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11 Cards in this Set

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Calcium Channel Blockers
Amlodipine (dihydropyridine)
Verapamil (non-dihydropyridine)

Decrease inward current carried by calcium, slow conduction and prolong refractory period, decrease heart rate
Verapamil (non-dihydropyridine)
Calcium channel blocker

Specific to the heart
Amlodipine (dihydropyridine)
Calcium channel blocker

Specific to vascular smooth muscle
Nitrates
Large vein dilation = blood pools in veins = decreased preload
Coronary dilation = increased blood supply to heart muscle

best for prompt relief of an ongoing attack of angina
Nitroglycerin
Vasodilation; easy development of tolerance; need daily breaks to avoid tolerance
Isosorbide Mononitrate
Vasodilation

Longer acting and used orally
Propranolol
Beta adrenergic antagonist; not cardioselective

Contraindicated in pts with asthma, diabetes, severe bradycardia, peripheral vascular disease or chronic obstructive pulmonary disease
Asprin
Inhibits the production of thromboxane that binds platelets together; diminish platelet adhesion, use in low dosage
Morphine
analgesics; vasodilating properties and decreases pain
Tenecteplase
tissue plasminogen activator cuts up clot; decrease blood cotting

use only after 6 hours of MI; avoid using with high bp due to increase chance of bleeding
Drugs commonly used in tx angina