CARDIOVASCULAR DRUGS Flashcards
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Med Class
ANTIHYPERTENSIVE
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Therapeutic Uses
HYPERTENSION
HF
MI
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Drug Names( suffix or prefix)
PRIL’
CAPTOPRIL
ENALAPRIL
FOSINOPRIL
LISINOPRIL
RAMIPRIL
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Side Effects
ACE’
A - ANGIODEMA
C - COUGH
E - ELEVATED K+
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Nclex Tips / Memory Tricks
ACE’
A - ANGIODEMA
C - COUGH
E - ELEVATED K+
ANGIODEMA
RAPID SWELLING FACE / MOUTH - DANGER TO BREATHING / AIRWAY
ELEVATED K+ DANGEROUS WHY
COULD CAUSE DYSRHTYMIAS
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Patient Education
REPORT SWELLING FACE / MOUTH
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Nursing Admin
MONITOR RENAL VALUES - MED CAN WORSEN KIDNEY FAILURE
TERATOGENIC - NOT SAFE DURING PREGNANCY
ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)
Relevant Lab Values
BUN 7-20
CREATININE 0.6-1.3
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Med Class
ANTIHYPERTENSIVE
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Therpeutic Uses
HYPERTENSION
HF
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Drug Names( suffix or prefix)
SARTAN’
LOSARTAN
OLMESARTAN
VALSARTAN
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Side Effects
ANGIODEMA
HYPERKALEMIA (DYSRHYTHMIAS)
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Nclex Tips / Memory Tricks
??
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Patient Education
REPORT SWELLING FACE / MOUTH
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Nursing Admin
TERATOGENIC - NOT SAFE DURING PREGNANCY
ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)
Relevant Lab Values
??
ALPHA 2 ADRENERGIC AGONISTS
Med Class
ANTIHYPERTENSIVE
ALPHA 2 ADRENERGIC AGONISTS
Therapeutic Uses
HYPERTENSION
OPIOID WITHDRAWAL
ALPHA 2 ADRENERGIC AGONISTS
Drug Names( suffix or prefix)
NO SUFFIX
CLONIDINE
METHYLDOPA
ALPHA 2 ADRENERGIC AGONISTS
Side Effects
DRY MOUTH
DROWSINESS
DIZZINESS
ALPHA 2 ADRENERGIC AGONISTS
Nclex Tips / Memory Tricks
3 D’S OF CLONIDINE
ALPHA 2 ADRENERGIC AGONISTS
Patient Education
REPORT SWELLING FACE / MOUTH
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)
HELP WITH DRY MOUTH - CHEW GUM / HARD CANDIES / OTC MOUTH MOISTURIZERS
ALPHA 2 ADRENERGIC AGONISTS
Nursing Admin
COMMONLY ADMIN’D WITH TRANSDERMAL PATCH
ALPHA 2 ADRENERGIC AGONISTS
Relevant Lab Values
??
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Med Class
ANTIHYPERTENSIVE
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Therapeutic Uses
HYPERTENSION (BP CONTROL)
STABLE ANGINA
HF - BUT NOT ACUTE HF
DYSRHYTHMIAS
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Drug Names( suffix or prefix)
OLOL’
ACEBUTOLOL
METOPROLOL
PROPRANOLOL
NADOLOL
ATENOLOL
CARVEDILOL
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Side Effects
BRADYCARDIA & HEART BLOCKS
BREATHING PROBLEMS (BRONCHOSPASMS / BRONCHOCONSTRICTION - BAD FOR ASTHMA
BAD FOR HF (ACUTE SETTINGS)
BLOOD SUGAR MASKING (MASKS S/S OF HYPOGLYCEMIA)
BLOOD PRESSURE LOWERED (HYPOTENSION)
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Nclex Tips / Memory Tricks
5 B’S OF BETA BLOCKERS
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Patient Education
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Nursing Admin
CAN BE SELECTIVE (BETA 1 - 1 HEART) (BETA 2 - 2 LUNG LOBES)
BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)
Relevant Lab Values
??
CALCIUM CHANNEL BLOCKERS
Med Class
ANTIHYPERTENSIVE
CALCIUM CHANNEL BLOCKERS
Therapeutic Uses
HYPERTENSION
STABLE ANGINA
DYSRHYTMIAS
CALCIUM CHANNEL BLOCKERS
Drug Names( suffix or prefix)
DIPINE’
AMLODIPINE
NIFEDIPINE
NICARDIPINE
VERAPAMIL
DILTIAZEM
CALCIUM CHANNEL BLOCKERS
Side Effects
ORTHOSTATIC HYPOTENSION
DIZZINESS
FLUSHING
HEADACHE
PERIPHERAL EDEMA
CONSTIPATION
CALCIUM CHANNEL BLOCKERS
Nclex Tips / Memory Tricks
FLUIDS / FIBERS / FRUITS - FILL UP THE TOILET (HELP WITH CONSTIPATION)
CALCIUM CHANNEL BLOCKERS
Patient Education
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)
DO NOT TAKE WITH GRAPEFRUIT JUICE (SEVER HYPOTENSION)
LEG ELEVATION / COMPRESSION - REDUCE EDMA
HELP WITH CONSTIPATION - FLUIDS / FIBERS / FRUITS
CALCIUM CHANNEL BLOCKERS
Nursing Admin
??
CALCIUM CHANNEL BLOCKERS
Relevant Lab Values
??
DIRECT THROMBIN INHIBITORS (DTI’S)
Med Class
ANTICOAGULANT
DIRECT THROMBIN INHIBITORS (DTI’S)
Therapeutic Uses
CLOT FORMATION
REDUCE RISK OF STROKE WHEN CHRONIC AFIB
DIRECT THROMBIN INHIBITORS (DTI’S)
Drug Names( suffix or prefix)
NONE’
DABIGATRAN
ARGATROBAN
BIVALIRUDIN
DESIRUDIN
DIRECT THROMBIN INHIBITORS (DTI’S)
Side Effects
??
DIRECT THROMBIN INHIBITORS (DTI’S)
Nclex Tips / Memory Tricks
??
DIRECT THROMBIN INHIBITORS (DTI’S)
Patient Education
AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR
SWALLOW CAPSULE WHOLE
KEEP IN ORIGINAL CONTAINER
DO NOT ABRUPTLY STOP
DO NOT CRUSH
DIRECT THROMBIN INHIBITORS (DTI’S)
Nursing Admin
??
DIRECT THROMBIN INHIBITORS (DTI’S)
Relevant Lab Values
??
FACTOR XA INHIBITORS
Med Class
ANTICOAGULANT
FACTOR XA INHIBITORS
Therapeutic Uses
PREVENTS DVT’S (AFTER HIP/ KNEE REPLACEMENT)
PREVENT STROKES
MANAGE PE
FACTOR XA INHIBITORS
Drug Names( suffix or prefix)
XABAN’
RIVAROXABAN
EDOXABAN
APIXABAN
FACTOR XA INHIBITORS
Side Effects
??
FACTOR XA INHIBITORS
Nclex Tips / Memory Tricks
??
FACTOR XA INHIBITORS
Patient Education
AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR
REPORT NEUROLOGICAL IMPAIRMENT (NUMBNESS / WEAKNESS / ALTERED SENSATION)
FACTOR XA INHIBITORS
Nursing Admin
INCREASED RISK FOR SPONTANEOUS INTRACRANIAL BLEEDING / FORMATION OF EPIDURAL HEMATOMAS
FACTOR XA INHIBITORS
Relevant Lab Values
REQUIRES LESS MONITORING (PT / INR) THAN WARFARIN
DO NOT REQUIRE MONITORING OF CLOTTING TIMES
WARFARIN
Med Class
ANTICOAGULANT
WARFARIN
Therapeutic Uses
SUPPRESSES COAGULATION
PREVENTS NEW CLOTS OR CURRENT CLOTS FROM GETTING BIGGER
TREATS AFIB / ARTIFICAL HEART VALVES (WHEN HISTORY OF THROMBOSIS)
LONG TERM THERAPY - DOES NOT BREAK DOWN OR DISSOLVE CLOT
WARFARIN
Drug Names( suffix or prefix)
NONE’
WARFARIN AKA COUMADIN
WARFARIN
Side Effects
TERATOGENIC - NOT SAFE DURING PREGNANCY
WARFARIN
Nclex Tips / Memory Tricks
DURING ‘WAR’ VITAMIN K KILLS ‘WAR’FARIN
VITAMIN K IS ANTIDOTE
WARFARIN
Patient Education
AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR
WEAR MEDIC ALERT BRACELET
KEEP CONSISTENT VIT K INTAKE
TAKE MEDS SAME TIME EVERY DAY
FREQUENT BLOOD TESTS TO MONITOR THERAPEUTIC LEVELS
WARFARIN
Nursing Admin
VITAMIN K - FOODS HIGH IN VIT K - BROCCOLI / SPINACH / BRUSSEL SPROUTS / CABBAGE
WARFARIN IS PO
HEPARIN IS IV OR SUBQ
WARFARIN WORKS SLOWLY WHILE HEPARIN WORKS FAST (TAKE BOTH UNTIL WARFARIN INR REACHES THERAPEUTIC LEVEL
WARFARIN
Relevant Lab Values
PT / INR: 2-3 ?? CLARIFY THIS - THE HIGHER THE NUMBER - THE HIGHER THE CHANCE OF BLEEDING
HEPARIN
Med Class
ANTICOAGULANT
HEPARIN
Therapeutic Uses
PREVENTS NEW CLOTS OR CURRENT CLOTS FROM GETTING BIGGER
DVT’S
PE’S
ANGINA
MI
PROPHYLACTICALLY TO PREVENT CLOTS
HEPARIN
Drug Names( suffix or prefix)
PARIN’
HEPARIN
DALTEPARIN (LOW MOLECULAR WEIGHT HEPARIN)
ENOXAPARIN (LOW MOLECULAR WEIGHT HEPARIN)
ANTIDOTE - PROTAMINE SULFATE
HEPARIN
Side Effects
??
HEPARIN
Nclex Tips / Memory Tricks
??
HEPARIN
Patient Education
AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR
WEAR MEDIC ALERT BRACELET
HEPARIN
Nursing Admin
STOP INFUSION IF SIGNS OF BLEEDING
HEPARIN
Relevant Lab Values
APTT 46-70 SECONDS
1.5 - 2.0 TIMES BASELINE VALUE ??
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Med Class
THROMBOLYTICS
FBRINOLYTICS
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Therapeutic Uses
CLOT BLUSTER - ACTUALLY DISSOLVES CLOTS
ISCHEMIC STROKE
ACUTE MI
PE
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Drug Names( suffix or prefix)
ASE’
ALTEPLASE
RETEPLASE
STREPTOKINASE
TENECTEPLASE
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Side Effects
MAJOR RISK FOR BLEEDING
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Nclex Tips / Memory Tricks
??
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Patient Education
REPORT SIGNS OF BLEEDING:
ABDOMINAL PAIN
COFFE GROUND EMESIS
HEMATURIA
COUGHING UP BLOOD
BLACK / TARRY STOOL
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Nursing Admin
NO NEW INJECTIONS
AVOID IM INJECTIONS
AVOID UNNECESSARY IV PUNCTURES
PREVENT INJURY (BED REST)
MONITOR FOR SIGNS OF BLEEDING
DO NOT GIVE IF:
ACTIVE BLEEDING
STROKE HISTORY
RECENT HEAD TRAUMA
ANEURYSMS
UNCONTROLLED HTN (>180/110)
TISSUE PLASMINOGEN ACTIVATORS (TPA)
Relevant Lab Values
??
HMG CoA REDUCTASE INHIBITORS (STATINS)
Med Class
ANTIHYPERLIPIDEMIC / LIPID LOWERING AGENTS
HMG CoA REDUCTASE INHIBITORS (STATINS)
Therapeutic Uses
HYPERLIPIDEMIA (PRIMARY / SECONDARY)
HMG CoA REDUCTASE INHIBITORS (STATINS)
Drug Names( suffix or prefix)
STATIN’
ATORVASTATIN
FLUVASTATIN
LOVASTATIN
PITAVASTATIN
SIMVASTATIN
ROSUVASTATIN
HMG CoA REDUCTASE INHIBITORS (STATINS)
Side Effects
ADR -
RHABDOMYOLYSIS
HEPATIC DYSFUNCTION
HMG CoA REDUCTASE INHIBITORS (STATINS)
Nclex Tips / Memory Tricks
STATINS HURT MUSCLES / KIDNEYS / LIVER
‘STAT’ - SORE MUSCLE / TOXIC LIVER (AST / ATL) / AVOID GRAPEFRUIT AND ST JOHNS / TAKE AT NIGHT
HAPPY CHOLESTEROL - WANT HIGH NUMBERS
HDL > 40
HMG CoA REDUCTASE INHIBITORS (STATINS)
Patient Education
REPORT MUSCLE PAIN / WEAKNESS
TAKE IN EVENING (CHOLESTEROL PROD HAPPENS MAINLY AT NIGHT
‘STAT’ - SORE MUSCLE / TOXIC LIVER (AST / ATL) / AVOID GRAPEFRUIT AND ST JOHNS / TAKE AT NIGHT
HMG CoA REDUCTASE INHIBITORS (STATINS)
Nursing Admin
CHECK LIVER FUNCTION BEFORE ADMIN FOR BASELINE (ALT/AST)
HMG CoA REDUCTASE INHIBITORS (STATINS)
Relevant Lab Values
HDL - > 40
LDL - 100
TRIGLYCERIDES - < 150
TOTAL CHOLESTEROL < 200
RHABDOMYOLOYSIS
MUSCLES ARE DAMAGED
MYOGLOBIN LEAKS INTO BLOOD - CAUSES KIDNEY DAMAGE
RHABDOMYOLOYSIS S/S
MUSCLE PAIN
TENDERNESS
MALAISE / FEVER
INCREASED CREATININE
DARK URINE (TEA COLOR OR COKE)
NITRATES
Med Class
ANTIANGINALS
NITRATES
Therapeutic Uses
ANGINA (CHEST PAIN)
PREVENTS ANGINA ATTACKS
ACUTE CORONARY SYNDROME
WORKS AS A VASODILATOR - INCREASES BLOOD FLOW TO HEART MUSCLE
NITRATES
Drug Names( suffix or prefix)
NITRO’ OR ‘NITRA’
NITROGLYCERIN
ISOSORBIDE MONONITRATE
NITRATES
Side Effects
DO NOT TAKE WITH ED DRUGS (PHOSPHODIESTERASE)
CAUSES LIFE THREATENING LOW BP
SERIOUS S/S
DIZZINESS
LIGHTNEADEDNESS
OTHER S/S (THREE H’S)
HEADACHE
HYPOTENSION
HOT FLUSHING - FACE
NITRATES
Nclex Tips / Memory Tricks
3 H’S OF NITRA OR NITRO
PHOSPHODIESTERASE - ENDS IN ‘AFIL’ (SILDENAFIL)
NITRATES
Patient Education
TRANSDERMAL PATCH
ROTATE SITES
OVER HAIRLESS AREA
WEAR GLOVES
SUBLINGUAL
1 TAB / MIN - MAX 3 DOSES
NOT RELEIVED AFTER 5 MIN - CALL 911
SUBLINGUAL / BUCCAL
BUCCAL - BETWEEN CHECK / GUM
SUBLINGUAL - UNDER TONGUE
RINSE WITH H20 B/F PLACING TABLETS
KEP IN ORIGINAL CONTAINER (DARK GLASS BOTTLE)
DRY / COOL PLACE
DO NOT CHEW / SWALLOW
NITRATES
Nursing Admin
IV INFUSION - RISK FOR HYPOTENSION / CIRCULATORY COLLAPSE
NITRATES
Relevant Lab Values
??
DIGOXIN
Med Class
GLYCOSIDE
(improve cardiac output - heart failure. slow down fast heartbeats)
DIGOXIN
Therapeutic Uses
HEART FAILURE
CARDIOGENIC SHOCK
DYSRHYTHMIAS
AFIB
DIGOXIN
Drug Names( suffix or prefix)
DIGOXIN
DIGOXIN
Side Effects
SIGNS OF TOXICITY
GI - NAUSEA / VOMITING / DIARRHEA
VISUAL - BLURRED / YELLOW OR GREEN VISION / HALO EFFECT
NEURO - HEADACHE / DROWSINESS / CONFUSION / DISORIENTATION
DIGOXIN
Nclex Tips / Memory Tricks
APICAL PULSE MUST BE ASSESSED FOR 1 MINUTE
HOLD IF < 60
CHILDREN < 70
INFANTS 90-110
APICAL PULSE LOCATION
POINT OF MAXIMAL IMPULSE (PMI)
5TH INTERCOSTAL / MIDCLAVICULAR SPACE
DIGOXIN
Patient Education
??
DIGOXIN
Nursing Admin
DIG TOXICITY
D - DECREASED K+ (HYPOKALEMIA < 3.5) - USUALLY FROM K+ WASTING DIURETICS (LOOP)
I - INJURED KIDNEY
G - GFR DECREASED (AKA OLD PEOPLE)
ANTIDOTE: DIGIBIND / DIGIFAB
THE ‘DIGI’
DIGOXIN
Relevant Lab Values
THERAPEUTIC RANGE 0.5-2.0
AKA GREATER THAN 2 - TOXIC (2 FOR TOXIC)
POTASSIUM CHLORIDE (KCL)
Med Class
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Therapeutic Uses
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Drug Names( suffix or prefix)
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Side Effects
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Nclex Tips / Memory Tricks
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Patient Education
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Nursing Admin
CARD MISSING
POTASSIUM CHLORIDE (KCL)
Relevant Lab Values
CARD MISSING
ADENOSINE
Med Class
ANTIARRHYTHMICS
ADENOSINE
Therapeutic Uses
SUPRAVENTRICULAR TACHYCARDIA (SVT)
SVT - RAPID RHYTHM > 150/MIN
ADENOSINE
Drug Names( suffix or prefix)
ADENO’
ADENOSINE
Side Effects
FLUSHING
DIZZINESS
HYPOTENSION
BRADYCARDIA
CHEST PAIN / PALPITATION
ADENOSINE
Nclex Tips / Memory Tricks
?
ADENOSINE
Patient Education
FLUSHING
DIZZINESS
HYPOTENSION
BRADYCARDIA
CHEST PAIN / PALPITATION
ADENOSINE
Nursing Admin
VALSALVA MANUEVER (PATIENT BEAR DOWN)
ADMIN AS CLOSE TO HEART AS POSSIBLE
RAPID ADMIN (1-2 SECONDS)
FOLLOW WITH SALINE FLUSH
BRIEF PERIOD OF ASYSTOLE MAY HAPPEN
(Asystole (ay-sis-stuh-lee) is when there’s no electricity or movement in your heart. That means you don’t have a heartbeat. It’s also known as flatline.)
ADENOSINE
Relevant Lab Values
??
LIDOCAINE IS WHAT TYPE OF DRUG
ANTIDYSRHTMIC
WHAT DOES LIDOCAINE TREAT
VENTRICULAR DYSRHYTHMIAS
EPINEPHRINE IS WHAT TYPE OF DRUG
adrenergic agonist
WHAT IS EPINEPHRINE USED FOR
control superficial bleeding, delay local anesthetic absorption, and treat cardiac arrest and anaphylaxis
ATROPINE IS WHAT TYPE OF DRUG
muscarinic agonist
ATROPINE IS USED FOR
Treat and manage bradycardia by increasing the heart rate