Conditions Flashcards
i'm experiencing every single symptom and have every single contraindication.
Condition
Atrial arrhythmia
quinidine (IA)
procainamide (IA)
metoprolol (II) contra’d Wolff
amiodarone (III) low dose
Condition
aFib/aFlut
verapamil (IV)
diltiazem (IV)
Condition
aFib w/ CHF
digoxin
Condition
supraventricular arrhythmia w/o CHF
sotalol (III)
verapamil (IV)
diltiazem (IV)
Condition
supraventricular arrhythmia w/ CHF
sotalol (III)
Condition
ventricular arrhythmia
quinidine (IA) procainamide (IA) lidocaine (IB) mexiletine (IB) flecainide (IC) amiodarone (III) high dose
Condition
ventricular arrhythmia w/ risk vTac, Torsades
flecainide (IC)
quinidine or procainamide (IA) combo w/ Ca and B blockers
Condition
long QT syndrome, Na channel type
mexiletine (IB)
Condition
long QT syndrome, K channel type
metoprolol (II)
Condition
AV node arrhythmia
adenosine
Condition
variant angina + tachycardia
non-DHP Ca channel blockers:
verapamil (IV)
diltiazem (IV)
Condition
variant angina + bradycardia
DHP Ca channel blockers:
amlodipine
Condition
uncomplicated HTN
diuretics (hydrocholothiazide + amiloride) beta blocker (propanolol)
Condition
HTN w/ hx of MI, angina
propanalol
captopril supplement
Condition
HTN w/ CHF
cardevilol
Condition
exercise angina prophylaxis
organic nitrates:
nitroglycerin
isosorbide dinitrate
Condition
emergency angina
aspirin
nitroglycerin sublingual
Condition
gestational HTN
a-methyl-dopa (A2 agonist)
Condition
HTN w/ DM renal dysfx’n
captopril (ACE inhibitor)
Condition
HTN w/ LVH
captopril (ACE inhibitor)
Condition
African American HTN
BiDil (hydralazine (arteriodilator) + isosorbide dinitrate (vasodilator)
Condition
high LDL w/ polypharmacy (D-D interx’n)
pravastatin
ezetimibe (absorption blocker)
Condition
high LDL
statin
ezetimibe (absorption blocker)
gemfibrozil (fibrate)
Condition
high LDL w/ hyperTAGemia
NO CHOLESTYRAMINE
Condition
raise HDL
niacin
Condition
neurogenic shock
norepinephrine (endogenous catecholamine)
Condition
CHF + left-sided acute MI
presents with tachycardia
diuretics (thiazide or furosemide)
aldosterone inhibitor (sprinolactone, no K supplement)
ACE inhibitor (captopril, enalapril)
ARB (candesartan)
nitroglycerin
inotrope (dopamine/dobutamine/milrinone)
when stable: beta blocker (metoprolol, carvedilol)
Condition
CHF+ right-sided acute MI
presents with bradycardia
fluid support
aldosterone inhibitor (sprinolactone, no K supplement)
ACE inhibitor (captopril, enalapril)
ARB (candesartan)
no nitroglycerin!
dopamine/dobutamine/milrinone
when stable: beta blocker (metoprolol, carvedilol)
Condition
chronic CHF
aldosterone inhibitor (sprinolactone, no K supplement) ACE inhibitor (captopril, enalapril) ARB (candesartan) nitroglycerin beta blocker (metoprolol, carvedilol)
Condition
inserting pacemaker
isoprotenerol (synthetic catecholamine)
Condition
heart block
isoprotenerol (synthetic catecholamine)
Condition
nasal decongestant
non-catecholamine sympathomimetics:
phenylephrine
ephedrine
Condition
delay preterm labor
terbutaline (non-catecholamine sympathomimetic)
Condition
bronchospasm/asthma
1st line: terbutaline, albuterol (non-catecholamine sympathomimetics)
2nd line: theophylline (a xanthine)
Condition
ADHD
sympathomimetics: amphetamines methylphenidate atomexitine A2 agonists: clonidine guanficine
Condition
ADHD, worried parents will snort rx
atomexitine
clonidine
guanfacine
Condition
pheochromocytoma
phentolamine (A blocker)+
phenoxybenzamine (A1 blocker)+
propanalol (beta blocker)
Condition
BPH
prazosin
Condition
glaucoma
timolol (beta blocker) clonidine (A2 agonist) a-methyl-dopa (A2 agonist) carbachol (but can cause HTN) physostigmine, miotic (anticholinesterase)
Condition
opioid withdrawal
clonidine (A2 agonist)
Condition
post-op ileus
muscarinic agonists:
acetylcholine
bethanechol
Condition
paralytic ileus
acetylcholinesterase:
endrophonium
neostigmine
Condition
relieve urinary retention
muscarinic agonists:
acetylcholine
bethanechol
Condition
myasthenia gravis dx
endrophonium (acetylcholinestrase)
Condition
myasthenia gravis tx
neostigmine + atropine
Condition
veruconium-induced paralysis
neostigmine + atropine
Condition
alzheimer’s
anticholinesterases (aka indirect agonists):
donezepil
rivastigmine
galantamine
Condition
sarin poisoning
atropine+pralidoxime
Condition
dissecting aorta
hexamethonium (nicotinic antagonist)
Condition
surgical muscle paralysis
nicotinic antagonists (slow acting):
tubocurarine
vecuronium
Condition
endotrachial intubation
nicotinic antagonist:
succinycholine (fast acting)
HTN emergency
sodium nitroprusside
esmolol (B1 antagonist)
phenyloxybenzamine
Hyperlipidemia in pregnancy
cholestyramine
arrhythmia + ICD
sotalol
