Heart Failure Meds Flashcards
1
Q
What are the causes of Heart failure?
A
- Hypertension
- Heart attacks (MI)
- Faulty heart valves
- Dysrhythmias
- Stiff ventricles - (Restrictive cardiomyopathy)
- Abnormally thin & enlarged ventricles (Dilated cardiomyopathy)
2
Q
Signs and symptoms of Heart failure?
A
- Left-sided failure (lungs & crackles)
- Right-sided failure (fluid buildup, edema)
- ## Cardiogenic shock (lack or O2 in the brain)
3
Q
Examples of Heart failure medications?
A
- Digoxin
- Adrenergic agonists
- ACE Inhibitors
- Diuretics
- ARBs
- Beta-blockers
4
Q
Digoxin is commonly prescribed for?
A
- Heart failure
- Cardiac dysthymia (Atrial Fibrillation
5
Q
Facts about Digoxin?
A
- It has a Narrow therapeutic index
- Vagal Nerve Stimulation - (slows down the heart)
- Sodium, Potassium-ATPase inhibition (If K+ is high, Digoxin is low and vise visa)
6
Q
What should a nurse do first before giving Digoxin to a Pt?
A
- Draw blood to check on the digoxin levels in the blood before giving.
7
Q
What the Digoxin’s safe levels?
A
Between 1.0 and 2.0
8
Q
What are the signs of Digoxin toxicity?
A
- GI disturbance
- Vomiting
- Nausea
- Anorexia
- Bradydysrhythmias (most feared)
- dizziness
- Fatigue
- Fainting
9
Q
What is the Antidote of Digoxin?
A
Digoxin Immune Fab
10
Q
High yield concepts of Digoxin
A
- Narrow therapeutic index
- GI disturbances
- Visual disturbance ( yellow & blurred vision)
- Dysrhythmias
- Digoxin immune fab
11
Q
Facts about Adrenergic Agonists?
A
- Epinephrine - Treats severe allergic reactions and cardiac arrest.
- Dopamine - Used to treat hypotension, and also helps increase blood flow in the kidneys.
- Dobutamine - Its used short term (48 hrs) to treat heart failure.
- Norepinephrine - Used to treat sever hypotension or shock.
12
Q
Examples of Adrenergic Agonist medications?
A
- Epinephrine
- Dopamine
- Dobutamine
- Norepinephrine
13
Q
Alpha 1 Receptors
A
- They are found in the Arteries.
- When activated they cause Vasoconstriction, which causes an increased blood pressure.
14
Q
Beta 1 Receptors
A
- They are found in the Heart.
- When activated they cause the heart to beat faster and stronger.
15
Q
Beta 2 Receptors
A
- They are found in the Lungs.
- When activated they cause Bronchodilation, which causes the airway to open up.