Memorize these drugs Flashcards
heparin
binds to AT3
once AT3 is activated, it is. an inhibitor of what?
prothrombin to thrombin and factors IX and Xa
1/2 life of heparin
1-2 hours
antifibrinolytics
Amicar
TXA
how do antibrinolytics work
inhibit fibrinolysis by binding with plasminogen
once plasminogen cannot bind to fibrin and cannot activate plasmin
no plasmin activation = no clot breakdown
prime dose for Amicar and TXA
Amicar 10 g
TXA 1g
albumin does what
blood volume expander
added to increase the oncotic load to help prevent third spacing of crystalloid prime
mannitol does what
osmotic diuretic
increases urinary output
oxygen free radical scavenger
what are vasopressors used for
to increase systemic vascular resistance (SVR) to treat hypotension
what are vasopressor drugs that are used
phenylephrine and norepinephrine
what are vasodilators used for
to treat hypertension
what are the vasodilator drugs
nitroglycerin
nitoprusside
nitroglycerin MOA
dilates venous system > arterial system
used to treat high BP and angina
nitroprusside
dilates arterial system > venous system
anti-arrhythmia drugs
magnesium
lidocaine
amiodarone
magnesium is used to treat what
given when cross clamp is removed to prevent atrial dysrhythmia
lidocaine is used to treat what
sodium channel blocker that is given when cross-clamp is removed to prevent ventricular dysrhythmias
amiodarone is used to treat what
potassium channel blockers used to treat ventricular arrhythmias and atrial fibrillation
extend the plateau phase of the action potential by blocking potassium channels
optimal heart rate balances what
balances coronary blood flow with cardiac output
usually between 80-100 bpm
stroke volume is determined by what
preload
afterload
myocardial contractility
preload equals _ _ _
EDV
end diastolic volume
what is preload?
pressure or stretch exerted on the walls of the ventricle by blood filling at end diastole
what is afterload?
resistance to left ventricular contraction
what does high after load increase?
increases myocardial workload and oxygen demand and decreases cardiac output