Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
81 Cards in this Set
- Front
- Back
|
ACE-I Side Effects
|
cough
Hyperkalemia hypotension Renal dysfxn angioedema |
|
|
ARBs
|
valsartan, losartan
|
|
|
ARB Side Effects
|
Similar to ACE-I but less severe
|
|
|
Selective Beta Blockers
|
Metoprolol and Atenolol
|
|
|
Non-Selective Beta Blockers
|
Propanolol
|
|
|
Beta Blockers Side Effects
|
Fatigue
Bronchospasm Bradycardia Withdrawal syndrome with discontinuance Sleep disturbance |
|
|
Dihdropyridines
|
Amlodipine, Nifedipine
|
|
|
Non-Dihydropyridines
|
Verapamil, Diltiazem
|
|
|
Calcium Channel Blockers - Side Effects
|
Edema
Dizziness Worsened heart failure Low blood pressure Rash |
|
|
Indications for ACEIs
|
HTN, CHF, post MI
|
|
|
Contraindications for ACEIs
|
Pregnancy, renal dysfxn
|
|
|
Indications for ARBs
|
HTN, CHF, pts who can't tolerate CAPTOPRIL COUGH
|
|
|
Contraindications to ARBs
|
Pregnancy
|
|
|
ARBs have _________ effect on bradykinin levels so produce ____________ vasodilation as ACEIs
|
NO, less
|
|
|
Indications for Beta Blockers
|
HTN
CHF Tachyarrhythmias, Afib, Aflutter, angina and MI |
|
|
Contraindications to Beta Blockers
|
Asthma
2nd* heart block bradycardia Acute HF |
|
|
Beta Blocker Side Effects
|
Hypotension,
CHF Asthma Bradycardia and Heart block Raynauds Impotence |
|
|
Causes Rebound Tachycardia with abrupt D/C
|
beta blockers
|
|
|
Non-DHP Indications
|
Stable Angina,
Sinus Tachy, Atrial Tachy, Reentrant Tachy HTN |
|
|
DHP Indications
|
HTN
Prinzmental Angina Cerebral a spasm |
|
|
Non-DHP Contraindications
|
WPW
Hypotension Acute CHF AV blocks |
|
|
DP Contraindications
|
Pregnancy
CAD |
|
|
Non-DHP Side Effects
|
Bradycardia
HF Hypotension |
|
|
DHP Side Effects
|
Vasodilation
Dizziness HA Tachycardia |
|
|
____ have greater selectivity for vasculature than the __________
|
DHPs, Non DHPs
|
|
|
Renin Inhibitor
|
Aliskiren
|
|
|
Aliskiren Indications
|
HTN
|
|
|
Aliskiren Contraindications
|
Pregnancy
|
|
|
Aliskiren Side Effects
|
Diarrhea
Angioedema |
|
|
Statins - Indications
|
1st line for hyperlipidemia
|
|
|
Statin - Contraindications
|
Pregnancy
|
|
|
Statin - Side Effects
|
Myalgias
Myositis Rhabdomylosis |
|
|
Bile Acid Sequestrants - Example
|
Cholestyramine
|
|
|
Bile Acid Sequestrants have a high number of ______ _____________
|
drug interactions
|
|
|
Bile Acid Sequestrants - Side Effects
|
GI
Hyperchloremic Acidosis |
|
|
Fibrates - Example and indications
|
Gemfibrozil
Dyslipidemia |
|
|
Fibrates - Contraindications
|
Renal or hepatic failure
|
|
|
Fibrates - Side Effects
|
Rash
GI (cholelithiasis) Hepatic Pancreatitis Myositis |
|
|
Class I anti-arrhythmics - examples & main MOA
|
Sodium Channel Blockers
1a: procainamide, quinidine 1b: Lidocaine 1c: Flecainide |
|
|
Indication for Procainamide or quinidine
|
Atrial and Ventricular arrhythmia
|
|
|
Indication for Lidocaine
|
Ventricular arrhythmia
|
|
|
Indications for Flecainide
|
Afib
|
|
|
Class 1 side effects
|
Pro-arrhythmics
Nervous system dysfunction |
|
|
Quinidine interacts with ______________
|
Digoxin
|
|
|
First line drug for Vfib and Vtachy is __________
|
Amiodarone
|
|
|
Class II anti-arrhythmic. Main MOA and examples
|
Depression of SA Node - Slows tachys
Depression of AV node - protects ventricles in Afib and Aflutter. Beta Blockers |
|
|
Class III anti-arrhythmic. Main MOA and examples
|
Potassium Channel Blockers - Amiodarone
|
|
|
Indications for Class III
|
Acute tx & prevention of Afib, Aflutter, Vfib and Vtach
|
|
|
Class III Contraindications
|
Hypotension
2nd and 3rd* heart block |
|
|
Class III antiarrhythmic Side Effects
|
Bradycardia,
heart block, hypotension |
|
|
Class IV anti-arrhythmic examples
|
Non-DHPs: Diltiazem, verapamil
|
|
|
Adenosine - Indications
|
Dx and Tx of SVTs
|
|
|
Adenosine - Side Effects
|
Dyspnea
Angina Nausea Transient complete heart block VERY SEVERE BUT TRANSIENT ~3 mins |
|
|
_________ blocks the effects of adenosine
|
Caffeine
|
|
|
Cardiac Glycoside: Example and 2 Main MOAs
|
Digoxin. 1 Inotropic action and Increased parasympathetic activity
|
|
|
Digoxin Indictations
|
CHF (3rd line in adults, 1st in children)
Afib |
|
|
Digoxin Side Effects
|
GI,
CNS CV (arrhythmias and heart block) orange tinted vision |
|
|
Treatment for digoxin toxicity
|
Digibind
|
|
|
Anticholinergics - Examples
|
Atropine
Scopolamine |
|
|
Anticholinergic Indications
|
Sinus Bradycardia
Tx of anticholinesterase side effect |
|
|
Anticholinergics Side Effects
|
Tachycardia
Dry Mouth |
|
|
Atropine Overdose
|
Red
Hot Dry Confused |
|
|
Nitrates - Nitro Indications
|
Stable Angina
Acute Coronary Syndroms |
|
|
Nitrates Contraindications
|
Hypotension
Coadministration with PDE 5 inhibitors (viagra) |
|
|
Nitro Side Effects
|
HA
Flushing Ortho hypotension syncope |
|
|
Steroids Examples
|
Prednisone
Methylprednisone Dexamethasone |
|
|
Beta 2 Agonists - Examples (short and long acting)
|
Short Acting
Albuterol Levalbuterol Long Acting Salmeterol |
|
|
Beta 2 Agonists
|
Tachycardia
Palpitations Tremor Hypokalemia Hyperglycemia |
|
|
Inhaled Anticholinergics
|
Ipratropium
|
|
|
Inhaled Anticholinergics - Side Effects
|
Minimal 2* to low systemic absorption
dry mouth nasal irritation nose bleeds |
|
|
Leukotriene Receptor Antagonists - Example
|
Montelukast
|
|
|
Montelukast Side Effects
|
Churg Strauss Syndrome
|
|
|
Methylxanthines - Examples
|
Theophylline
|
|
|
Theophylline Contraindications
|
Coronary Heart Disease
|
|
|
Theophylline Side Effects
|
HA
Insomnia Tremor Seizures Irrgeular Heart beat |
|
|
Inhaled Corticosteroids - Examples
|
Budesonide
Fluticasone |
|
|
PDE5 Inhibitors - Examples
|
Sildenafil
Tadalafil |
|
|
PDE5 Inhibitor - Indications
|
Erectile Dysfxn
Pulmonary HTN |
|
|
PDE5 Inhibitor - Contraindication
|
Renal Failure
NITRO!!! |
|
|
PDE5 Inhibitor - Side Effects
|
Flushing, HA, Hypotension
PRIAPISM Hearing and vision loss |
|
|
Vascular Prostaglandins - Indications
|
Pulmonary HTN
ARDS |
