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9 Cards in this Set
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Cardiac glycosides used for systolic HF, supraventricular arrhythmias including Afib, atrial flutter, adn paraxysmal atrial tachycardia
side effects: arrhythmias, agitation, fatigue, muscle weakness, blurred vision, yellow-green halo around visual images, anorexia, nausea, vomiting contraindications: Vfib, Vtach *** Pay attention to K+ levels |
Digoxin and Digitoxin
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cardiac glycoside used for potentially life threatening digitalis toxicity and acute digoxin toxicity in which ingested amount or serum digoxin level is unknown
side effects: HF, anaphylaxis contraindications: use with caution in patients allergic to ovine proteins |
Dogoxin Immune Fab
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Beta agonist used in distributive or cardiogenic shock, as an adjunct to increase CO, BP, and urine flow; short term treatment of severe, refractory, CHF
side effects: bradycardia, asthma attacks, widening of QRS complex, cardiac arrhythmias, hypotension, hypertension, palpitations, and tachycardia contraindications: pheochromocytoma, uncorrected tachyarrhythmias, Vfib |
Dopamine
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beta agonist used for short term treatment of cardiac decompesation secondary to depressed contractility
side effects: bradycardia, asthma attacks, widening of QRS complex, cardiac arrhythmias, hypotension, hypertension, palpitations, tachycardia *** cardiac arrhythmias occur less frequently than with Dopamine contraindications: idiopathic hypertrophic subaortic stenosis |
dobutamine
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beta agonist used for bronchospasm, hypersensitivity reaction, anaphylaxis, cardiac resuscitation, hemostasis, prolong anesthetic effect, open angle glaucoma, nasal congestion
side effects: arrhythmias, headache, nervousness, tremor, hypertension, palpitations, tachycardia contraindications: active labor, angle closure glaucoma, shock (other than anaphylactic), organic brain damage, cardiac arrhythmias, coronary insufficiency, severe hypertension, cerebral atherosclerosis |
epinephrine
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beta agonist used for BP support in acute hypotensive states, limit GI bleeding via intraperitoneal or nasogastric administration
side effects: arrhythmias, headache, nervousness, tremor, hypertension, palpitations, tachycardia contraindications: peripheral vascular thrombosis, profound hypoxia, hypercapnia, hypotension from loss of blood volume |
norepinephrine
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beta agonist used for emergency treatment of arrhythmias, atropine resistant hemodynamically significant bradycardia, heart block and shock, bronchospasm
side effects: arrhythmias, headache, nervousness, tremor, hypertension, palpitations, tachycardia contraindications: tachycardia caused by digitalis intoxication, angina pectoris |
isoproterenol
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drugs used for short term treatment of severely failing circulation in patients refractory to conventional therapy, and asthma
side effects: ventricular arrhythmias, thrombocytopenia (i), reversible neutropenia and agranulocytosis (v), seizure, vomiting, insomnia, tremor, restlessness contraindications: don't use these agents in place of surgical intervention in patients with stenotic valvular disease; acute phase of MI |
theophylline, inamirinone, milrinone, vesnarinone: phosphodiesterase inhibitors
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drug that enhances the sensitivity of troponin C to calcium; not approve for use the US
side effects: dose-related hypotension adn reflex tachycardia, nausea, headache contraindications: hypersensitivity |
levosimendan
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