Cardiac drugs Flashcards

(63 cards)

1
Q

Furosemide: Action

A

Loop diuretic

GABA-A blocker

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2
Q

Furosemide: Contraindications (2)

A

Severe hypokalaemia

Hyponatraemia

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3
Q

Furosemide: Side Effects (3)

A

Hyperglycaemia
Hypokalaemia
Ototoxic

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4
Q

Furosemide: Indications (3)

A

Oedema
Hypertension
Heart failure

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5
Q

Bendroflumethiazide: Action

A

Thiazide diuretic

Inhibit Na reabsorption in the distal convoluted tubule

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6
Q

Bendroflumethiazide: Indications (2)

A

Oedema

Hypertension

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7
Q

Bendroflumethiazide: Side Effects (6)

A
Hypokalaemia
Hyponatraemia
Hypomagnesaemia 
Hypercalcaemia
Hyperglycaemia
Gout
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8
Q

Spironolactone: Action

A

Potassium sparing diuretic

Inhibit mineralocorticoids => reduce Na and water reabsorption => limit potassium secretion

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9
Q

Spironolactone: Indications (3)

A

Oedema
Hypertension
Congestive heart failure

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10
Q

Spironolactone: Contraindications (2)

A

Addison’s

Hyperkalaemia

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11
Q

Spironolactone: Side Effects (2)

A

Hyperkalaemia

Gynaecomastia

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12
Q

Atenolol: Action

A

Beta blocker

Inhibit adrenaline => reduce heart rate, force of contraction, glycogen breakdown and bronchoconstriction

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13
Q

Atenolol: Indications (3)

A

Hypertension
Angina
Arrhythmias

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14
Q

Atenolol: Contraindications (3)

A

Asthma
Bradycardia
Metabolic acidosis

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15
Q

Atenolol: Side Effects (3)

A

Cold extremities
Headache
Sleep disturbances

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16
Q

Atenolol: Interaction

A

Do not use with verapamil/diltiazem

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17
Q

Diltiazem: Action

A

Calcium antagonist

Depress AV node conduction

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18
Q

Diltiazem: Contraindications (2)

A

LVF

2nd and 3rd degree heart block

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19
Q

Diltiazem: Side Effects (3)

A

Palpitation
Dizziness
Hot flush

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20
Q

Diltiazem: Interaction

A

Do not use with B blockers (heart failure and bradycardia)

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21
Q

Ramipril: Action

A

ACE inhibitor

Reduce angiotensin II => smooth muscle relaxation

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22
Q

Ramipril: Indications (4)

A

Hypertension
Heart failure
DM (prevent MI)
Nephropathy

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23
Q

Ramipril: Side Effects (3)

A

Dry cough
Angioedema
Hyperkalaemia

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24
Q

Ramipril: Interaction

A

Caution with potassium elevating drugs

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25
Losartan: Action
AT1 blocker | Reduce organ response to angiotensin II => reduce peripheral resistance
26
Losartan: Indications (3)
Hypertension Heart failure Diabetic nephropathy
27
Losartan: Contraindications (3)
Renal artery stenosis AKI Pregnancy
28
Losartan: Side Effects (3)
Hypotension (esp w 1st dose) Hyperkalaemia Renal failure
29
Isosorbide Mononitrate: Action
Stimulate guancyclate cyclase => reduce intracellular calcium => relax smooth muscle
30
Isosorbide Mononitrate: Contraindications (3)
Hypotension Hypovolaemia Aortic stenosis
31
Isosorbide Mononitrate: Side Effect
Postural hypotension
32
Digoxin: Action
Cardiac glycoside | Inhibit NaK ATPase => increase intracellular calcium => stronger contraction and reduced heart rate
33
Digoxin: Indications (2)
Heart failure | Atrial fibrillation/flutter
34
Digoxin: Contraindications (3)
Complete heart block Secondary AV block Ventricular tachycardia/fibrillation
35
Digoxin: Side Effects (3)
Rash Dizziness Blurred/yellow vision
36
Digoxin: Interaction
Increased toxicity with amiodarone, CCB, spironolactone and loop/thiazide diuretics
37
Amiodarone: Action
Class III anti-dysrhythmic | Prolongs repolarisation => increase refractory period and decrease conduction
38
Amiodarone: Indications (2)
Atrial fibrillation/flutter | Tachyarrhythmias
39
Amiodarone: Contraindications (2)
SA heart block | Thyroid dysfunction
40
Amiodarone: Side Effects (4)
Jaundice Pulmonary toxicity Grey skin Thyroid dysfunction
41
Amiodarone: Interaction
Increases concentration of anticoagulants, phenytoin and digoxin
42
Aspirin: Action
Anti-platelet | COX-1+2 inhibitor => block thromboxane production => prevent platelet aggregation
43
Aspirin: Side Effects (2)
GI irritation/ haemorrhage | Tinnitus
44
Clopidogrel: Action
Anti-platelet | ADP inhibitor on platelet => stop platelet activation and fibrin cross-linking
45
Clopidogrel: Side Effects (2)
Bleeding disorder | Thrombocytopenia
46
Clopidogrel: Interaction
Metabolised by P450 enzymes
47
Streptokinase: Action
Fibrinolytic | Produce plasmin to promote fibrin breakdown
48
Streptokinase: Contraindications (2)
Increased bleeding risk | Previous streptokinase treatment
49
Streptokinase: Side Effects (4)
Bruising Bleeding Cardiac arrest Arrhythmia
50
Streptokinase: Interaction
ACEi increase risk of anaphylaxis
51
Enoxaparin: Action
Low molecular weight heparin | Bind to antithrombin II to inactivate factor Xa and thrombin
52
Enoxaparin: Contraindications (3)
Haemophilia Thrombocytopenia Severe hypertension
53
Enoxaparin: Side Effects (2)
Haemorrhage | Thrombocytopenia
54
Rivaroxoban: Action
Factor Xa inhibitor => inhibit thrombin formation
55
Rivaroxoban: Side Effects (6)
``` Hypotension Renal impairment Dry mouth Pruritus Jaundice Angioedema ```
56
Rivaroxoban: Interaction
Partially metabolised by P450
57
Simvastatin: Action
Inhibit HMG CoA reductase => reduce endogenous cholesterol production
58
Simvastatin: Contraindication
Pregnancy
59
Simvastatin: Side Effects (4)
Myalgia Myositis Myopathy Jaundice
60
Simvastatin: Interaction
Metabolism reduced by P450 inhibitors (amiodarone)
61
Warfarin: Action
Vitamin K inhibitor => reduce factors II, VII, IX and X
62
Warfarin: Side Effects (5)
``` Haemorrhage Hepatic dysfunction Pancreatitis Purpura Rash ```
63
Warfarin: Interaction
Avoid clopidogrel | Metabolised by the P450 system