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Cardiovascular > Pharm For HTN emergency/urgency And MIs > Flashcards

Pharm For HTN emergency/urgency And MIs Flashcards

1
Q

List 4 IV vasodilators that are used in hypertensive emergencies

A 
Sodium nitroprusside 
Nitroglycerin 
Hydralazine
Enalaprilat
Fenoldopam
Nicardopine
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2
Q

List two IV beta blockers used in HTN emergencies.

A

Esmolol

Labetalol

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3
Q

List an ACE-I medication that can be given IV for HTN emergencies

A

Enalaprilat

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4
Q

List a direct vasodilator medication that can be given IV for a HTN emergency

A

Hydralazine

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5
Q

List the four meds that can be given for HTN urgency.

A

Catopril
Clonidine
Nifedipine
Labetalol

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6
Q

List the ACE-I Med that can be given to treat HTN urgency

A

Catopril

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7
Q

List the DHP CCB that can be given to treat HTN urgency

A

Nifedipine

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8
Q

List the alpha-2 agonist that can be given to treat HTN urgency.

A

Clonidine

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9
Q

What are the common meds that post MI patients go home with?

A 
Aspirin
Clopidogrel
A statin
Beta blocker
CCB
ACE-I/ARB
nitro
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10
Q

What is the first line drug used to treat septic shock?

A

Norepinephrine (it increases MAP while maintaining CO)

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11
Q

What is the first line drug used to treat anaphylactic shock?

A

Epinephrine (increases CO)

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12
Q

What is the first line drug used to treat anesthesia induced hypotension?

A

Phenylephrine (called “neo” sticks; vasoconstriction; increases duration of heart contraction w/o increasing HR)

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13
Q

What are the “H’s” of cardiac arrest?

A 
Hypovolemia 
Hypoxia
Hydrogen ions (acidosis)
Hyper/hypokalemia
Hypothermia
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14
Q

What are the “T’s” of cardiac arrest?

A

Toxins
Tamponade
Tension pneumothorax
Thrombosis (MI or PE)

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15
Q

What is the first line drug used to treat v-fib/v-tach w/o a pulse? (Your shockable rhythms)

A

Epinephrine

Followed by 300mg of amiodarone (Hail Mary), then lidocaine, then mag sulfate if Torsades de Pointes.

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16
Q

What is your first line drug for treating asystole/PEA?

A

Epinephrine

17
Q

What is your first line drug for treating bradycardia with a pulse?

A

Atropine, followed by epi and dopamine

18
Q

What is the loading dose of amiodarone when it’s being used to treat tachycardia with a pulse?

A

150 mg over 10 min.

19
Q

Name three meds that can be used to treat tachycardia with a pulse.

A 
Adenosine
Diltiazem
Amiodarone
Digoxin (PT needs to be stable)
Verapamil
Magnesium sulfate
20
Q

Name the two CCBs used to treat tachycardia with a pulse.

A

Verapamil
Diltiazem
(Both non DHP CCBs)

21
Q

Name the class III anti arrhythmic that can be used to treat tachycardia with a pulse.

A

Amiodarone

22
Q

Name the Pharmacological cardioversion treatment of SVT and A-fib

A

Amiodarone
Digoxin
Metoprolol tartrate
(All three are RATE control)

23
Q

Name the pharmacologic cardioversion meds used for V-Tach.

A

Amiodarone

24
Q

Name the pharmacologic cardioversion drug used to treat regular, monomorphic tachycardia.

A

Adenosine

25
Q

Name the pharmacologic cardioversion drug used to treat A-fib or A-flutter

A

Dofetilide (RHYTHM control)

26
Q

What med is used just prior to and during surgery in a patient with a pheochromocytoma?

A

Phentolamine

27
Q

Phenoxybenzamine and a beta blocker are used to treat what rare condition that is a cause of secondary HTN?

A

Pheochromocytoma

28
Q

What is the name of the antidote to digoxin

A

Digoxin immune fab (digibind)

29
Q

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

A

Dobutamine

30
Q

When dopamine is given at a small dose, what happens?

A

Causes selective vasodilation, not systemic

31
Q

When dopamine is given at a large dose (10 mcg/kg/min) what happens?

A

Vasoconstriction with increased SVR. Good for treating bradycardia with a pulse.

Cardiovascular (7 decks)

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