Memorize these drugs Flashcards

1
Q

heparin

A

binds to AT3

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2
Q

once AT3 is activated, it is. an inhibitor of what?

A

prothrombin to thrombin and factors IX and Xa

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3
Q

1/2 life of heparin

A

1-2 hours

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4
Q

antifibrinolytics

A

Amicar

TXA

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5
Q

how do antibrinolytics work

A

inhibit fibrinolysis by binding with plasminogen

once plasminogen cannot bind to fibrin and cannot activate plasmin

no plasmin activation = no clot breakdown

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6
Q

prime dose for Amicar and TXA

A

Amicar 10 g

TXA 1g

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7
Q

albumin does what

A

blood volume expander

added to increase the oncotic load to help prevent third spacing of crystalloid prime

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8
Q

mannitol does what

A

osmotic diuretic
increases urinary output
oxygen free radical scavenger

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9
Q

what are vasopressors used for

A

to increase systemic vascular resistance (SVR) to treat hypotension

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10
Q

what are vasopressor drugs that are used

A

phenylephrine and norepinephrine

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11
Q

what are vasodilators used for

A

to treat hypertension

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12
Q

what are the vasodilator drugs

A

nitroglycerin

nitoprusside

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13
Q

nitroglycerin MOA

A

dilates venous system > arterial system

used to treat high BP and angina

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14
Q

nitroprusside

A

dilates arterial system > venous system

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15
Q

anti-arrhythmia drugs

A

magnesium
lidocaine
amiodarone

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16
Q

magnesium is used to treat what

A

given when cross clamp is removed to prevent atrial dysrhythmia

17
Q

lidocaine is used to treat what

A

sodium channel blocker that is given when cross-clamp is removed to prevent ventricular dysrhythmias

18
Q

amiodarone is used to treat what

A

potassium channel blockers used to treat ventricular arrhythmias and atrial fibrillation

extend the plateau phase of the action potential by blocking potassium channels

19
Q

optimal heart rate balances what

A

balances coronary blood flow with cardiac output

usually between 80-100 bpm

20
Q

stroke volume is determined by what

A

preload
afterload
myocardial contractility

21
Q

preload equals _ _ _

A

EDV

end diastolic volume

22
Q

what is preload?

A

pressure or stretch exerted on the walls of the ventricle by blood filling at end diastole

23
Q

what is afterload?

A

resistance to left ventricular contraction

24
Q

what does high after load increase?

A

increases myocardial workload and oxygen demand and decreases cardiac output

25
what are some things that increase after load?
``` hypothermia AV stenosis history of hypertension increase in SVR vasoconstriction ```
26
what are the catecholamines
NE, E, Dopamine,
27
what do catecholamines do?
increase HR, BP, breathing rate, muscle mental alertness
28
what drug is used in pregnancy as it does not reduce placental blood flow?
ephedrine