Master List Flashcards
Adenosine
Decrease AV conduction and slow the heart rate; emergency situations; treat acute supraventricular tachycardia
Adenosine Mech.
Causes transient heart block in the AV node, reduses cAMP and hyperpolarizes the cell
Adenosine Admin.
Intravenously
Adenosine Adverse Effects
Chest pain, feeling faint, shortness of breath, tingling, low blood pressure
Amiodarone
Class 3 antiarrhythmic drug used in ventricular tachycardia and fibrillation
Amiodarone Mech.
Increases the time before a heart cell can contract again
Amiodarone Admin.
Oral, intravenous, intraosseous
Amiodarone Adverse Effects
Tiredness, tremor, nausea, constipation, lung toxicity, vision problems, thyroid problems, death
Amyl nitrite
To relieve acute attacks of angina
Amyl nitrite Mech.
Vasodilator
Amyl nitrite Admin.
Inhalation from a glass ampule
Amyl nitrite Adverse Effects
Headache, dizziness, flushing of the face, lightheadedness, involuntary urination or defecation, low BP, nausea, vomiting, shortness of breath, cold sweat, pale skin, rapid heart rate, restlessness
Digoxin
Cardiac glycoside
Digoxin Mech
Inhibit Na/K adenosene triphosphate, the “sodium pump”
Digoxin Admin.
Oral, intravenous
Digoxin Adverse Effects
Headache, dizziness, nausea, vomiting, “halo effect” around lights, bradycardia, ectopic beats, cardiac arrhythmias
Diltiazem
Act on the heart and blood vessels to lower bloop pressium; used to treat angina pectoris and cardiac arrhythmias
Diltiazem Mech.
Calcium antagonist; block the influx of calcium into the heart and arterial blood vessels
Diltiazem Admin.
Oral, intravenous
Diltiazem Adverse Effects
Swelling, dizziness, headaches, low BP, slow heart beat, heart failure, liver problems
Isosorbide dinitrate
Used prophylactivally to prevent angina pectoris
Isosorbide dinitrate Mech.
Dilation reduces preload
Isosorbide dinitrate Admin.
Oral 3-4 times/day
Isosorbide dinitrate Adverse Effects
Headache, lightheadedness with standing, blurred vision, low BP
Lidocaine
Local anesthetis; used to treat ventricular tachycardia and to perform nerve blocks
Lidocaine Mech.
Sodium channel blocker
Lidocaine Admin.
Intravenous, subcutaneous, topical, oral
Lidocaine Adverse Effects
Sleepiness, muscle twitching, confusion, changes in vision, numbness, tingling, vomiting, low blood pressure, irregular heart rate
Mexiletine
Antiarrythmic drug; used to treat chronic pain
Mexiletine Mech.
Voltage-gated sodium channel blocker
Mexiletine Admin.
Oral, intravenous
Mexiletine Adverse Effects
Dizziness, heartburn, nausea, nervousness, trembling, unsteadiness
Nifedipine
Treatment of Prinzmetal angina, high BP
Nifedipine Mech.
Calcium channel blocker
Nifedipine Admin.
Oral, topical
Nifedipine Adverse Effects
Lightheadedness, headache, tiredness, leg swelling, cough, shortness of breath, low BP, heart failure
Nitroglycerin
Used to relieve acute attacks of angina
Nitroglycerin Mech.
Dilates veins more than arteries, thereby reducing preload
Nitroglycerin Admin.
Sublingual tablets or intravenously (severe); ointment, transdermal patch
Nitroglycerin Adverse Effects
Headache, weakness, dizziness, lightheadedness, nausea, flushing
Procainamide
Antiarrhythmic drug
Procainamide Mech.
Sodium channel blocker of cardiomyocytes
Procainamide Admin.
Intravenous, intramuscular, oral
Procainamide Adverse Effects
Ventricular dysrhythmia, bradycardia, hypotension, shock
Propranolol
Class 2 antiarrhythmic drug
Propranolol Mech.
Blocks cardiac beta receptors to slow heart rate, AV conduction and prolong refractory period
Propranolol Admin.
Oral, rectal, intravenous
Propranolol Adverse Effects
Nausea, abdominal pain, constipation
Quinidine
Class 1 antiarrhythmic drugs; decrease excitability, slow conduction, prolong refractory period
Quinidine Mech.
Posess local anesthetic activity and block the influx of Na ions during depolarization; inhibitor of cytochrome P450
Quinidine Admin.
Oral, intravenous, intramuscular junction
Quinidine Adverse Effects
Thrombocytopenia, granulomatous hepatitis, myasthenia gravis
Verapamil
Class 4 antiarrhythmic drug
Verapamil Mech.
Blocks calcium ions
Verapamil Admin.
Oral, intravenous
Verapamil Adverse Effects
Cardiac depression
Acetazolamide
Treatment of glaucoma, epilepsy, heart failure; carbonic anhydrase inhibitor
Acetazolamide Mech.
Carbonic anhydrase inhibitor; increases sodium and water excretion by inhibiting the enzyme carbonic anhydrase;
Acetazolamide Admin.
Oral
Acetazolamide Adverse Effects
Anorexia, drowsiness, GI distress, headache, metabolic acidosis
Amiloride
Used to restore potassium in hypokalemic patients; prevents hypokalemia; hypertension; adjunctive therapy with thiazide or loop diuretics in congestive heart
Amiloride Mech.
Potassium-sparing diuretic; adjunctive therapy with thiazide or loop diuretics in congestive heart failure
Amiloride Admin.
Oral
Amiloride Adverse Effects
Gynecomastia, hyperkalemia, nausea, vomiting
Atorvastatin
Treatment of primary hyperlipidemia and to slow the progression of atherosclerosis
Atorvastatin Mech.
HMG-CoA enzyme inhibitor type of hypolipidemic drugs
Atorvastatin Admin.
Oral
Atorvastatin Adverse Effects
Headache, dizziness, alteration od taste, insomnia, diarrhea, flatulence, abdominal cramping and photosensitivity
Bumetanide
Treatment of swelling and high blood pressure
Bumetanide Mech.
Organic acid/loop diuretic; inhibits sodium and chloride ion exchange in the loop of Henle
Bumetanide Admin.
Oral, intravenous, intramuscular
Bumetanide Adverse Effects
Nausea, diarrhea, constipation, headache, anorexia, hypotension, dizzy, hypokalemia, hyperuricemia, hyperglycemia, elevated serum creatinine or urine nitrogen, neurotoxicity, deafness
Candesartan
Treatment of high blood pressure and congestive heart failure
Candesartan Mech.
Angiotensin receptor blocker
Candesartan Admin.
Oral
Candesartan Adverse Effects
Dizziness, tiredness, lightheadedness, runny nose, sore throat
Captopril
Treatment of hypertension and congestive heart failure
Captopril Mech.
ACE Inhibitor
Captopril Admin.
Oral
Captopril Adverse Effects
Cough, angioedema, hyperkalemia, taste alteration, hypotension, acute renal failure
Chlorothiazide
Thiazide diuretic; treatment of edema with mild-moderate hypertension
Chlorothiazide Mech.
Inhibits sodium transport in the distal portion of the nephron, which causes a substantial loss of Na+ and water
Chlorothiazide Admin.
Oral
Chlorothiazide Adverse Effects
Dizziness, headache, hyperglycemia, hyperkalemia, hyperuricemia, hypotension, lightheadedness, nausea
Chlorthalidone
Thiazide-like diuretic; treatment of edema with mild-moderate hypertension
Chlorthalidone Mech.
Inhibits sodium transport in the distal portion of the nephron, which causes a substantial loss of Na+ and water
Chlorthalidone Admin.
Oral
Chlorthalidone Adverse Effects
Dizziness, headache, hyperglycemia, hyperkalemia, hyperuricemia, hypotension, lightheadedness, nausea
Cholestyramine
Bile acid sequestrate
Cholestyramine Mech.
Binds bile in the GI tract to prevent its reabsorption
Cholestyramine Admin.
Oral
Cholestyramine Adverse Effects
Constipation, intestinal obstruction
Colestipol
Bile acid sequestrate used to lower blood cholesterol, specifically LDL
Colestipol Mech.
Binds bile in the GI tract to prevent its reabsorption
Colestipol Admin.
Oral
Colestipol Adverse Effects
Constipation, intestinal obstruction
Diazoxide
Used in emergencies when a rapid reduction of blood pressure is essential
Diazoxide Mech.
Potent vasodilator with no diuretic activity
Diazoxide Admin.
Intravenously
Diazoxide Adverse Effects
fluid retention, tachycardia, hyperglycemia
Dicumarol
Treatment of deep venous thrombosis
Dicumarol Mech.
Anticoagulant drug that depletes stores of vitamin K
Dicumarol Admin.
Oral
Dicumarol Adverse Effects
Bleeding
Ezetimibe
Cholesterol absorption inhibitor that decreases VLDLs
Ezetimibe Mech.
Acts at the surface of the small intestine to block absorption of dietary cholesterol
Ezetimibe Admin.
Oral
Ezetimibe Adverse Effects
Abdominal pain, fatigue, coughing, diarrhea, back pain, arthralgia
Furosemide
Management of hypertension and acute pulmonary edema
Furosemide Mech.
Organic acid/loop diuretics; promote diuresis by inhibiting sodium and chloride ion transport in the loop of Henle, resulting in loss of sodium, chloride and water
Furosemide Admin.
Oral, intravenous, intramuscular
Furosemide Adverse Effects
Nausea, diarrhea, constipation, headache, anorexia, hypotension, dizzy, hypokalemia, hyperuricemia, hyperglycemia, elevated serum creatinine or urine nitrogen, neurotoxicity, deafness
Heparin
Anticoagulant drug
Heparin Mech.
Prevents thrombin formation by binding to circulating clotting factors
Heparin Admin.
Intravenously or subcutaneously
Heparin Adverse Effects
Hemorrhage
Hydralazine
Formation of nitric oxide; used in common with diuretics and beta blockers (triple therapy)
Hydralazine Mech.
Produces arterial vasodilation, decreased blood pressure and a reduction in after load
Hydralazine Admin.
Oral, intravenous
Hydralazine Adverse Effects
Headache, fast heart rate
Hydrochlorothiazide
Treatment of edema with mild-moderate hypertension
Hydrochlorothiazide Mech.
Thiazide diuretic; inhibits sodium transport in the distal portion of the nephron, which causes a substantial loss of Na+ and water
Hydrochlorothiazide Admin.
Oral
Hydrochlorothiazide Adverse Effects
Dizziness, headache, hyperglycemia, hyperkalemia, hyperuricemia, hypotension, lightheadedness, nausea
Lovastatin
Treatment of primary hyperlipidemia and to slow the progression of
Lovastatin Mech.
HMG-CoA enzyme inhibitor type of hypolipidemic drugs; acholesterol synthesis in the liver by inhibiting the enzyme HMG-CoA reductase
Lovastatin Admin.
Oral
Lovastatin Adverse Effects
Headache, dizziness, alteration of taste, insomnia, diarrhea, flatulence, abdominal cramping and photosensitivity
Mannitol
Acute renal failure or in cardiovascular surgeries in which renal function is severely compromised; reduces localized swelling, edema, and pressure
Mannitol Mech.
Osmotic/luminal diuretic
Mannitol Admin.
Intravenously
Mannitol Adverse Effects
Nausea, dizziness, headache, and chills
Minoxidil
Potent arteriolar dilator for patients who don’t respond to triple therapy
Minoxidil Mech.
Potassium channel opener; not fully understood
Minoxidil Admin.
Topical
Minoxidil Adverse Effects
Myocardial ischemia, pericardial effusion, hirsutism
Sodium nitroprusside
Potent vasodilator used in hypertensive emergencies
Sodium nitroprusside Mech.
Vasodilating effects in arterioles and venules as a result of its breakdown to nitric oxide
Sodium nitroprusside Admin.
Intravenous
Sodium nitroprusside Adverse Effects
Low BP, cyanide toxicity, methomoglobinemia
Spironolactone
Used to restore potassium in hypokalemic patients; prevents hypokalemia; edema; hypertension
Spironolactone Mech.
Potassium-sparing diuretic; adjunctive therapy with thiazide or loop diuretics in congestive heart failure
Spironolactone Admin.
Oral
Spironolactone Adverse Effects
Gynecomastia, hyperkalemia, nausea, vomiting
Triamterene
Used to restore potassium in hypokalemic patients; prevents hypokalemia; edema; hypertension
Triamterene Mech.
Potassium-sparing diuretic; adjunctive therapy with thiazide or loop diuretics in congestive heart failure
Triamterene Admin.
Oral
Triamterene Adverse Effects
Gynecomastia, hyperkalemia, nausea, vomiting
Acetylcysteine
Effective mucolytic that breaks apart the glycoproteins in bronchial secretions
Acetylcysteine Mech.
Produces a glutathione precursor L-cysteine