drugs

Question 1

Procainamide class and blocks

Answer 1

IA, Na channel blocker (and K blocker)

Question 2

Procainamide prolongs the ____ _____ and treats ventricular______. It could cause _________.

Answer 2

Action potential
refractory ventricular fibrillation, pulseless ventricular tachycardia
SLE symptoms

Question 3

Quinidine class and blocks

Answer 3

IA, Na channel blocker (and K blocker)

Question 4

Quinidine prolongs the _____ _____ by a decrease cardiac _______ . It is used to treat ____arrhythmias, PSVT, and WPW. Side effects cause

Answer 4

prolongs action potential, decreasing cardiac excitability and contractility.

Treats atrial arrhythmias.

Torsades de pointes, cinchonism, thrombocytopenia, anticholinergic

Question 5

Lidocaine is a class ____ and blocks____

Answer 5

Class IB, blocks Na channels thru fast Na channels

Question 6

Lidocaine acts through the ____fibers, depresses automaticity. Higher affinity of ______ tissue.

Answer 6

Purkinje fibers

ischemic tissue

Question 7

Lidocaine could cause

Answer 7

neurotoxicity

Question 8

Metoprolol class:

reduces:

treats:

Side effects:

Answer 8

II, beta-1 adrenergic receptor blocker

reduces: heart rate and myocardial contraction force (prolongs AV node conduction)
treats: sinus tachycardia, PSVT, A. Fiber/flutter

SE: Av block, cardiac arrest

Question 9

Amidarone class, blocks:

Answer 9

Amidarone III, blocks Na, K, Ca; blocks beta-1 receptors

Question 10

Amidarone indications and SE

Answer 10

indications: atrial/vent arrhythmias

SE: torsades de pointes, pulmonary fibrosis

Question 11

Digoxin class, inhibits/blocks, ions affected

Answer 11

Digoxin misc. class, inhibits/blocks Na/K-ATPase, increased intracellular Na and greater Ca influx

Question 12

Digoxin SE and indications

Answer 12

indicated for FIRST LINE WITH HEART FAILURE w/ sedation, A. Fib, SVT

SE; nausea, vomiting, mental status change, color changes, EKG changes

Question 13

Atenolol

Answer 13

decrease blood pressure and renin release and SYM outflow

Lessons angina

causes hypotension/bradycardia

Question 14

Dilitazem and Nifedepine

Answer 14

Ca channel blocker treats arrythmia

Causes edema, constipation, flushing, dizziness

Question 15

Sodium Nitroprusside

Answer 15

NO relaxes the arterioles, decreases preload and afterload

for hypertensive emergency, acute MI, aortic dissection, Heart failure,

Causes hypotension, tachycardia, cyanide toxicity

Question 16

Losartan

Answer 16

decreases ANG II,

for heart failure and diabetic nephropathy

Could cause acute renal failure

Question 17

Hydrachlorathiazide

Answer 17

decreases sodium absorption

1st LINE HTN TX

Could cause sexual dysfunction, high blood sugars, lipidemia

Question 18

Fenoldopam

Answer 18

1st LINE FOR ACUTE HTN TX

Could cause flushing, hypotension, headache, nausea

Question 19

Nitroglycerin

Answer 19

Acts on Guanylate Cyclase

brings blood to ischemic areas, treats angina and angina prophylaxis, HF, hypertensive emergency

could cause dizziness, hypotension, flushing, severe headaches but tolerance occurs

Question 20

prils

Answer 20

ACE inhibitors

Question 21

ARBs

Answer 21

sartan

Question 22

Statins

Answer 22

statins

Question 23

loop diuertic

Answer 23

furosemide

Question 24

Beta Blockers

Answer 24

elols

Question 25

furosemide

Answer 25

assoc with hypokalemia as it increases excretion of potassium (loop diuretic)