Cardiovascular Flashcards
Drug of choice for complete AV block
Epinephrine
What are your cardiac stimulants?
B-1 agonists, Phosphodiesterase inhibitors, Glucagon, and Calcium salts
What doe Isoproteranol do?
Works on B1 and B2 receptors.
Most potent cardiac stimulant
What does Epinephrine do?
B1 at low dose, A1 at high dose.
No vasoconstriction at low dose.
Reflex bradycardia is high dose.
What does dopamine do?
Dopamine receptors + B1 at low dose and A1 at high dose.
Least likely to cause tachycardia
Positive ionotropic drugs
Digitalis glycosides (Digoxin) B1 Agonists
What is the mechanism of action for Digoxin?
Inhibition of pump, increase in Ca+, increase in contractility.
T/F Digoxin undergoes enterohepatic recycling
True.
Mainly renal secretion though
Toxicity of Digoxin
Very toxic, especially cardiotoxic - arrhythmias
What does acute intoxication of Digoxin cause vs a chronic intoxication?
Acute –> increase in potassium
Chronic –> decrease in potassium
What are our Vasodilators?
ACE inhibitors (enalopril), Hydralazine, and Nitrates (Prazosin)
What are our Inodilators?
Pimobendan ***** and Phosphodiesterase inhibitors
What is pimobendin used for?
Inodilation with CHF/DilatedCM.
*Not used with HCM
What is Carvedilol used for and how does it work?
Tx of CHF due to DilatedCM.
Nonselective, blocks B1, B2 and A1
Give me three reasons why nonselective beta blockers are better.
- B2 can cause vasoconstriction
- B2 can cause bronchoconstriction
- B2 can cause hypoglycemia
Example of a loop diuretic
Furosemide
Example of a thiazide diuretic
Chlorothiazine