UWorld Cardiac Pharm Drugs Flashcards
Drugs that cause Orthostatic hypotension
ADHF question?
Beta blocker orders
Loop diuretics side effects that indicates discontinuing Furosemide
ACE Inhibotors and ARBs contraindicated for
pregnancy- tetratogenic
Chronic Stable Angina
Angina is chest pain due to MI
Dabigatran - Thrombin inhibitors
Adenosine rapid administeration for SVT (admin 1-2 secs) followed by flush immediately
With statins report
Muscle aches/ weakness - Rhabdomyolysis
labs to monitor with some med administration
Antiplatelet teaching
Nitro patch teaching
Digoxin toxicity
Furosemide rate ototoxicity
Simvastatin should be taken at
bedtime
Thiazide diurectics
Hydrochlorothiazide, chlorthalidone
Heparin clot formation
Vitamin K foods :
Brocolli , liver, Spinach
where potassium rich ones are orange and bananas
HF
Clonidine
Rebound HTN cirsis with Clonidine and Beta blockers.
Clonidine 3 D side effects -
dizziness, drowsiness, dry mouth
HR = 140, irregular, BP normal. Med to be given to control ventricles from getting affected and becoming hypotensive. Med to be given CCD, beta blockers, or digoxin
Licorice
Hypokalemia
Exhibit shows slow HR = 48
hold drugs that affect HR like beta blockers, CCB, timolol eye drops as well. Sartans and Prils do not affect HR, so can be given.
Kawasaki disease
Anticoagulants not given when epidural catheter is in place.
Sinus brady can be caused by vagal stimulatin, increased ICP, MI, and beta blockers.
Acute Coronary Syndrome (ACS)
Therapeutic drug levels are required for
Lithium, Phenytoin, Digoxin
Milrinone is a coronary vasodialator, lowers BP
Milrinone infusion requires central venous access.
Milrinone is a medication indicated for cardiac support in patients with acute heart failure, pulmonary hypertension, or chronic heart failure. It is often used during cardiac surgeries, including coronary artery bypass graft surgery, cardiac transplantation, and other cardiac surgeries requiring cardiac support.
Nitro systemic vasodilation
Dextromethoorphan is a cough suppressant. ACE to ARBs when ACEs give side effect to patient.
Heparin aPTT levels
46 - 70 seconds
Chronic stable angine and nitro tabs
Thromoblytic Therapy contraindication
Warfarin contraindication
Grapefruit juice contraindicated for CCB and statins
Anticoagulants (aspirin, clopidrogel) do not require liver function test, only bleeding precaution and platelets.
Baseline LFT is required for statins and isoniazide.
Cholestrol panel
Just a qn
Chronic Stable Angina - long term med nitro - able to perform activities.
Proponolol is a non selective beta blocker has an effect on the lungs = can lead to bronchoconstriction as a side effect.