Meds Flashcards
What are the Calcium Channel Blocker Meds?
“-dipine”, Diltiazem, Verapamil
What is the preferred treatment for AFIB in patients with hypotension or who are in systolic heart failure(heart failure with reduced ejection fraction)?
Digoxin
When is ACEI the first line treatment for HTN?
When is it contraindicated for HTN treatment?
Patients with: heart failure, history of ST-segment elevation MI, DM, or renal failure with proteinuria.
In severe renal artery stenosis.
What are the ACEI drugs?
What electrolyte disturbance can this cause?
What other major issues can they cause?
“-prils”
Hyperkalemia
Problems during prego
What hypertensive patients especially benefit from thiazides? What patient’s do not?
Thiazides decrease the urinary calcium excretion so this would benefit those with osteoporosis and urinary calcium stones.
Thiazides increase the serum Uric acid, so shouldn’t be used in Gout patients.
What do BB, Ca CH blocker and Digoxin do in the heart?
Slow AV conduction.
What does an ACEI do?
Decreased production of angiotensin, so the blood vessels enlarge and dilate to decrease BP.
What is an adverse effect of thiazides diuretics?
Hyperglycemia
What med should be given prophylactically to reduce the incidence of methotrexate-related hepatotoxicity?
Folate (leucovorin)
In AFIB what is the preferred treatment in a patient with chronic obstructive lung disease or claudication secondary to PAD?
Ca CH B: verapmil and diltiazem
What are side effects of lithium?
Tremor, hypothyroidism, cogwheel rigidity
What class of meds of diuretics causes hypokalemia? What else can cause hypokalemia?
Loop (furosemide) and thiazides.
Diarrhea (contain considerable amount of potassium and bicarb) so causes metabolic acidosis.
What HTN medication should be avoided in patients with moderate to severe claudication?
BB
What does the drug dobutamine do and when should you use it?
It increases the rate and strength of the heart to increase cardiac output. Use this in cardigenic shock and acute heart failure.
What is the mainstay of therapy in dilated cardiomyopathy?
ACEI
