Pharm For HTN emergency/urgency And MIs Flashcards
List 4 IV vasodilators that are used in hypertensive emergencies
Sodium nitroprusside Nitroglycerin Hydralazine Enalaprilat Fenoldopam Nicardopine
List two IV beta blockers used in HTN emergencies.
Esmolol
Labetalol
List an ACE-I medication that can be given IV for HTN emergencies
Enalaprilat
List a direct vasodilator medication that can be given IV for a HTN emergency
Hydralazine
List the four meds that can be given for HTN urgency.
Catopril
Clonidine
Nifedipine
Labetalol
List the ACE-I Med that can be given to treat HTN urgency
Catopril
List the DHP CCB that can be given to treat HTN urgency
Nifedipine
List the alpha-2 agonist that can be given to treat HTN urgency.
Clonidine
What are the common meds that post MI patients go home with?
Aspirin Clopidogrel A statin Beta blocker CCB ACE-I/ARB nitro
What is the first line drug used to treat septic shock?
Norepinephrine (it increases MAP while maintaining CO)
What is the first line drug used to treat anaphylactic shock?
Epinephrine (increases CO)
What is the first line drug used to treat anesthesia induced hypotension?
Phenylephrine (called “neo” sticks; vasoconstriction; increases duration of heart contraction w/o increasing HR)
What are the “H’s” of cardiac arrest?
Hypovolemia Hypoxia Hydrogen ions (acidosis) Hyper/hypokalemia Hypothermia
What are the “T’s” of cardiac arrest?
Toxins
Tamponade
Tension pneumothorax
Thrombosis (MI or PE)
What is the first line drug used to treat v-fib/v-tach w/o a pulse? (Your shockable rhythms)
Epinephrine
Followed by 300mg of amiodarone (Hail Mary), then lidocaine, then mag sulfate if Torsades de Pointes.
What is your first line drug for treating asystole/PEA?
Epinephrine
What is your first line drug for treating bradycardia with a pulse?
Atropine, followed by epi and dopamine
What is the loading dose of amiodarone when it’s being used to treat tachycardia with a pulse?
150 mg over 10 min.
Name three meds that can be used to treat tachycardia with a pulse.
Adenosine Diltiazem Amiodarone Digoxin (PT needs to be stable) Verapamil Magnesium sulfate
Name the two CCBs used to treat tachycardia with a pulse.
Verapamil
Diltiazem
(Both non DHP CCBs)
Name the class III anti arrhythmic that can be used to treat tachycardia with a pulse.
Amiodarone
Name the Pharmacological cardioversion treatment of SVT and A-fib
Amiodarone
Digoxin
Metoprolol tartrate
(All three are RATE control)
Name the pharmacologic cardioversion meds used for V-Tach.
Amiodarone
Name the pharmacologic cardioversion drug used to treat regular, monomorphic tachycardia.
Adenosine
Name the pharmacologic cardioversion drug used to treat A-fib or A-flutter
Dofetilide (RHYTHM control)
What med is used just prior to and during surgery in a patient with a pheochromocytoma?
Phentolamine
Phenoxybenzamine and a beta blocker are used to treat what rare condition that is a cause of secondary HTN?
Pheochromocytoma
What is the name of the antidote to digoxin
Digoxin immune fab (digibind)
Name the inotrope that causes vasodilation and that is used to treat Bradycardia w/ a pulse. Also causes increased chronotropy and reduces LV filling pressure
Dobutamine
When dopamine is given at a small dose, what happens?
Causes selective vasodilation, not systemic
When dopamine is given at a large dose (10 mcg/kg/min) what happens?
Vasoconstriction with increased SVR. Good for treating bradycardia with a pulse.
