Chapter 35 36 and 37 HF

Question 1

what is the mechanism of action for cardiac glycosides

Answer 1

increases the amount of calcium in the myocytes which increases the force of contraction and stabilizes cardiac conduction abnormalities

Question 2

what is the prototype cardiac glycoside

Answer 2

Digoxin

Question 3

what is the main indication for cardiac glycosides

Answer 3

HF

Question 4

what are adverse effects of cardiac glycosides

Answer 4

-dysrhythmias
-Heart block
-bradycardia
-visual disturbances like blurred or yellow vision

Question 5

what is the standard pharmacological management of an MI

Answer 5

Beta blockers
ACEI
Aspirin

Question 6

how soon after an MI is an ACEI given

Answer 6

within 24 hours

Question 7

what is the standard dosing regimen of aspirin for someone that has had an MI

Answer 7

initially 160-325 mg and then 81 mg daily

Question 8

when would a thrombolytic be used for treatment of an MI

Answer 8

would only be used in the early stage of an MI ideally within the first 30 min has no benefit 24 hours after

Question 9

what is the prototype organic nitrate

Answer 9

Nitroglycerine

Question 10

what are adverse effects of nitroglycerine

Answer 10

hypotension
headache

Question 11

what amount of weight gain needs to be reported to a health care provider if a patient has HF

Answer 11

alert health care provider if PT gains 2 lb in one day or 5 lb in 2-3 days