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exam 2 > important cardiac drug info > Flashcards

important cardiac drug info Flashcards

1
Q

sodium channel blockers

A

neg chronotropic

neg dromotropic

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2
Q

procainamide (pronestyle)

A 
1a
(ventricular arrhythmias)
*stable ventricular tachy
*premature ventricular contractions
*ventricular fibrillation
(Supraventricular Tachy)
*PSVT
*PAT
*Junctional tachs
*atrial flutter and fibrillation
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3
Q

action of procainamide (pronestyle)

A

slows conduction
negative inotrope
decreases myocardial excitability

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4
Q

adverse effects of procainamide (pronestyle)

A

myocardial depression
prolongs duration of QRS, QT interval, AV conduction
Hypotension if given too fast IV

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5
Q

labs for procainamide (pronestyle)

A

platelets

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6
Q

administration of procainamide (pronestyle)

A

bolus 50-100 mg

IV SLOW over 5 minutes

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7
Q

Quinidine Norpase

A

positive anticholinergic

positive chronotropic

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8
Q

digitilize

A

give 3 doses of dig for therapeutic blood levels

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9
Q

Quinidine Norpase action

A

slows conduction through cardiac tissue

used for atrial flutter or fibrillation to maintain sinus rhythm

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10
Q

what should you do before administering Quinidine Norpase

A

digitilize first

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11
Q

adverse effects of Quinidine Norpase

A

diarrhea
thrombocytopenia
will increase digoxin levels

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12
Q

nursing considerations for Quinidine Norpase

A

baseline QT interval

monitor platelets

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13
Q

Lidocaine/xylocaine

A

anesthetizes myocardium
negative inotropic
negative dromotropic

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14
Q

Lidocaine/xylocaine administration

A

IV push 1-2 minutes
0.5 - 1 mg/kg bolus IV (NO PIGGYBACK)
MAKE SURE PLAIN/NO ADDITIVES
use infusion pump, do not mix with other drugs

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15
Q

Lidocaine/xylocaine

A

PVC’s -

Ventricular tachycardia

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16
Q

Lidocaine/xylocaine therapeutic level

A

1.5 to 6 ug/ml

17
Q

Lidocaine/xylocaine adverse effects

A

paresthesias
confusion
crosses blood/ brain barrier

18
Q

Class 1c drugs

A

most potent class I agents
PVCS
VT
negative dromotropic

19
Q

Flecanamide/Rythmol

A 
*POTENT*
used if all other meds fail
ventricular arrythmias rhythms
a fib
a flutter
sever svt
20
Q

side effects of flecanamide/rythmol

A

Chf because of negative inotropic effect

CHF, arrythmias

21
Q

Beta Blockers

A

neg. chronotropic
neg. inotropic
neg. dromotropic

22
Q

beta blockers used for

A

MI’s
HTN
can be used for arrythmias
prolong life

23
Q

administration of Beta Blockers

A

IV or PO

24
Q

Block Beta 1

A

Heart

25
Q

Block Beta 2

A

Lungs (caution in asthma)

26
Q

monitor in Beta Blockers

A

BP
HR
notify doctor if pulse falls below 50-60 bpm
or SBP falls below 90-100

27
Q

potassium channel blockers

A 
*Potent*
treatment of V-Fib
V-Tach
SPVT,
A Fib
PAF
28
Q

Amiodarone

A

potassium channel blocker
increase dose then taper to maintenance
can cause arrythmias and severe bradycardia

29
Q

amiodarone nursing considerations

A

QT interval
vitals
rhythm
can worsen CHF

30
Q

amiodarone side effects

A

blue skin
corneal deposits in eyes (vision)
may cause complete heart block resistant to atropine

31
Q

amiodarone administration

A

Give through central line if possible

32
Q

Calcium channel blockers

A

negative inotropic

negative dromotropic

33
Q

Diltiazem (cardizem)

A 
calcium channel blocker
used for A. Fib
A.Flutter
SVT arrhythmias
decreases BP
spasmodic angina
34
Q

administration of diltiazem (cardizem)

A

IV- 2 minutes MINIMUM

35
Q

diltiazem (cardizem) side effects

A

HA

gait abnormality

36
Q

diltiazem (cardizem) nursing considerations

A

can cause sick sinus syndrome
caution use in CHF
withhold drug if SBP is less than 90 or diastolic is less than 60

37
Q

Verapamil (Calan)

A

bolus over 2 minutes

38
Q

verapamil (calan) interactions

A

beta blockers increase risk of CHF, bradycardia, heart block
increases digoxin levels
lithium and cyclospore may be increased to toxic levels

39
Q

Adenosine (adenocard)

A

given for SVT

give fast 6mg (rapid push over 1-2 secs)

exam 2 (9 decks)

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