CHF & Angina: Therapeutic Use & Adverse Effects

Question 1

Therapeutic Use: Increases cardiac output
MOA: Causes the cardiac muscle to contract
more efficiently. Also causes decreased heart rate.

Answer 1

Digoxin (Cardiac Glycoside)

Question 2

• Therapeutic Use: Increase blood flow to the heart muscle
• MOA: Cause vasodilation of coronary
  arteries and veins.

Answer 2

Nitrates

Question 3

call 911 after the first dose if pain unrelieved, period.

Answer 3

Nitrates (nitroglycerin)

Question 4

Risk for _________ Toxicity (bradycardia, N&V, visual changes (halos), and arrhythmias).
- The GI signs are early symptoms
- This is a life-threatening condition. Monitor by
checking digoxin levels in the blood.
- Hypokalemia increases the risk of digoxin toxicity.
- Normal potassium level 3.5 – 5.0

Answer 4

Digoxin; cardiac glycosides
side/adverse effects

Question 5

• Hypotension, palpitations, headache, weakness, sweating, flushing, N&V, dizziness.

Answer 5

Nitrate side/adverse effects

Question 6

CONTRAINDICATIONS: Pregnancy, breastfeeding, severe anemia, increased intracranial pressure, hypersensitivity (allergy), and circulatory failure.

Answer 6

Nitrates