Meds--Cardiac

Question 1

Meds to Tx: HTN

Answer 1

ACE inhibitors (lisinopril)
ARBs (losartan)
Ca2+ channel blockers (nifedipine)
Alpha blockers (prazosin)
Beta blockers (metoprolol)
Vasodilators (nitro)

Question 2

Meds to Tx: HF

Answer 2

Cardiac glycosides (digoxin)

Question 3

Meds to Tx: Angina

Answer 3

Nitrates (nitro)

Question 4

Meds to Tx: Dysrhythmia

Answer 4

(adenosine, amiodarone, atropine)

Question 5

Meds to Tx: Hyperlipidemia

Answer 5

Statins (simvastatin)

Cholesterol absorption inhibitors (ezetimibe)

Question 6

AntiHTN’ives–Nx considerations

Answer 6

Assess: renal funct, orthostatic hypotension
Educate: do not abruptly stop med

Question 7

ACE inhibitors–S/E

Answer 7

Cough

Angioedema (sim to hives but swelling under skin)

Question 8

Ca2+ channel blockers–contraindications & S/E

Answer 8

Contra: HF, heart block

S/E: anticholinergic, reflex tachy

Question 9

Alpha blockers–Nx considerations & S/E

Answer 9

Nx: Take at bedside to decreased hypoTN

S/E: anticholinergic, reflex tachy

Question 10

Beta blockers–contraindications & S/E

Answer 10

Contra: Heart block, asthmatics/bronchospasms

S/E: mask hypoglycemia

Question 11

Vasodilators–contraindications, S/E, administration

Answer 11

Contra: ED drugs = extreme hypoTN
S/E: HA, Dizzy
Administration: sublingual–1 q5m up to 3, call 911 after 5 min no relief–patch–12h on/12 h off

Question 12

Cardiac glycosides–Action, Nx considerations

Answer 12

Action: increase contractility, decrease conduct rate
Nx: excreted w/ K+

Question 13

Cardiac glycoside toxicity–S/S, Tx

Answer 13

S/S: GI effects, blurred vision, yellow halos, CNS effects

Tx: (digibind)

Question 14

Statins–S/E, Nx considerations

Answer 14

S/E: Rhabdomylosis, hepatotoxic, myopathy

Nx: take at night–cholesterol synth occurs at night–multiple drug-drug interactions.