CV Meds Flashcards
Name 3 examples of ACE Inhibitors
Captopril
Lisinipril
Enalapril
Name 2 examples of ARBS
Losartan
Valsartan
What adverse run do you have to monitor for with ACE-I?
Angioedema
Hypotension
Common side effects with ace-I? (Captopril)
Persistent cough
When should cantorial be taken?
1 hr before meals
Categories of CV Meds
Anti-hypertensives Cardiac Glycosides Anti-anginals Anti-dyrhythmics Anti-lipemics
Categories of anti-hypertensives
ACE ARBS Ca channel blockers Alpha adrenergic blockers Centrally acting alpha agonists Beta blockers Vasodilators
Name a cardiac glycoside
Digoxin
Ex of anti-anginal
Nitrates
Name some anti-dysrhythmic meds
Adenosine
Amiodarone
Atropine
Anti-lipemic meds
“Statins”
Calcium channel blockers treat …?
HTN Dysrhythmias A fib Aflutter Rapid SVT
Name some Calcium channel blockers
Nifedipine (procardia)
Verapamil
Diltiazem
Amlodipine (norvasc)
Which patients can you not use calcium channel blockers and why?
HF, heart block, bradycardia
- can cause or increase HF
Name 2 ex’s of alpha adrenergic blockers
Prazosin
Doxazosin
What else can do azoic be used for ?
BPH
3 examples of centrally acting alpha agonists
Clonidine
Guanfacine
Methyldopa
Centrally acting alpha agonists are C/I in which patients
ANTI-COAG therapy
Taking MAOI’s
Beta 1 cells ar found where?
Cardiac and renal tissues
Beta 2 cells are found where?
Lungs GI Liver Uterus Vascular smooth muscles Skeletal muscles
What patients do you have to use caution with when administering beta blockers and why?
Asthma patients
Can cause bronchoconstriction
Examples of beta blockers
Metoprolol
Atenolol
Propranolol
Labetolol
Labetolol can be used for what other kinds of patients?
Pre-eclamptic patients
Beta blockers are used for the following conditions
HTN Angina Tachydysrhythmias HF MI
Beta blockers are C/I in which patients
AV block
Sinus bradycardia
Asthma
Why might propranolol not be admin to a DM pt?
May mask hypoglycemia
Labetolol should not be admin with what in the IV line
Lasix
Name a vasodilator?
Nitro
What are Vasodilators used for?
Hypetensive emergencies
- drop BP quickly
What conditions are digoxin used for?
HF
A-fib
What can happen if digoxin is given with thiazides or loop diuretics?
Hypokalemia
Increase dig tox
What can happen if dig is given with ACE/ARBS
Increase risk of hyperkalemia
What other meds should dig not be given with
Thiazides
Loop diuretics
Verapamil
S/s of dig toxicity
GI- anorexia, NV, abdominal pain
CNS- fatigue, weakness, diplopia, blurred vision, green/yellow/white halos
What should be done prior to admin dig?
Apical pulse for 1 min
How often can nitro be taken in angina attack
Q 5 mins
When should 911 be called in angina attack and no relief?
After 2nd dose of nitro
What is the maximum amt of doses that can be admin (nitro)
3
Adverse runs of alpha 2 agonists
CNS effects
Side effects of adenosine
Flushing
Broncospasm
Prolonged asystole
What is adenosine used for?
SVT- sinus rhythm
What is amiodarone used for
V-fib
Unstable v-tach
What is atropine used for
Bradycardia
Adverse Rxns to anti-lipemics
Hepatotox- check LFT’s
Rhabdo- muscle weakness/ fatigue
When are statins taken and why?
At night- when the body makes more cholesterol
What should be avoided in the diet when taking statins
Grapefruit
Word ending for ACE
“Pril”
Word ending for calcium channel blockers
“Dipine”
Word ending for ARBs
“Sartan”
Word ending for beta blockers
“Olol”
Name some anti-coags
Heparin
Lovenox
Coumadin
Anti-platelet meds
ASA
Plavix
Trento
What do you have to monitor when pt is taking Lovenox?
Plts
How are patients started on dig?
First dose- half
Second dose- 12 hrs later
What are the 2 categories of Vasodilators
Isosorbides (imdur)
Nitro
Vasodilators are C/I with which med?
ED meds
Name 2 categories of anti-hypertensive meds
ACE
ARBS
