Test 3 Angina shiii Flashcards
What are 2 ways antianginal agents work?
Dilating blood vessels
Decreasing workload of heart
What drugs are given for angina?
Nitroglycerine
Beta Blockers
Calcium Channel Blockers
Piperazine Acetamide Agent (first line for angina)
Contraindications for nitroglycerine?
Orthostatic Hypotension
Hypostension
Severe anemia
Head trauma or cerebral hemmorrhage
Adverse effects of nitroglycerine
Light headedness
Dizziness
Headache
Hypotension
Palpitations
Diaphorysis
Reflex tachycardia
Drug interactions of nitroglycerine
Heparin: increases risk of bleeding because nitroglycerine can decrease renal perfusion which leaves heparin in body longer
VIAGRA: NEVER TAKE WITH THIS MED
What do beta blockers end in?
-lol
What are the beta blocker examples?
Atenolol
Metropolol
Propranolol: Used for performance anxiety
Nadolol
What do beta blockers do?
Block beta adrenergic receptors in heart
Indications of beta blockers
Long term management of angina
Used in combination with nitrates to increase exercise tolerance
Contraindications of Beta Blockers lol
Bradycardia
Heart Block
Shocl
*Masks symptoms of hypoglycemia
Adverse effects of beta blockers lol
Decreased libido
Gastric Pain
Flatulence
Decreased exercise tolerance
Arrhythmias
Examples of puperazine acetamide agent
Ranolazine
First line treatment for angina
What does ronolazine do?
Effective in treating angina
Decreases blood glucose in diabetic patients
Decrease incidence of ventricular fibrilation, afib, and bradycardia
Contraindications of ronolazine
Pre-existing prolonged QT interval
Combination of drugs that would prolong QT interval
Hepatic impairment
Lactation
Adverse effects of ronolazine
Dizziness
Headache
Nausea
Constipation
Drug interactions of ronolazine
Digoxin: Can cause increase risk of digoxin toxicity
Grapefruit juice
