distal pulses
• Pale, cool, and numb extremity
ARTERIAL EMBOLISM
ANTICOAGULANT THERAPY:
Coumadin– used for DVT prevention, prevents development of new clots, embolization and clot extension – DOES COUMADIN DISSOLVE CLOTS?
COUMADIN = Prevent strokes in patients who have atrial fibrillation AND IMPORTANT FOR PATIENTS WITH PULMONARY EMBOLUS.
WHAT FOOD IS TO BE AVOIDED WHEN TAKING THIS MEDICATION?
NO, COUMADIN DOES NOT DISSOLVE CLOTS.
Anticoagulants (warfarin – Coumadin) avoid cabbage rich in Vit K- green leafy vegetable= THESE WILL PROLONG CLOTTING TIME EVEN MORE THAN THE WARFARIN ALONE.
WHAT IS THE ANTIDOTE FOR WARFARIN (COUMADIN) TOXICITY?
VITAMIN K
WHAT MEDICATION IS GIVEN FOR THROMBOPHLEBITIS, is effective for prevention of venous thrombosis, and any extension or recurrence OF?
LOW-MOLECULAR WEIGHT HEPARIN (LMWH) SUCH AS:
Enoxaparin (Lovenox) and dalteparin (Fragmin) THESE ARE GIVEN SQ
ALSO- Elastic stockings (antiembolytic) – not elastic tops as this will
impair circulation
Vitamin C enhances the absorption of what?
Ferrous Sulfate (IRON)
GIVE IRON WITH OJ FOR BETTER ABSORPTION
Alpha blockers=
Beta blockers=
Ace inhibitors=
CA channel blockers=
Alpha blockers= zosin
Beta blockers= LOL
Ace inhibitors= Pril
CA channel blockers= pine
K+ Channel Blockers
Amiodarone (Cordarone, Pacerone), Sotalol (Betapace), Bretylium
Prophylaxis and treatment of ventricular dysrhythmias (including life-threatening); Treatment of Atrial fibrillation / flutter
• Contraindications:
• Hypersensitivity, bradycardia or heart block, severe congestive heart failure (CHF);
aortic stenosis; hypotension; and cardiogenic shock
• Administering these drugs: Closely monitor the patient receiving MINOXIDIL because the drug increases the heart rate
• The primary care provider is notified if heart rate is 20 bpm or more above the normal rate; rapid weight gain of 5 lb or more occurs
Nitrates/ vasodilators
RED
Administering quinidine: Monitor serum quinidine levels during administration of the drug; normal therapeutic levels range between 2 and 6 mg/mL
RED
Administering procainamide: If given IV, maintain continuous and close cardiac monitoring; keep patient supine during IV administration to minimize hypotension. Gluteus preferred site if given IM
If procainamide is given orally, instruct the patient not to chew the capsule or tablet but to swallow it whole; If GI upset occurs, administer the drug with or immediately after meals.
• Administering lidocaine: An oropharyngeal airway and suction equipment are kept at the bedside
RED
Potential complication: quinidine toxicity; monitor the patient for the most common adverse reactions associated with quinidine (nausea, vomiting, abdominal pain, diarrhea, DANGEROUS SIGN: RINGING IN THE EARS
RED
Notify the primary health care provider if adverse affects such as bradycardia or hypotension, peripheral edema occurs
A beta-adrenergic blocker has been prescribed to manage a patient diagnosed with persistent sinus tachycardia. Which of the following medications can be anticipated?
Propranolol (Inderal)
