important cardiac drug info

Question 1

sodium channel blockers

Answer 1

neg chronotropic

neg dromotropic

Question 2

procainamide (pronestyle)

Answer 2

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

Question 3

action of procainamide (pronestyle)

Answer 3

slows conduction
negative inotrope
decreases myocardial excitability

Question 4

adverse effects of procainamide (pronestyle)

Answer 4

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

Question 5

labs for procainamide (pronestyle)

Answer 5

platelets

Question 6

administration of procainamide (pronestyle)

Answer 6

bolus 50-100 mg

IV SLOW over 5 minutes

Question 7

Quinidine Norpase

Answer 7

positive anticholinergic

positive chronotropic

Question 8

digitilize

Answer 8

give 3 doses of dig for therapeutic blood levels

Question 9

Quinidine Norpase action

Answer 9

slows conduction through cardiac tissue

used for atrial flutter or fibrillation to maintain sinus rhythm

Question 10

what should you do before administering Quinidine Norpase

Answer 10

digitilize first

Question 11

adverse effects of Quinidine Norpase

Answer 11

diarrhea
thrombocytopenia
will increase digoxin levels

Question 12

nursing considerations for Quinidine Norpase

Answer 12

baseline QT interval

monitor platelets

Question 13

Lidocaine/xylocaine

Answer 13

anesthetizes myocardium
negative inotropic
negative dromotropic

Question 14

Lidocaine/xylocaine administration

Answer 14

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

Question 15

Lidocaine/xylocaine

Answer 15

PVC’s -

Ventricular tachycardia

Question 16

Lidocaine/xylocaine therapeutic level

Answer 16

1.5 to 6 ug/ml

Question 17

Lidocaine/xylocaine adverse effects

Answer 17

paresthesias
confusion
crosses blood/ brain barrier

Question 18

Class 1c drugs

Answer 18

most potent class I agents
PVCS
VT
negative dromotropic

Question 19

Flecanamide/Rythmol

Answer 19

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

Question 20

side effects of flecanamide/rythmol

Answer 20

Chf because of negative inotropic effect

CHF, arrythmias

Question 21

Beta Blockers

Answer 21

neg. chronotropic
neg. inotropic
neg. dromotropic

Question 22

beta blockers used for

Answer 22

MI’s
HTN
can be used for arrythmias
prolong life

Question 23

administration of Beta Blockers

Answer 23

IV or PO

Question 24

Block Beta 1

Answer 24

Heart

Question 25

Block Beta 2

Answer 25

Lungs (caution in asthma)

Question 26

monitor in Beta Blockers

Answer 26

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

Question 27

potassium channel blockers

Answer 27

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

Question 28

Amiodarone

Answer 28

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

Question 29

amiodarone nursing considerations

Answer 29

QT interval vitals rhythm can worsen CHF

Question 30

amiodarone side effects

Answer 30

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

Question 31

amiodarone administration

Answer 31

Give through central line if possible

Question 32

Calcium channel blockers

Answer 32

negative inotropic | negative dromotropic

Question 33

Diltiazem (cardizem)

Answer 33

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

Question 34

administration of diltiazem (cardizem)

Answer 34

IV- 2 minutes MINIMUM

Question 35

diltiazem (cardizem) side effects

Answer 35

HA | gait abnormality

Question 36

diltiazem (cardizem) nursing considerations

Answer 36

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

Question 37

Verapamil (Calan)

Answer 37

bolus over 2 minutes

Question 38

verapamil (calan) interactions

Answer 38

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

Question 39

Adenosine (adenocard)

Answer 39

given for SVT | give fast 6mg (rapid push over 1-2 secs)