pharmacology Flashcards
side effects for digitalis
arrhythmias
palpations
fatigue
GI disturbances
visual disturbances
hyperkalemia
confusion
delirum
digoxin toxicity
examples of digitals
Digitoxin
Lanoxin
mechanism of digitalis medication
slows down HR but increases the strength of contraction
quanitity < quality
increases cardiac output
use for systolic dysfunction (EF<40%) in pts with CHF
fewer and better contractions/beats
antiarrhythmic drugs + antihypertensive drugs
beta blockers
ca channel blockers
only antihypertensive drugs
diuertics
ACE inhibitors
ARB blockers
beta blocker effects
decrease HR
decrease BP
bronchoconstriction
help with preload and reduce afterload
beta blocker side effects
othostatic hypotension
dizziness
lightheadesness
rining in the ears
venous pooling
bradycardia
who do you not use beta blockers with
asthma and COPD due to bronchoconstriction
ca channel blocker examples
“pines and zems”
amlodipine
verapamil
diltiazem
common: Norvasc and Nefidipne - Procardia XL
mechanism ca channel blockers
decrease HR
decrease BP
adverse effects of ca channel blockers
orthostatic hypotenion
dizziness
lightheadedness
ringing in ears
venous pooling
explain loop diuretics mechanism
preload and afterload decrease so its good for both L and R CHF patients
inhibits reabsoption of water and electrolytes from the loop of henle
side effects of looped diuretics
hypokalemia
hypocalemia
hypoatremia
dehydration
orthostatic hypotension
reflex tachycardia
dizziness
lethargy
dizziness
everything is lost
reflex tachycardia: dueto the decrease in BP, the heart is trying to compensate and therefore increases HR due to a reflex
explain potassium sparing dieretics
ex: sprionolactone and aldoctone
keeps potassium in
side effects:
hyperkalemia
gynescomastia (breast tissue in males)
hypocalemia
hypoatremia
dehydration
orthostatic hypotension
reflex tachycardia
dizziness
lethargy
dizziness
same effects as diuretics but whats different is hyperkalemia and gynescomastia
explain thiazides
“CLUG”
hyperCALCEMIA
hyperLIPEDEMA
hyperURECEMIA
hyperGLYCEMIA
should be avoided with elderly, DM and renal dysfn=unction
what do ACE inhibitors do
reduced BP by blocking ACE enzyme
side effects of ACE inhibitors
orthostatic hypotension
hyponatremia
hyperkalemia
DRY HACKING COUGH
decreased taste perception
angioedema
dehydration
should not be comined with looped diuretics due to hyperkalemia side effects