Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

pharm 2 > Cardiac > Flashcards

Cardiac Flashcards

(92 cards)

Start Studying
1
Q

ACE -pril class/use

A

Class - ACE inhibitor
Used for HTN, HF, diabetic neuropathy, LV dysfunction following MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ACE -pril SE

A

hypotension (following first dose), dry nonproductive cough, metallic taste/distorts taste, rash, angioedema, hyperkalemia, neutropenia (low WBC so increase risk for infection)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ACE - pril Interventions

A

start low and work your way up, monitor BP, report cough, stop if angioedema occurs, monitor potassium levels, monitor WBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ACE -pril Administration

A

must be taken 2-3x daily for HTN, 3x for HF give one hour before meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ACE -pril teaching

A

dont use potassium supplements or anything with potassium in it, report palipations/twitching/weakness, dont take if pregnant or breast feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ACE -pril contraindications

A

angioedema, hypotension, liver disease with elevated liver enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sprinolactone class/use

A

Class- potassium sparing diuretic
Used for hypertension, symptoms of HF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Sprinolactone SE

A

hyperkalemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

spironolactone interventions

A

monitor for hyperkalemia, monitor BUN, creatine, make sure they arent taking another potassium sparing med

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is another potassium sparing diuretic (not spironolactone) and how long does it take to work

A

eplerenon - 4 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Spironolactone teaching

A

no potassium, report palpitations/twitching/weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Spironolactone contraindications

A

high potassium, type 2 diabetes with microaluminuria, abnormal creatine, lactation,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Carvedilol class/use

A

Class: betablocker mixed
Used for HTN, HF, prolonges survival following MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Caredilol SE

A

dizzy, hypotension, bradycardia, exacerbation of asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

carvedilol interventions

A

monitor BP, report hypotension, monitor HR below 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Carvedilol admin

A

give with food to mimimize orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

carvedilol teaching

A

report dizziness, move slowly changing positions, dont drive until effects are known, check pulse daily report below 60bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

carvedilol contraindications

A

unstable HF, asthma, severe bradycardia, cardiogenic shock, lactation, pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ARBs -sartan class/use

A

class- ARBs
used for hypertension, prevent stroke (losartan)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

-Sartans SE

A

andioedema, headache, dizziness, hypotension, insomnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

-sartans interventions

A

stop if angioedema, report CNS effects, monitor BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

-Sartans teaching

A

report frequent headaches, report fainting/dizziness, dont take if pregnant or breast feeding,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

-sartans contraindications

A

pregnancy, children younger then 6, low creatine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

metoprolol, bisoprolol, esmolol class/use

A

Class - cardioselective betablocker
used for HTN, treat angina, decrease mortality from MI,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
metoprolol, bisoprolol, esmolol SE
bradycardia, HF, rebound excitation (causing angina or MI with sudden withdrawl of bb)
26
metoprolol, bisoprolol, esmolol interventions
monitor HR (report below 60), report signs of HF, do not stop abruptly, taper over 1-2 weeks
27
metoprolol, bisoprolol, esmolol admin
start IV first then oral, take at same time with food,
28
metoprolol, bisoprolol, esmolol contraindications
bradycardia, moderate-severe HF, cardiogenic shock,
29
digoxin class/use
Class - inotropic used for HF, cardiac dysrhythmias (afib, aflutter, a tachy)
30
digoxin SE
dysrhythmias, GI symptoms (can be early sign of toxicity), CNS symptoms (fatigue, visual disturbances - halo_
31
digoxin interventions
vomiting could mean hypokalemia, monitor GI symptoms, monitor digoxin levels, monitor potassium, monitor cardiac rhythm,
32
digoxin teaching
report vomiting, headache, visual disturbances, take at same time do not double dose
33
digoxin contraindications
uncontrolled ventricular dysrhythmias, AV block, severe heart disease
34
clonidine class/use
class - adrenergic inhibiting agent used for hypertension, pain relief, ADHD
35
clonidine SE
CNS effects (drowsiness), dry mouth, rebound hypertensive crisis is discontinued abruptly
36
clonidine admin
oral given at bedtime, start slowly and work your way up, taper off, patch placed once every 7 days, take at night,
37
clonidine contraindications
Anticoagulant therapy
38
lidocaine class/use
class - antiarrhythmics used for ventricular dysrhythmias caused by MI, cardiac surgery
39
lidocaine SE
CNS effects (confusion, drowsiness, restlessness), respiratory arrest, tremors, hypotension, bradycardia,
40
lidocaine teaching
IM only for emergency, report numbness of lips, continue cardiac monitoring,
41
lidocaine contraindications
supreventricular dysrhythmias, untreated bradycardia, heart block
42
propanolol class/use
class - noncardio selective betablocker used for cardiac tachydysrhythmias, HTN,
43
propanolol SE
bradycardia, HF, rebound excitation causing angina or MI with sudden withdrawl, CNS effects (confusion, fatigue, drowsiness)
44
propanolol interventions
monitor HR report below 60, monitor signs of HF, do not stop abruptly, taper of 1-2 weeks, monitor color/pulse/temp of extremities, monitor CNS effects
45
propanolol contraindications
bradycardia, pulmonary edema, mitral or aortic valve disease, cardiogenic shock, asthma, severe COPD
46
amiodarone class/use
class- antiarrhythmics used for ventricular tachycardia or fib, may treat a fib
47
amiodarone SE
GI symptoms, pulmonary toxicity (fever cough SOB), dizziness, fatigue, bradycardia, hypotension, blue-grey discoloration of the skin
48
amiodarone interventions
monitor GI symptoms, test baseline chest xray and pulmonary function test before, listen to lungs, monitor pulse, monitor BP, monitor weight changes, give at same time of the day, can take with milk, wear sunglasses outside, avoid driving
49
amiodarone contraindications
shock, bradycardia, heart block, server hepatic disease
50
verapamil class/use
class - calcium channel blocker used for -convert SVT to normal sinus, slow afib, angina, hypertensive
51
what are some other calcium channel blockers besides verapamil
Diltiazem, Amlodipine, Nicardipine
52
verapamil SE
Hypotension, Bradycardia, Heart failure, peripheral edema of feet and legs, Lightheadedness, dizziness
53
verapamil interventions
monitor cardia rhythm, monitor BP (hold for systolic below 90), monitor HR (below 60 hold), monitor I/O, report edema,
54
verapamil teaching
do not increase dose, check pulse, dont drive
55
verapamil contraindications
systolic less then 90, cardiogenic shock, second/third degree AV block
56
hydralazine class/use
class- direct acting vasodilators used for Moderate to severe hypotension, Hypertensive crisis
57
hydralazine SE
Headache, dizziness, weakness and fatigue, Reflex Tachycardia, Fluid retention, edema, Abrupt withdrawal can cause hypertensive crisis and heart failure
58
hydralazine interventions
monitor pulse, report tachycardia, report facial rash, joint pain, monitor for edema, crackles in the lungs, taper off, take with food
59
hydralazine teaching
start low, dont stop abruptly, avoid strenous activity,
60
statins class/use
class - Cholesterol Lowering Agents used for reduce LDL and triglycerides, increase HDL
61
statins SE
myopathy (muscle pain), hepatotoxic
62
statins interventions
report myopathy, monitor liver function
63
statins admin
tkae at night
64
statins contraindications
liver disease, elevated ALT/AST, children younger then 8
65
milirone class/use
class - Inotropic/Phosphodiesterase Inhibitors used for Short-term treatment of low cardiac output in heart failure
66
milirone SE
hypokalemia, cardiac dysrhythmias, hypotension, angina
67
milirone interventions
Monitor potassium levels, Monitor vital signs and ECG rhythm continuously, Monitor for chest pain during infusion
68
milirone admin
Give a loading dose over 10 minutes and then administer a dose based on client’s weight by continuous infusion
69
milirone contraindications
Aortic or pulmonary valve disorder, Acute MI
70
Furosemide class/use
class- loop diuretic used for Treats pulmonary edema in heart failure, edema caused by renal, hepatic or cardiac failure not affected by other diuretics, hypertension not controlled by other diuretics
71
furosemide SE
Electrolyte imbalance: hyponatremia, hypochloremia, severe fluid loss (dehydration), and hypokalemia, hypotension, ototoxicity, hyperglycemia, increased uric acid
72
furosemide admin
give oral with food, IV undiluted, protect all forms from light
73
furosemide teaching
Eat foods rich in potassium, Report signs of electrolyte imbalance, Avoid hazardous activities, Report new onset of hearing loss, ringing in ears, or vertigo, monitor DM for hyperglycemia,
74
furosemide contraindications
hepatic coma, electrolyte imbalance, anuria
75
Nitroglycerin class/use
class - direct vasodilators used for severe unstable angina attacks and to control blood pressure perioperatively and to treat heart failure after acute MI
76
nitroglycerin SE
headache, orthostatic hypotension, tachycardia, can build tolerance
77
Nitroglycerin interventions
monitor baseline HR and BP, monitor for drug tolerance, give in the smallest form needed,
78
Nitroglycerin admin
Nitroglycerin available as sublingual tablets, sustained-release capsules or tablets, a translingual spray or transmucosal tablets, transdermal ointment or patch, and IV form, sublingual max 3 every 5 min if not call 911,
79
Nitroglycerin contraindications
pregnancy, lactation, anemia, taminade, pericarditis, uncontrolled hypovolemia
80
Hydrochlorothiazide class/use
class- thiazide diuretic used for HTN, cirrhosis of liver and renal failure
81
Hydrochlorothiazide SE
electrolyte imbalance (low sodium/potassium), hyperglycemia, increased uric acid
82
Hydrochlorothiazide interventions
monitor electrolytes, monitor glucose (more frequently for DM), monitor uric acid
83
Hydrochlorothiazide admin
give with food to decrease GI effects, last dose latest by 3pm to minimize nocturia
84
Hydrochlorothiazide teaching
eat potassium, report signs of elctrolyte imbalances
85
Hydrochlorothiazide contraindications
anuria, electrolyte imbalances
86
Fibrates class/use
class- cholesterol lower agents used for lower triglycerides and increase HDL
87
Fibrates SE
GI symtoms (nausea, abdominal pain, diarrhea), gallstones, myopathy, liver toxicity
88
fibrates interventions
report GI symptoms, gall bladder disease, and myopathy, monitor CPK for muscle pain and monitor liver function
89
fibrates admin
2x per day 30 min before breakfest and dinner,
90
fibrates contraindications
gall bladder disease, liver dysfunction, severe renal impairment
91
atropine class/use
class - anticholinergic used to increase HR
92
atropine SE
anticholinergic effects (constipation, urinary retention, dry mouth)

pharm 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions