Cardiovascular System And Renal Drugs

Front 1

INOTROPIC

Back 1

Contraction of heart muscle

Hint 1

squeeze

Front 2

CHRONOTROPIC

Back 2

Heart Rate

Hint 2

Similar to a ticking clock

Front 3

DROMOTROPIC

Back 3

Conduction of electrical impulses in the heart

Hint 3

electric

Front 4

CHF - Congestive Heart Failure treated by these two types of drugs

Back 4

Glycosides and Diuretics: Thiazides, Loop, Potassium sparing, Osmotic, Carbonic Anhydrase Inhibitors

Hint 4

Treat the back up in heart

Front 5

Type of drug to treat Hypertension

Back 5

Anti-hypertensive Agents: Sympatholitic, Vasodilating, Angiotensin-converting enzyme inhibitors (ACE)

Hint 5

renin stimulates constriction of heart

Front 6

Drugs to treat Hypercholesterol

Back 6

Anti-lipemics: Bile sequestering agents and Cholesterol synthesis inhibitors

Hint 6

Cholesterol lowering agents

Front 7

Drugs used to treat Angina

Back 7

Anti-Angina agents: Nitrates, Beta Adrenergic Blockers, Calcium Channel Blockers

Hint 7

Stops the chest pain in 3 ways

Front 8

brady-

Back 8

slow

Front 9

tachy-

Back 9

fast

Front 10

SVT

Back 10

Supraventricular Tachycardia

Front 11

ECG

Back 11

Electrocardiogram

Front 12

stat

Back 12

immediately

Front 13

SL

Back 13

sublingual

Front 14

Dynamics of Thiazides

Chlorothiazide - Diurel

Back 14

Interfere with transport of Na ions across renal epithelium

Hint 14

Keeps water in kidneys to flush system

Front 15

Side effects of Thiazides

Back 15

Orthostatic hypotension
Hyponatremia
Hypokalemia

Hint 15

Na and K levels
BP

Front 16

Drug Interactions of Thiazides

Back 16

Oral Hypoglycemics
Corticosteroids
Digoxin

Hint 16

d/t diuresis meds may not stay in system for wanted effects

Front 17

Nursing considerations for Thiazides

Back 17

Crosses placenta and secreted in breast milk, monitor serum Na and K+ levels, administer in AM or early afternoon (to prevent interruption of sleep) d/t increased diuresis

Front 18

Kinetics of Loop Diuretics

Back 18

RAPID onset
Produces greater volume of diuresis than other diuretics

Front 19

Dynamics of Loop Diuretics

Furosemide - Lasix

Back 19

Inhibit Na reabsorption by direct action on ascending Loop of Henle

Front 20

Side effects of Loop diuretics

Back 20

Orthostatic hypotension
Hypokalemia
Hyponatremia

Hint 20

same as Thiazides

Front 21

Drug Interactions of Loop Diuretics

Back 21

Oral hypoglycemic agents
Lithium
Digoxin
Phenytoin

Hint 21

rapid excretion

Front 22

Important nursing considerations for Loop Diuretics

Back 22

Monitor serum potassium and sodium levels, monitor diabetic patient's serum glucose level

Front 23

Dynamics of Potassium sparing Diuretics

Spironolactone - Aldactone

Back 23

Decreases secretion of K+ and increases secretion of Na and Cl

Hint 23

it's in the name

Front 24

Side effects of Potassium sparing diuretics

Back 24

Muscle cramps
Orthostatic hypotension

Hint 24

Increased potassium, increased heartbeat and hyperkalemia

Front 25

Nursing considerations for Potassium-sparing diuretics

Back 25

Monitor for hyperkalemia - Confusion, muscle weakness, arrhythmias, diarrhea; Monitor serum electrolyte levels; administer meds in AM

Front 26

Drug interactions of Potassium sparing diuretics

Back 26

K+ supplements - can cause overload
Digoxin
Salicylates

Front 27

Route for Osmotic diuretic

Back 27

Only given IV

Front 28

Dynamic of Osmotic diuretic

Mannitol

Back 28

Shift of fluid from entire body
Increase excretion of water, sodium, and chloride by increasing osmoality of the plasma

Front 29

Side effects of Osmotic diuretics

Back 29

CIRCULATORY OVERLOAD - build up of fluid, kidney overworked
tachycardia
h/a
blurred vision
urinary retention

Front 30

Nursing consideration for Osmotic diuretic

Back 30

STRICT RECORD OF INTAKE AND OUTPUT must be equal amount

Hint 30

fluids

Front 31

Dynamics of Carbonic Anhydrase Inhibitors

Acetazolamide

Back 31

INDUCE DIURESIS - very poor
reduces aqueous humor formation

Hint 31

Therapeutic - Glaucoma

Front 32

Drug interactions of Carbonic Anhydrase Inhibitors

Back 32

Sulfa Drugs

Front 33

Dynamics of Cardiac Glycosides

Digoxin - Lanoxin

Back 33

Positive inotropic action

Front 34

Drug interactions of Cardiac Glycosides

Back 34

Potassium sparing diuretics
Beta-Adrenergic Blockers

Front 35

Signs of Digitalis Toxicity

Back 35

RESTLESSNESS, IRRITABILITY
CONFUSION, DISORIENTATION
BLURRED VISION
WHITE HALOS ON DARK OBJECTS
n/v/d
Arrhythmias - d/t potassium

Front 36

Normal Therapeutic drug level of Digoxin

Back 36

0.5 - 2.0 ng/ml

Front 37

Normal Serum Potassium Level

Back 37

3.5 - 5.0