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14 Cards in this Set

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Amiodarone

anti arrhythmic class III; Serum level: 1-2.5 mcg/ml


Toxicity Sx: fatigue, weakness, muscle aches from drug induced hypothyroidism, agranulocytosis, anemia, neutropenia, pancytopenia, liver injury


monitoring: decreases cardiac defibrillator threshold so monitor pacing settings, dark urine, resp distress, edema


interactions: grapefruit


SE: thrombocytopenia, photophobia,

Calcium channel blocker

Acts primarily on arteriolar tissue; works on both systolic and diastolic pressure (little to no drop in BP)

Beta blocker

Cardiac med

Nitrates

Decreases afterload

Diamox

Diuretic

Chlorothiazide

Ca and K sparing diuretic

Furosemide

Diuretic


If give too fast, causes hearing loss, tinnitus

Spironolactone

Diuretic

Nesiritide (natrector)

Causes vascular smooth muscle vasodilation; it is a b type natriuretic peptide that stimulates cGMP production (cGMP causes smooth muscle relaxation)

Lidocaine

toxicity in infusion: respiratory arrest, cardiac (wide QRS , bradycardia, hypotension); CNS toxicity (numbness, tingling, difficult speaking, agitation, V, drowsy, m twitching, seizure),

anisindione


anticoagulant


C/I: invasive/implanted devices

coumadin


anticoagulant


Avoid food high in vit. K (broccoli, brussel sprouts, cabbage, spinach, turnip greens, endive, scallion, parsley), red leaf lettuce, watercress, oils, salads

nitroprusside


vasodilator


tx: HTN


warning: can get cyanide toxicity (sx: tachycardia, hypotension), necrosis/sloughing if IV extravasates


monitoring: O2 sats, acid/base balance, RBC cyanide leve should be below 50 mcg/ml


C/I: renal insufficency pts

dopamine

pressor during shock


central line preferred


if infiltration occurs: have phentolamine mesylate at bedside


C/I: hypovolemia


titration: Q5 minutes