DOCs Flashcards
AFib with HF or low EF
Dofetilide (Tikosyn)
AFib
Amiodarone (Cordarone)
Atrial flutter
Ibutilide (Corvert)
But usually just get zapped
Abolishing SVT
Adenosine (Adenocard)
Digoxin-reduced arrhythmias
Magnesium sulfate
Ventricular arrhythmias, particularly those with “sick hearts” with arrhythmias like post MI
Lidocaine (Xylocaine)
First line Rx for HTN
Diuretics
First line drug post MI for HTN
ACE Inhibitors
HTN complicated by renal disease
Clonidine (Catapres, Duraclon)
Coronary spasms or air in the coronaries
Nitroglycerine (Nitrobid, Nitrek)
CPB termination
Nitroglycerine and Nitroprusside
Edema in emergency situations (pulmonary edema from decompensated CHF)
Loop diuretics
2nd line treatment for edema of heart failure
Thiazide diuretics
Diuretic of choice for liver failure with edema
Spironolactone (Aldactone)
Variant angina
Nifedipine (Procardia)
Many supraventricular tachyarrhythmias, such as SVT
Verapamil (Calan, Isoptin)
Prevent radial artery spasms during harvest and postoperatively to maintain graft patency
Diltiazem (Cardizem)
Exercise induced angina
Beta blockers (particularly B1 blockers)
Cardiac arrest
Epinephrine (Adrenaline)
Short term HF patients (patients struggling to come off bypass)
Bipyradines Inamrinone (Inocor) Milrinone (Primacor)
All stages of HF, particularly those with low EF
ACE inhibitors
Venous dilators for acute CHF episodes
Nitrates
PVC
Lidocaine (Xylocaine)
Patients resistant to Lidocaine and/or Mexilitine
Tocainide (Tonocard)
Refractory ventricular arrhythmias
Flecainide (Tambocor)
Supraventricular tachycardias
Propafenone (Rhythmol)
Atrial tachyarrhythmias (AV nodal reentrant most common)
Beta blockers
Post MI ventricular arrhythmias
Beta blockers
Ideal drug for post MI patients
Sotalol (Betapace, Sorine)
Control ventricular response rates in AFib and atrial flutter
Digoxin
Hypochromic, microcytic anemia
Iron
Megaloblastic anemia
Vitamin B9 (Folic acid)
Pernicious anemia
Vitamin B12 (Trim Cyanocobalamin)
Anemia in Jehovah’s Witness
Darbepotin (Aranesp)
Preventing painful acute crisis associated with sickling claudication
Hydroxyurea (Hydria, Droxia)
Preventing HIT
Porcine intestinal derived Heparin
Elimination of risk of HIT Type II
Fondaparinux (Arixtra)
Prevention of pulmonary edema, use on destination VADs and artificial valves (except on pregnant women), AFib patients, and orthopedic surgery
Warfarin (Coumadin)
Therapy for HIT and/or alternative anticoagulant to Heparin in patients with HIT
Lepirudan (Refludan)
Used during PCTAs to prevent platelet activation and as an anticoagulant for patients wit HIT
Bivalirudin (Angiomax)
Anticoagulant used with renal failure
Argatroban (Argatroban)
Anticoagulant used with liver failure
Bivalirudin (Angiomax)
Prevention of TIAs and strokes
Ticlopidine (Ticlid)
Prevent thrombus post stent placement
Aspirin with Ticlopidine
Used extensively in ACS and cath labs
Glycoprotein IIb/IIIa inhibitors
Anticoagulation post prosthetic heart valve implantation
Dipyradimole (Persantine) with either warfarin or aspirin
Pulmonary emboli, DVTs, aMI, and thrombosed shunts
Streptokinase (Streptase)
Acquired or congenital ATIII deficiency
ATIII
Quickly reverse warfarin in a hemorrhagic emergency
15ml/kg FFP
Significantly reduce post bypass hemorrhage in patients with previous fibrinolytic therapy
Aminocaproic acid and tranexamic acid
Dramatically reduces post op bleeding particularly in Jehovah’s Witness, redox, post fibrinolytic therapy
Aprotinin (Transylol)
Hemophilia A and Von Willebrands disease
Desmopressin (DDAVP)
Bleeding, immediate warfarin reversal, ATIII deficiency, high volume of PRBC, colloidal volume replacement
FFP
Factor I, Factor VIII, and vWF replacement
Cryoprecipitate