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38 Cards in this Set

  • Front
  • Back

Drug class: Antihypertensive


Subclass- Adrenergic drugs

Clonidine


Doxazosin


Carvedilol


Nebivolol

Clonidine


(Alpha2-Adrenergic receptor agonists)

Primary Use- Decrease blood pressure, opioid withdrawal management



Routes- Topical, PO



Side effects- Do not discontinue abruptly to avoid rebound hypertension



Doxazosin


(Alpha1 blockers)

Primary Use- Decrease blood pressure



Prefix or suffix- zosin



Route- PO



Side effects- Extended- release form matrix will be expelled in the stool- drug has still been absorbed

Carvedilol


(Duel-action Alpha1 and beta receptor blocker)


Primary Use- Hypertension


Mild to Moderate heart failure



Prefix or suffix- ilol



Route- PO



Interactions- pts in cardiogenic shock, pts with decrease heart rate, asthma, or cardiac conduction system issues

Nebivolol


(Beta receptor blocker)

Primary Use- Hypertension, heart failure



Route- PO



Interactions- Do not stop abruptly-taper dose back down over 1-2 weeks

Drug class: Antihypertensive


Subclass- Ace Inhibitors

Captopril


Enalapril

Captopril

Primary Use- Hypertension, Prevention of left ventricle dilation and heart failure after a heart attack



Prefix or suffix- pril



Route- PO



Side effects- short half life

Enalapril

Primary Use- Hypertension, reduce incidence of heart failure after MI



Prefix or suffix- pril



Route- PO, IV



Side effects- oral form is a prodrug, IV is not

Drug class: Antihypertensive


(Angiotensin ll receptor blockers) (ARBs)

Iosartan

Iosartan

Primary Use- Hypertension, heart failure



Prefix or suffix- sartan



Interactions- pts with renal or hepatic dysfunction

Drug class: Antihypertensive


Subclass: Vasodilators

Hydralazine


Sodium nitroprusside

Hydralazine

Primary Use- Hypertension, Hypertensive emergencies



Route-PO, IV



Side effects- hypotension, headache, trachycaria, skin flushing



Interactions- pts with CAD, mitral valve dysfunction

Sodium nitroprusside

Primary Use- hypertensive emergencies



Route- IV



Side effects- bradycardia, decreased platelet aggregation, rash, hypothyroidism, hypotension, methemoglobinemia, cyanide toxicity (in renal insufficient pts or at high doses/ long time)

Drug class: Antihypertensive


Subclass- miscellaneous Antihypertensive drugs

Eplerenone


Bosentan (Tracleer)


Treprostinil

Eplerenone

Primary Use- Hypertension, heart failure



Route- PO



Interactions- pts with high serum potassium, renal impairment CYP3A4 inhibitors

Bosentan (Tracleer)

Primary Use- Pulmonary artery hypotension for pts with moderate to severe heart failure



Route- PO



Interactions- pts with liver impairment cyclosporine, glyburide

Treprostinil

Primary Use- Pulmonary artery hypotension for pts with moderate to severe heart failure



Route- PO, inhalation, SubQ infusion

Drug class: Antianginal drugs


Subclass- Nitrates and Nitrites

isosorbide dinitrate


isosorbide mononitrate


nitroglycerin

isosorbide dinitrate

Primary Use- broken down into two metabolites that are also active (same therapeutic activity) Angina



Route- PO, Sublingual tablets

isosorbide mononitrate

Primary Use- one of the active metabolites of isosorbide dinitrates, no active metabolites itself, Agina



Route- PO

Nitroglycerin (abbreviated NTG or TNG)

Primary Use- ischemic heart conditions including angina, chest pain, acute angina, Prevention of angina in situations likely to cause attack, Hypertension, ischemic pain, heart failure, pulmonary edema with MI



Route- PO (large first pass effect), sublingual tablet and aerosol, IV, topical

Drug class: Antianginal


Subclass- Beta blockers

Atenolol


Metoprolol


Atenolol

Primary Use- Prophylactic treatment of angina, After MI to decrease mortality



Prefix or suffix- olol



Route- PO

Metoprolol

Primary Use- Prophylactic treatment of angina, After MI to decrease mortality, Hypertension



Prefix or suffix- olol



Route- PO, injectable (IV)

Drug class: Antianginal


Subclass- calcium channel blockers

Diltiazem


Amlodipine

Diltiazem

Primary Use- *benzothiazepine


Angina pectoris ( due to coronary insufficiency and hypertension) Atrial fibrillation and flutter


Paroxysmal supraventricular tachycardia



Route- Parenteral (IV), PO

Amlodipine

Primary Use- * dihydropyridine


Angina, Hypertension



Route- PO

Drug class: Antianginal


Subclass- miscellaneous

Ranolazine (Ranexa)

Ranolazine (Ranexa)

Primary Use- Angina (when other Antianginal drugs aren't effective)



Route- PO



Interactions- pts with QT prolongation CYP3A4 inhibitors Ketoconazole verapamil

Drug class: Heart failure drugs

.

Lisinopril


(ACE inhibitors)

Primary Use- Hypertension, heart failure, acute myocardial infarction



Prefix or suffix- pril



Route- PO



Side effects- Hyperkalemia, dry cough, decrease in renal function



Interactions- potassium supplements, potassium sparing diuretics

Valsartan


(Angiotensin 'll receptor blockers)

Primary Use- Hypertension, heart failure



Prefix or suffix- sartan



Route- PO



Side effects- similar to lisinopril, except less likely to cause cough or hyperkalemia

Hydralazine/isosorbide dinitrate (BiDil)


(Miscellaneous heart failure drugs)

Primary Use- heart failure in African Americans



Route-PO

Dobutamine


(Miscellaneous heart failure drugs)

Primary Use- Beta1- selective agonist, similar to dopamine


Stimulates heart muscle, increases cardiac output by increasing contractility, heart failure



Route- IV

Nesiritide


(B-type Natriuretic peptide)

Primary Use- severe, life-threatening heart failure



Route- IV



Side effects- Hypertension, cardiac dysrhythmias, insomnia, headache, abdominal pain



Interactions- pts with low cardiac filling pressures ACE inhibitors, diuretics

Milrinone


(Phosphodiesrerase inhibitors)

Primary Use- acute heart failure (short-term management)



Route- IV



Side effects -dysrhythmias, hypotension, angina, hypokalemia, tremor, thrombocytopenia, elevated liver enzymes



Interactions- diuretics, digoxin, furosemide (precipitates)

Digoxin


(Cardiac Glycosides)

Primary Use- heart failure, atrial fibrillation and flutter



Route- PO, injectable (IV)



Interactions- pts with ventricular trachycaria and fibrillation amiodarone, quinidine, verapamil

Digoxin immune Fab


(Cardiac glycosides)

Primary Use- Antidote for severe digoxin overdose, reverses life-threatening cardiotoxic effects



Route-IV