Angina, blood clots...

Question 1

Nitroglycerin adverse effects 2 you don’t know

Answer 1

Throbbing headache, Syncope

Question 2

Nitroglycerin contraindications 3 you don’t know

Answer 2

Pericardial tamponade, constrictive pericarditis, glaucoma

Question 3

Indications for Atenolol 4

Answer 3

HF, HTN, Stable angina, Post acute MI

Question 4

Mechanism of action for atenolol

Answer 4

beta-adrenergic antagonist slows hr and contraactillity

Question 5

CCB Indications 2

Answer 5

HTN, Coronary art disease

Question 6

ccb mechanism of action

Answer 6

blocks calcium ch in smooth muscles and cardiac muscles, dilates coronary arts.

Question 7

CCB Adverse effect 1

Answer 7

P edema

Question 8

Atenolol contraindications

Answer 8

advanced AV heart block, decompensated HF

Question 9

Heparin class 2

Answer 9

anticoagulant, indirect thrombin inhibitor

Question 10

Heparin mechanism of action

Answer 10

binds to antithrombin lll, inhibits thrombin inactivates factor Xa

Question 11

Heparin adverse effects 4

Answer 11

HIT, possible hypersensitivity because of animal source, osteoporosis if longer than 30 days. Skin lesions

Question 12

Contraindications for anticoagulants

Answer 12

active internal bleeding, severe HTN, recent trauma, inter-cranial hem, bacterial endocarditis, hit

Question 13

Heparin indications 5

Answer 13

Thromboembolic disease, DVT, unstable angina, MI, PE.

Question 14

Warfarin- 3 things

Answer 14

Most popular, vit K antagonist avoid vit K War

Question 15

Warfarin indications

Answer 15

Long term prophylaxis of arterial thromboembolism, Prevention of stroke/MI/AFIB, prophylaxis of DVT, PE, surgery, prosthetic heart valves.

Question 16

Dabigatran Mechanism of action

Answer 16

direct thrombin inhib.

Question 17

Dabigatran indications

Answer 17

non-valv A-fib

Question 18

Warfarin therapeutic effect

Answer 18

3-4 days

Question 19

What drugs have BBW?

Answer 19

Atenolol, Warfarin- Don’t stop immediately.

Question 20

Warfarin AE

Answer 20

Purple toe syndrom

Question 21

Look up labs

Answer 21

for warfarin and heparin

Question 22

Warfarin Contraindication

Answer 22

Hepatic impairment and sever CKD.

Question 23

Dabigatran contraindications 2

Answer 23

mechanical heart valves, sever kidney disease.

Question 24

Digoxin class

Answer 24

Intropic, cardiac glycoside.

Question 25

Why use Digoxin ?

Answer 25

Patients not responding to Ace inhib. and need a better cardiac output.

Question 26

MA Digoxin

Answer 26

Inhibits NA+K+ATpase pump

Question 27

Digoxin AE 6

Answer 27

Dysrhythmias, hypokalemia, Hypercalcimia, renal problems, halos, malaise

Question 28

Digoxin Avoid

Answer 28

potassium

Question 29

When to hold meds digoxin

Answer 29

heart rate below 60

Question 30

Contraindications for digoxin 3

Answer 30

beers list, ace inhib spirolactone, K,

Question 31

Alteplase class

Answer 31

Thromobliytic, fibrinolytic

Question 32

Alteplase MA

Answer 32

Converts plasminogen to plasmin

Question 33

Alteplase contraindications

Answer 33

Intracranianial hemorrhage, cerebral legions, intracranial neoplasam, hemorrhagic stroke, dissection of aorta, active bleeding.

Question 34

aminocaproic acid class

Answer 34

Hemostatic, shortening bleeding time, antifibrinolytic,

Question 35

aminocaproic acid MA and one AE

Answer 35

Clots blood. Blocks sites on plasminogen and plasmin aprevents digestion of fibrin clot. can irritate veins.

Question 36

Nursing considerations for aminocaproic acid

Answer 36

Check IV site for thrombophletis, monitor CPK activity. report fever and discolored urine,

Question 37

Hemostatics what system?

Answer 37

Urinary

Question 38

Acetylsilic acid class and how long can it last?

Answer 38

Antiplatelet one week.

Question 39

Acetylsilic acid indications

Answer 39

MI prophylaxis, suspected coronary thrombosis before ER

Question 40

MA for Acetylsilic acid

Answer 40

binds to cyclooxygenase (COX) enzyme in platelets, inhibits platelet aggregation.

Question 41

AE of Acetylsilic acid

Answer 41

``` Hypersensitivity bronchospasm, laryngeal edema, anaphylaxis stomach irritation GI bleed thrombocytopenia Liver/kidney toxicity tinnitus ```

Question 42

thrombocytopenia considerations 2

Answer 42

hearing and renal function

Question 43

Contraindications for Acetylsalic acid

Answer 43

allergy/nasal polyps/asthma/ chronic rhinitis, acute bronco spasms, Vit K deficiency

Question 44

the ks three

Answer 44

Asprin-Can't take if you have a VIT K deficiency warfarrin -avoid VIT K Digoxin- potassium reduces effects

Question 45

Clopidogrel Class

Answer 45

Antiplatelet, ADP receptor blocker

Question 46

Clopidogrel indication

Answer 46

prevention of arterial thromboembolism

Question 47

Clopidogrel MA

Answer 47

Inhibits ADP receptors on platelets | prolongs bleeding time irreversibly inhibits aggregation Can last several days! BLEEDING ISSUES-Not many AE

Question 48

Abciximab class

Answer 48

Antiplatelet, glycoprotein llbllla inhibitor.

Question 49

Abciximab indications

Answer 49

IV only. coronary angioplasty procedures, revascularization of arts.

Question 50

Abciximab MA

Answer 50

Binds to GP llb/llla receptor sites on platelets | Prevents fibrinogen von willebrand factor and other procoagulants from being activated.

Question 51

Labs for warfarrin

Answer 51

PT (prothrombin time) and INR

Question 52

Teaching for digoxin 3 others

Answer 52

report vision, saftey margin, long half life. and the others

Question 53

conditions that thrombolytics are used for WHAT IS IT NOT USED FOR

Answer 53

MI, Stroke, declotting centeral lines, NOT FOR ANGINA