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47 Cards in this Set

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1. What does ASA do ?
Prevents platelet adhesion
2. ASA inhibits the release of _________from the platelet ?
Arachadonic Acid
3. Which agent is not an antiplatelet ? Heparin, ASA, Plavix, Reopro
Heparin is an anticoagulant (antithrombin)
4. What is the action of Reopro ?
Reopro inhibits IIb IIIa receptors
5. Is Reopro an antithrombin or an antiplatelet ?
antiplatelet
6. Plavix(clopidogrel) prevents the binding of ______.
(ADP)Adenosine diphosphate, a chemical in the body that causes the platelets to clump together and form clots. Clopidogrel prevents binding of ADP to its receptors, thus reducing the chances of blood clots.
7. Reopro inhibits the _____receptor on the platelets.
The GpIIb/IIIa receptor on the surface of the platelets.
8. How do Ticlid (ticlopidine) and Plavix(clopidogrel) and Effient (Pragusel) act ?
8. They turn off receptor sites, act like super ASA.
9. Vasodialators, name some :
Nitro, Nipride
10. What medication is used as a preload and an afterload reducer ?
Nitroglycerine
(standard drip is 50mg/250ml)
11. Does Nitro decrease preload or afterload ?
Preload at low doses
Afterload and Preload at higher doses
12. The drug of choice for treating Coronary Spasm ?





Nitro
13. Nitrates do what ?
more blood flow to cornaries (dialate coronary arteries)
dialate venous system to drecrease preload during MI
14. Nipride does (Nitropursside) what ?
lowers BP dialates arteries
Reduces afterload
15. Heparin potentiates (makes it work) the action of :
antithrombin
16. Once activated, antithrombin inactivates ___________ and ________.
Thrombin and factor Xa
17. Angiomax (bilvalirudin) is a direct _______inhibitor.
Thrombin
18. How does heparin prevent clot formation ?

a. stops conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
17. Lovenox impacts what ?
Antithrombin and factor Xa
18. TPA (Tissue Plasminogen Activator) acts by ?
Dissolving fibrin
Activates Plasminogen
19. TPA (Tissue Plasminogen activator) and Retavase are classified as?
thrombolytics or fibrinolytics
20. . Fibrinogen is converted to fibrin by the action of :
Thrombin
21. What does an inotrope do ?
Works on muscle fibers
A positive inotrope increases force of contraction/muscle function
A négative inotrope decreased force of contraction/muscle function
22.Name some positive inotropic drugs ?
dopamine
Dobutamine
Epinephrine
Digoxin
23. Digoxin affects the heart rate by ?
Causing flow between SA node and AV node to slow down
Increases muscle function (positive inotrope)
24. Inotropes do What?
increase the force of contraction
muscle fibers snap back harder changing Stroke volume
25. Chronotropes do what ?
Cause the heart to beat more times/min increase HR
26. ACE inhibitors are contraindicated in?
Renal Artery Stenosis
27. What drug should not be given or only be given with caution in Asthma Patients ?
non-cardioselective beta blockers
28. Betablockers name some :
Atenolol, Metorprolol, Propanolol, Labetolol (END in OLOL)
29.What does morphine do to Vascular Resistance ?
Decreases vascular résistance
30. Epinephrine does what ?
Increases Heart Rate, Constricts vessels and increases BP
31. Sympathominetic Agents name some :
Dopamine, dobutamine, Epinephrine, Norepinephrine (Levophed), Neosynephrine
32. Calcium Channel Blockers name some :
Diltiazem (Cardizem)
Verapmil
Norvasc(Amlodipine)
Procardia
33. Dobutamine does what ?
Increases force of contraction, positive inotrope, used in CHF
A Venous vasodialator (decreases preload)
34. Neosynephrine does what ?
Peripheral vasoconstriction, increases BP, increases afterload
35. Lidocaine used for ?
V-tach, V-fib
Class I B antiarrhythmic
36. Atropine is used for ?
Vasovagal or symptomatic bradycardia (anticholinergic)
37. The best short action médication/anxietyolytic to sedate a patient is ?
Versed (Midazolam) a benzodiazépine
38. What short acting benzodiazépine is commonly used in the cath lab for sédation ?
Midazolam /VERSED
39. Isuprel is used for ?
Mix 1mg/250ml runs at mcg/min(micrograms per minute) start at 1mcg/min and titrate for HR)
Heartblock, Bradycardia, Beta 1 stimulant, increases heart rate
Also used in EP studies to aid in diagnosing arrhythmias
40.Amiodarone is used to treat ?
Ventricular and Atrial Arrhythmias
Amiodarone is a Class III antiarrhythmic
42. What might be the medication of choice for SVT ?
Adenocard, Adenosine
43. Which medication is most commonly given with SVT ?
Adenosine
44. . Lidocaine drip = 2grams/500ml
How many mg per ml with this concentration? KNOW THIS
2000mg = 500ml
x mg = 1ml

4mg in 1ml
45. Dopamine drip concentration 400mg in 250ml
How many mcg/ml ? KNOW THIS

400,000mcg = 250ml = 1600mcg/ml
x mcg = 1ml
400,000mcg = 250ml
x mcg = 1ml

x= 1600mcg/ml
46. Procanamide is used for :
Ventricular and Atrial arrhythmias
Class Ia antiarrhythmic