Drugs Used In The Cath Lab

Front 1

1. What does ASA do ?

Back 1

Prevents platelet adhesion

Front 2

2. ASA inhibits the release of _________from the platelet ?

Back 2

Arachadonic Acid

Front 3

3. Which agent is not an antiplatelet ? Heparin, ASA, Plavix, Reopro

Back 3

Heparin is an anticoagulant (antithrombin)

Front 4

4. What is the action of Reopro ?

Back 4

Reopro inhibits IIb IIIa receptors

Front 5

5. Is Reopro an antithrombin or an antiplatelet ?

Back 5

antiplatelet

Front 6

6. Plavix(clopidogrel) prevents the binding of ______.

Back 6

(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.

Front 7

7. Reopro inhibits the _____receptor on the platelets.

Back 7

The GpIIb/IIIa receptor on the surface of the platelets.

Front 8

8. How do Ticlid (ticlopidine) and Plavix(clopidogrel) and Effient (Pragusel) act ?

Back 8

8. They turn off receptor sites, act like super ASA.

Front 9

9. Vasodialators, name some :

Back 9

Nitro, Nipride

Front 10

10. What medication is used as a preload and an afterload reducer ?

Back 10

Nitroglycerine
(standard drip is 50mg/250ml)

Front 11

11. Does Nitro decrease preload or afterload ?

Back 11

Preload at low doses
Afterload and Preload at higher doses

Front 12

12. The drug of choice for treating Coronary Spasm ?

Back 12

Nitro

Front 13

13. Nitrates do what ?

Back 13

more blood flow to cornaries (dialate coronary arteries)
dialate venous system to drecrease preload during MI

Front 14

14. Nipride does (Nitropursside) what ?

Back 14

lowers BP dialates arteries
Reduces afterload

Front 15

15. Heparin potentiates (makes it work) the action of :

Back 15

antithrombin

Front 16

16. Once activated, antithrombin inactivates ___________ and ________.

Back 16

Thrombin and factor Xa

Front 17

17. Angiomax (bilvalirudin) is a direct _______inhibitor.

Back 17

Thrombin

Front 18

18. How does heparin prevent clot formation ?

Back 18

a. stops conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective

Front 19

17. Lovenox impacts what ?

Back 19

Antithrombin and factor Xa

Front 20

18. TPA (Tissue Plasminogen Activator) acts by ?

Back 20

Dissolving fibrin
Activates Plasminogen

Front 21

19. TPA (Tissue Plasminogen activator) and Retavase are classified as?

Back 21

thrombolytics or fibrinolytics

Front 22

20. . Fibrinogen is converted to fibrin by the action of :

Back 22

Thrombin

Front 23

21. What does an inotrope do ?

Back 23

Works on muscle fibers
A positive inotrope increases force of contraction/muscle function
A négative inotrope decreased force of contraction/muscle function

Front 24

22.Name some positive inotropic drugs ?

Back 24

dopamine
Dobutamine
Epinephrine
Digoxin

Front 25

23. Digoxin affects the heart rate by ?

Back 25

Causing flow between SA node and AV node to slow down
Increases muscle function (positive inotrope)

Front 26

24. Inotropes do What?

Back 26

increase the force of contraction
muscle fibers snap back harder changing Stroke volume

Front 27

25. Chronotropes do what ?

Back 27

Cause the heart to beat more times/min increase HR

Front 28

26. ACE inhibitors are contraindicated in?

Back 28

Renal Artery Stenosis

Front 29

27. What drug should not be given or only be given with caution in Asthma Patients ?

Back 29

non-cardioselective beta blockers

Front 30

28. Betablockers name some :

Back 30

Atenolol, Metorprolol, Propanolol, Labetolol (END in OLOL)

Front 31

29.What does morphine do to Vascular Resistance ?

Back 31

Decreases vascular résistance

Front 32

30. Epinephrine does what ?

Back 32

Increases Heart Rate, Constricts vessels and increases BP

Front 33

31. Sympathominetic Agents name some :

Back 33

Dopamine, dobutamine, Epinephrine, Norepinephrine (Levophed), Neosynephrine

Front 34

32. Calcium Channel Blockers name some :

Back 34

Diltiazem (Cardizem)
Verapmil
Norvasc(Amlodipine)
Procardia

Front 35

33. Dobutamine does what ?

Back 35

Increases force of contraction, positive inotrope, used in CHF
A Venous vasodialator (decreases preload)

Front 36

34. Neosynephrine does what ?

Back 36

Peripheral vasoconstriction, increases BP, increases afterload

Front 37

35. Lidocaine used for ?

Back 37

V-tach, V-fib
Class I B antiarrhythmic

Front 38

36. Atropine is used for ?

Back 38

Vasovagal or symptomatic bradycardia (anticholinergic)

Front 39

37. The best short action médication/anxietyolytic to sedate a patient is ?

Back 39

Versed (Midazolam) a benzodiazépine

Front 40

38. What short acting benzodiazépine is commonly used in the cath lab for sédation ?

Back 40

Midazolam /VERSED

Front 41

39. Isuprel is used for ?

Back 41

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

Front 42

40.Amiodarone is used to treat ?

Back 42

Ventricular and Atrial Arrhythmias
Amiodarone is a Class III antiarrhythmic

Front 43

42. What might be the medication of choice for SVT ?

Back 43

Adenocard, Adenosine

Front 44

43. Which medication is most commonly given with SVT ?

Back 44

Adenosine

Front 45

44. . Lidocaine drip = 2grams/500ml
How many mg per ml with this concentration? KNOW THIS

Back 45

2000mg = 500ml
x mg = 1ml

4mg in 1ml

Front 46

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

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

Back 46

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

x= 1600mcg/ml

Front 47

46. Procanamide is used for :

Back 47

Ventricular and Atrial arrhythmias
Class Ia antiarrhythmic