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41 Cards in this Set

  • Front
  • Back

what does digoxin do?

increases force of contraction, cardiac output, and tissue perfusion




decreases AV node conduction and heart rate

what does digoxin treat?

heart failure and A-fib

when should you hold digoxin?

if heart rate is < 60 bpm

digoxin therapeutic range

0.8-2.0



signs and symptoms of digoxin toxicity

N/V/D, visual disturbances, heart block



digoxin antidote

immune fab

combo drug of hydralazine and isosorbide specifically used for heart failure in african americans

BiDil

first line drugs for angina

nitrates

what must patient do after taking isosorbide mononitrate?

lay down and elevate legs to combat the drug's action of decreasing blood pressure

treat variant angina

calcium channel blockers

side effects of calcium channel blockers

flushing, headache, dizziness, pedal edema, bradycardia, AV block

amlodipine, felodipine, nicardipine, nifedipine, nimodipine, nitrendipine, verapamil, diltiazem

calcium channel blockers

procainamide, quinidine, lidocaine, flecanide

sodium channel blocker antiarrhythmics

what type of beta blockers can cause bronchoconstriction?

non-selective



beta blocker used for migraines

propranolol




also atenolol sometimes

most popular beta blocker

atenolol

side effects of beta blockers

fatigue, impotence, depression

used for acute episodes of ventricular arrythmias, life threatening arrhythmias

amiodarone

used for supraventricular tachycardia

adenosine

used to increase heart rate

atropine

drugs used to lower blood pressure, peripheral resistance, and to cause vasodilation

clonidine and methyldopa

alpha 1 blockers that can be used for BPH

prazosin, terazosin, doxazosin




may cause urinary frequency



direct acting vasodilator used to treat potent hypertension

hydralazine

these drugs decrease re-absorption of sodium and water and prevent vasoconstriction

ACE inhibitors

these drugs are similar to ACE inhibitors but do not cause coughing

ARBs




losartan and valsartan

these drugs inhibit cholesterol synthesis

statins

side effects of statins

rhabdomyolysis, increased liver enzymes

what needs to be measured during heparin therapy?

PTT

antidote of heparin

protamine sulfate

what needs to be measured while patient is on warfarin?

PT as INR




normal range is 2-3 or 2.5-3.5 if patient has artificial heart valve

prevent DVT and PE after ortho or abd surgery

LMWH




enoxaparin

drug used to treat A-fib

dabigatron

prophylaxis for prevention of DVT and PE

Rivaroxaban

antiplatelet drug usually given after CVA or MI to prevent second event

clopidogrel

urokinase, altepase, tenecteplase, streptokinase, reteplase

thrombolytics

antidote for severe bleeding

aminocaporic acid

decreases platelet aggregation

aspirin

decreases heart excitability and treats eclampsia during pregnancy

magnesium sulfate





antidote for benzodiazepines

flumazenil

treats shock by increasing cardiac output

dobutamine

used to treat insulin shock or to decrease potassium

dextrose 50%