Cardiovascular Medications Flashcards
What is the MOA of Statins?
Inhibits one of the liver enzymes required to synthesize cholesterol
List 2 Examples of Statins
- Atorvastatin
- Simvastatin
What is the Schedule, Classification and Nursing Considerations of Atorvastatin?
Schedule: 4
Classification: Hypolipidemic Agent
NC: Monitor liver function, lipid levels to be reviewed every 6-12 months and may increase plasma concentration of Digoxin
What is the Schedule, Classification and Nursing Considerations of Simvastatin?
Schedule: 4
Classification: Hypolipidemic Agent
NC: Monitor liver function, lipid levels to be reviewed every 6-12 months and use caution when taking Warfarin and Digoxin
A, A, B, C, D are classes of Hypertension Medications. List them.
ACE Inhibitors
Angiotensin Receptor Antagonists
Beta Blockers
Calcium Channel Blockers
Diuretics
List 2 Examples of ACE Inhibitors.
- Perindopril
- Captopril
List 3 Common Adverse Effects of ACE Inhibitors.
- Hypotension
- Headache
- Hyperkalaemia
What is the MOA of ACE Inhibitors?
Inhibits the conversion of angiotensin I into angiotensin II, allowing vasodilation
What is the Schedule, Classification and Nursing Considerations of Perindopril?
Schedule: 4
Classification: Anti-Hypertensive Agent
NC: risk of hypotension, may produce persistent cough
List 2 Examples of Angiotensin Receptor Antagonists.
- Irbesartan
- Losartan
What is the MOA of Angiotensin Receptor Antagonists?
Inhibits angiotensin II receptors so that smooth muscles in the vasculature do not constrict
What is the Schedule, Classification and Nursing Considerations of Irbesartan?
Schedule: 4
Classification: Anti-Hypertensive Agent
NC: maximum effect in 4-6 weeks, monitor BP before and after
List 2 Examples of Beta-Blockers.
- Atenolol
- Metoprolol
What is the MOA of Beta-Blockers?
Inhibiting beta receptors on heart muscles and reduce the affects of adrenaline
List 3 Adverse Effects of Beta-Blockers.
- Insomnia
- Vivid Dreams
- Bronchoconstriction
What is the Schedule, Classification and Nursing Considerations of Metoprolol?
Schedule: 4
Classification: Anti-Hypertensive Agent
NC: monitor BP before and after, monitor for hypotension and bradycardia
List 2 Examples of Calcium Channel Blockers.
- Nifedipine
- Verapamil
What is the MOA of Calcium Channel Blockers?
Decreases availability of Ca within the heart - relaxing smooth muscle
What is the Schedule, Classification and Nursing Considerations of Verapamil?
Schedule: 4
Classification: Anti-Hypertensive Agent
NC: monitor BP before and after, monitor for hypotension and bradycardia, and avoid grapefruit
List the 3 Types of Diuretics.
- Thiazide
- Loop
- Potassium-Sparing
What is the MOA and Nursing Considerations of Diuretics?
Reduces blood volume and inhibits the reabsorption of Na, Cl and K+ ions.
Monitor BP before and after, monitor fluid balance and kidney functions, and take K+ supplements
List 2 Examples of Peripheral Vasodilators, and which is most optimal and why?
- Glyceryl Nitrate (GTN)
- Isosorbide Dinitrate
GTN is most optimal, as it is administered sublingually - avoiding the first pass effect
What is the MOA and Nursing Considerations of Peripheral Vasodilators?
MOA: reduces workload on the heart via vasodilation
NC: monitor for excessive vasodilation (headache, hypotension)
List 1 Example of Cardiac Glycosides.
- Digoxin