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Flashcards in Cardiac Meds Deck (37)
1

ARBS

Drugs that end in SARTAN

2

Losartan (cozaar)

ARBs

3

Valsartan( Diovan)

ARBs

4

Irbesartan (Avapro)

ARBs

5

What is the action of ARBs

They block the action of angiotensin 2 at the receptor sites

6

Angiotensin 2 is a

Is a super powerful Vasoconstrictor that will increase BP


It also causes the secretion of
ALDOSTERONE which is a hormone in the adrenal glands that also elevates the BP

7

What are the effects of ARBs

1. They lower BP and workload of the heart. Vessels (arteries and veins) dilate!

2. Helps kidney excrete sodium and water

8

ARBs 4 contraindications

Patients with


1.) grapefruit

2.)hyperkalemia

3.)renal failure.

4.)Pregnancy/breastfeeding

9

Ace Inhibitors

Drugs that end in pril

10

Lisinopril ( zestril)

Ace inhibitor

11

Catopril (capoten)

Ace inhibitor

12

Enalapril (vasotec)

Ace inhibitor

13

What is the action of ace inhibitors

They block the enzyme that convert angiotensin 1 into angiotensin 2

14

What are the effect of ace inhibitors

1.They lower BP and workload of the heart. Vessels (arteries and veins) dilate!

2.Helps kidney excrete sodium and water

15

Ace inhibitors contraindicated

A side effect is-


Avoid?

Patients with hyperkalemia or

Pregnancy/breastfeeding

Avoid potassium supplements


A side effect is -angioedma
(Notice the dry cough)

16

Beta blockers

Drugs that end In ololol

17

Beta blockers/ calcium channel blocker's treat the same 3 things

But beta blockers get also treat _____?

1.) HTN

2.) Angina

3.)Arrhythmias

But beta blockers get also treat glaucoma

18

What is the action , effect and contraindications of beta blockers

Contraindications?

Hold if the HR is less than __?

Beta blockers

Action- block epinephrine and norepinephrine from binding to beta receptors on nerves

Effects- decrease BP and pulse and decrease contractility

Contraindications-asthmatics and Diabetic patients and OTC cold meds

Hold if the Heart rate is less than 60

19

Metoprolol

Beta blockers

Action- block epinephrine and norepinephrine from binding to beta receptors on nerves

Effects- decrease BP and pulse and increase contractility

Contraindications-asthmatics and diabetics

20

What is the action , effect and contraindications of Calcium channel blockers

Hold if HR is_____?

Drugs that end in pine


Action-block ion calcium from crossing into the heart muscle cells


Effects- decrease BP and ; pulse and increase contractility


Contra-indications-MI history , grapefruit

Hold if HR is less than 60

21

Nifedipine

Calcium channel blocker

22

Amlodipine

Calcium channel blocker

23

Cardiazem/Diltiazem

Anti- Arrhythmic ( also a CCB)

Action - use for Afib-slows the heart rate

24

Amiodarone

Anti-arrhythmic

Action- used for A-fib, V- Fib and V TACH -slows the heart rate

25

Lidocaine

Anti-arrhythmic

Action-a fib/v-tach-slows the heart rate

26

Digoxin

Anti-arrhythmic


Action- used for afib- slow the heart rate

27

Digoxin action- _____?

Effects - ____ ?

Contraindications- always take an apical pulse 1st, hold if HR is less than ____ In adult and less than ___ in infants

Therapeutic level ___. If greater than ___,patient is toxic

action- nobody really knows exactly how digoxin works. However there are many theories!

Effects - slow down the heart rate, lowers BP and tissue perfusion

Contraindications- always take an apical pulse 1st, hold if HR is less than 60 In adult and less than 90 in infants

Therapeutic level 1-2. If greater than 2,patient is toxic

28

Signs of digoxin toxicity:
And ;
If patient is toxic , give_____?

What is a warning sign of digoxin toxicity in infants and children?

Patients must monitor ____levels?why?

Client will see yellow spots, nausea, vomiting and abdominal pain.


If patient is toxic , give activated charcoal or digiband

What is a warning sign of digoxin toxicity in infants and children? Bradycardia

Patient’s must monitor potassium levels. Low potassium levels can increase the risk of a digoxin toxicity

29

Atropine

Anti- Arrhythmic

Action-used for bradycardia-Speed the heart( can also be used for asystole AFTER epinephrine)


Can Also be used as an eye drop. It dilates the pupil( mydriatict)

30

Epinephrine

Anti-arrhythmic

Action- used for asystole (absent heart )-speeds the heat rate

31

Nitrate Action- vasodilator _____ preload and after load of the heart


Effects- _____ BP and _____ oxygenation of tissues

Contra-indication-

-if given nitro SL, a nurse can give only up to ______?Give one tablet every_____ minutes.

Do not do what while taking it?

-if giving nitroglycerin via a patch , never place over a _____ and remove before patient Goes into __

-If the MD orders nitro IV, place on an ____

Action- vasodilator stop reduce preload and after load of the heart


Effects- lowers BP and increase oxygenation of tissues

Contra-indication- do not take with sildenafil citrate. A client can take one or the other but not both because it will cause severe hypotension!

-if given nitro SL, a nurse can give only up to 3 tablets over 15 minutes. Give one tablet every 5 minutes. Call emergency medical service if the first tablet is ineffective and you require a second tablet.

Do not eat or drink while taking it

-if giving nitroglycerin via a patch , never place over a pacemaker and remove before patient Goes into MRI

-If the MD orders nitro IV, place on an infusion pump always.

32

Nitroglycerin

Nitrate

33

Imdur

Nitrate

34

Isordil

Nitrate

35

Hold nitrates if

If the systolic blood pressure is less than 100, or heart rate is less than 60


* Yes, client will complain of a headache after give the nitroglycerin because all the vessels dilate, even the ones in the head. If u get the nitroglycerin paste on your hands you will get a headache too so wear gloves

36

Any time you give a cardiac medication, watch for _____, ____. Before you give them, check ______ and _____???



Tell heart patients to stay away from __ and ____?

Any time you give a cardiac medication, watch for HEADACHE, HYPOTENSION. Before you give them, check BP and HEART RATE


Tell heart patients to stay away from caffeine ( pepsi, coca-cola,,tea, coffee) and nicotine

37

What are the 11 side effects of beta blockers?

Big boys hates weak fat nasty virgins

Don’t hate any black person not down

Side and adverse effects
1. Bradycardia
2. Bronchospasm
3. Hypotension
4. Weakness, fatigue
5. Nausea, vomiting
6. Dizziness
7. Hyperglycemia
8. Agranulocytosis
9. Behavioral or psychotic response
10. Nightmares
11.Depression

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