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1 Pharmacology > CV - anti-dysrhytmic med > Flashcards

CV - anti-dysrhytmic med Flashcards

1
Q

adrenergic agonist drugs aka catecholamines

drugs

A

epinephrine, dopamine, dobutamine, nor epi, isoproterenol, milrinone

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2
Q

adrenergic agonist drugs

MOA

A

activates alpha + beta receptors

[+] ino and chrono

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3
Q

adrenergic agonist drugs

Tx

A

HF, shock states, hypotension, anaphylaxis

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4
Q

adrenergic agonist drugs

AE

A 
hypertensive crisis
tachy
incr o2 demand
necrosis
extracasation
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5
Q

adrenergic agonist drugs

RN teaching

A

monitor for angina, extravasation (SQphentolamine is alpha blocker)
IM: 1:1k
IV: 1:10k
epipen is for allergies

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6
Q

antidysrhythmic medication classes

A

1: Na channel blockers
2: beta-adrenergic blockers
3: K channel blockers
4: Ca channel blockers
other: adenosine + digoxin

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7
Q

Na channel blockers drugs

A

procainamide, quinidine, lidocaine, flecainide

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8
Q

procainamide, quinidine, lidocaine, flecainide [Na chnnl blck]
MOA

A

slows cardiac conduction

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9
Q

procainamide, quinidine, lidocaine, flecainide [Na chnnl blck]
Tx

A

arrythmias

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10
Q

procainamide [Na chnnl blck]

AE

A

systemic lupus syndrome

agranulocytes

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11
Q

lidocaine [Na chnnl blck]

RN teaching

A

usually started w weight-based loading dose

followed by maintenance dose

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12
Q

procainamide, quinidine, lidocaine, flecainide [Na chnnl blck]
RN teaching

A

report butterfly shaped rash on face

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13
Q

K channel blocker drugs

A

amiodarone + sotalol

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14
Q

amiodarone + sotalol [K chnnl block]

Tx

A
  • convert Afib

- any refractory arrythmia

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15
Q

amiodarone + sotalol [K chnnl block]

RN teaching

A
  • photosensitivity
  • monitor for visual changes: corneal verticillata

-long half life- remains in body for up to 2 mo

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16
Q

Ca channel blocker drugs

A

cerapamil, diltiazem

*the only 2 Ca channel blocks that treat dysrhythmias

17
Q

cerapamil, diltiazem [Ca chnnl block]

MOA

A

[-] inotropic, chronotropic, dromotropic

18
Q

cerapamil, diltiazem [Ca chnnl block]

RN teaching

A
  • notify MD for HR<50
  • if IV, monitor ECG
  • supine for 1 hr after IV
  • avoid grapefruit juice
  • Change pt slowly
  • notify MD for peripheral edema, chest pain or SOB
19
Q

adenosine

RN teaching

A
  • monitok EKG
  • short half life: 10 seconds so AE’s <1min
  • IVP fast- flush thru, undiluted, 6/12
  • warn pt this will feel weird… asystole on monitor
  • D is for DOWN

1 Pharmacology (33 decks)

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