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Flashcards in Antianginals Deck (25)
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1
Q

Carvedilol trade names

A

Coreg, Coreg CR

2
Q

carvedilol drug classification

A

antianginal

3
Q

carvedilol expected effect

A

decrease cardiac output, exercise & reflex orthostatic tachycardia by causing vasodilation & reducing peripheral vascular resistance

4
Q

why use carvedilol

A

hypertension, CHF, cardiomyopathy, MI

5
Q

carvedilol route of admin

A

PO

6
Q

carvedilol dosages

A

BP 6.25 bid, then ^ 12.5 BID
CHF 3.125 bid then 6.25 bid
post MI 6.25 bid, then 12.5bid, to 25bid

7
Q

carvedilol adverse effects

A

bradycardia, AV block, pulmonary edema, CHF, lung edema, bronchospasm, thrombocytopenia

8
Q

carvedilol BLACK BOX

A

Abrupt discontinuation, do not discontinue before surgery, taper over 1-2 weeks, life threatening dysrhythmias occur

9
Q

isosorbide dinitrate trade names

A

Apo- ISDN, Isordil, IsoDitrate, Dilatrate SR, Isochron

10
Q

isosorbide dinitrate drug classification

A

antianginal

11
Q

isosorbide dinitrate expected effect

A

relaxes vascular smooth muscle which decrease preload & after load, which decreases left ventricular end diastolic pressure, systemic vascular resistance & reduce cardiac oxygen demand

12
Q

isosorbide dinitrate why use

A

chronic stable angina pectoris

13
Q

isosorbide dinitrate route of admin

A

PO, SL

14
Q

isosorbide dinitrate dosage

A

PO 5-20mg BID TID (Maintain 10-40)
SL 2.5-5mg TID
extended release 40-80mg, max 160/day

15
Q

isosorbide dinitrate adverse effects

A

anemia, methemoglobinemia

16
Q

isosorbide dinitrate nursing implications

A
assess angina & methemoglobinemia
check BP, pulse, respirations
do not discontinue abruptly
no alcohol/ hazardous activities
move slowly to prevent orthostatic hypotension
17
Q

nitroglycerine trade names

A

nitro-time, nitrogard SR, Nitro- BID, Reactive, Nitrostat, Nitrolingual, NitroMist, Nitro- Dur

18
Q

nitroglycerine drug classification

A

antianginal, coronary vasodilator

19
Q

nitroglycerine expected effect

A

decrease angina pain, decrease preload & after load, decrease left ventricle end diastolic pressure, systemic vessel resistance, dilate arteries veins,coronary arteries

20
Q

nitroglycerine why use

A
chronic stable angina
CHF
MI
angina
controlled hypotension during surgery
21
Q

routes of admin for nitroglycerine

A

SL, PO, topical, IV, transdermal patch, rectal, nasal

22
Q

nitroglycerine adverse effects

A

collapse & palpitations, postural hypotension

23
Q

nitroglycerine nursing implications

A

assess: pain, pulse, BP
teach: how to take routes, move slowly to avoid fainting, take med before strenuous activity
- light headed, low BP may need lower dose

24
Q

nitroglycerine black box warnings

A

alcohol can cause hypotension & circa collapse

erectile dysfunction lead to hypotension & death

25
Q

nitroglycerine dosages

A

see paper