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31 Cards in this Set
- Front
- Back
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diltiazem (Cardizem) |
reduces cardiac workload by relaxing arteriolar smooth muscle; dilate coronary arteries (brings more oxygen into myocardium) |
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lidocaine |
primary use is life threatening ventricular dysrhythmias |
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CNS toxicity: seizures, ringing in the ears, drowsiness, confusion, and convulsions |
s/s of lidocaine toxicity |
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propranolol (Inderal) |
primary use is to treat atrial dysrhythmias associated with heart failure |
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propranolol (Inderal) |
contraindicated in asthma, COPD (things that have to do with the lungs) - could cause bronchospasm |
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amiodarone (Cardarone, Pacerone) |
primary use is to treat resistant ventricular tachycardia, atrial dysrhythmias with heart failure - DONT give to people with hypokalemia |
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amiodarone (Cardarone, Pacerone) |
can provide pulmonary toxicity in a significant number of patients!! |
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diltiazem (Cardizem) |
another primary use is to treat supraventricular dysrhythmias - used most frequently to treat/manage atrial fibrillation |
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normal serum albumin (Albuminar, Albutein, Plasbumin) |
listen to the lungs after administration for wet lungs (crackles, coarse rhonchi) - could also cause fluid overload! |
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norepinephrine (Levaterenol, Levophed) |
drug of choice for septic shock - also cardiac arrest - DO NOT USE for hypovolemic shock |
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dopamine (Intropin) |
is dose dependant - can give a dopaminergic effect (low dose) or a beta adrenergic effect (high dose) |
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dopamine (Intropin) |
primary use is to treat hypovolemic and cardiogenic shock |
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Norepinephrine (Levophed) Dopamine (Intropin) |
2 vesicant drugs are.... |
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epinephrine (Adrenalin) |
primary use is to treat anaphylaxis, shock, cardiac arrest - it is a nonselective adrenergic agonist - DONT GIVE TO PEOPLE WITH HIGH BP |
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epinephrine (Adrenalin) |
can also be used to treat fatal ventricular dysrhythmias (v tac or v fib) |
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heparin (Heplock) |
naturally found in the liver - prevents excessive clotting in the vessels - check their bleeding time and their PTT |
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protamine sulfate |
reversal agent for heparin |
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warfarin (Coumadin) |
inhibits the action of Vitamin K - this drug takes a few days to work - monitor for GI upset |
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things that promote bleeding anyway (NSAIDs, anti platelet drugs, G herbs) |
things that would interact wit Heparin and Warfarin |
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clopidogrel (Plavix) |
primary use is to prevent thrombi formation after stroke or myocardial infarction |
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anti platelet drugs are used to prevent clot formation by inhibiting platelet actions - anticoagulation agents are used to prevent thrombosis in the veins |
difference between anticoagulants and antiplatelet drugs |
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transfuse platelets |
reversal for Plavis |
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Thrombolytics |
used to dissolve life threatening clots - they actually dissolve the insoluble fibrin within the clot |
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Thrombolytics |
these agents are administered for disorders in which an intravascular clot has already formed (ex: acute MI, pulmonary embolism, acute ischemic CVA, DVT) |
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alteplase (Activase) |
monitor patient for change of consciousness (symptoms of cerebral hemorrhage) , also teach them signs of bleeding - don't give in patients with massive trauma or recent stroke already |
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epoetin alfa (Epogen, Procrit) |
take it when you can no longer carry oxygen to your tissue, half life is 2-3 weeks - may put you at risk for a cardiovascular event (may give with an anti HTN medicine) |
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filgrastim (Neupogen) |
AE would be things like achey bones, see things like bone pain |
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filgrastim (Neupogen) |
nursing diagnoses could be anxiety, fear, activity intolerance, and fatigue |
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cyanocobalamin (CaloMist, Nascobal) |
treats pernicious anemia - DONT take with orange juice (will decrease the effectiveness of the drug) |
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ferrous sulfate (Feosol) |
increases the absorption by foods in vitamin C - decreases absorption by giving with dairy products |
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ferrous sulfate (Feosol) |
give with z track method - can be irritating to the veins |
