Cardiac Pharm Powerpoint

Question 1

What does inotropic mean?

Answer 1

The strength of the contraction

Question 2

What does chronotropic mean?

Answer 2

Time between each contraction

Question 3

Primary or essential hypertension

Answer 3

No known cause
Examples include :
Smoking, obesity, having a poor sedentary lifestyle, etc…

Question 4

Secondary hypertension

Answer 4

Known cause, usually have an injury to another organ that causes hypertension. Examples include:
Kidney or liver failure

Question 5

List the blood pressure stages in your head

Answer 5

Normal is 120/80
Elevated is over 120
Stage one hypertension is 140/190 stage Stage two hypertension is over 160/100

Question 6

DASH diet

Answer 6

Dietary approaches to stop hypertension, so eat lean meats and avoid sodium and sugar

Question 7

Potassium sparing diuretic used in combination with thiazide diuretics

Answer 7

SPIRONOLACTONE
TRIAMTERENE

Question 8

Adrenergic agent drug that reduces sympathetic nervous system activation, and therefore decreases renin
production

Answer 8

CLONIDINE

Question 9

What is a nursing consideration with patients taking an ace inhibitor?

Answer 9

Monitor for persistent cough, which may indicate angioedema. monitor vitals and weight and ask patient to contact you immediately if there’s any swelling in the face or lips

Question 10

Arb’s

Answer 10

Losartan and valsartan

Question 11

What is a nursing consideration with ARB’s?

Answer 11

Monitor kidney function and assess potassium levels

Question 12

Beta blockers, how do they work?

Answer 12

By affecting beta, one receptors in the heart decreasing heart rate

Question 13

What are some considerations with a patient taking beta blockers?

Answer 13

Monitor respiratory status as it’s contraindicated with asthma or COPD patients as it may worsen symptoms. Monitor dizziness, fatigue, and weight levels.

Question 14

CCB drugs

Answer 14

VERAPAMIL
AMLODIPINE
DILTIAZEM

Question 15

What are some contraindications while taking a CCB?

Answer 15

Liver disease, heart failure, digoxin therapy

Question 16

What does dromotropic mean?

Answer 16

Rate of conduction of the impulse example being how fast is the SA node talking to the AV node

Question 17

Anticholinergic drug used to maintain heart rate and is an antidote for Brady cardio event

Answer 17

ATROPINE

Question 18

List two cardiac glycosides

Answer 18

LANOXIN, and DIGOXIN

Question 19

What is the antidote to a cardiac glycoside such as digoxin?

Answer 19

DIGABIND

Question 20

What drug is effective ventricular arrhythmias, and works on the perKenje system

Answer 20

Lidocaine

Question 21

What drug inhibits repolarization and limits refractoriness and is known as a class three drug

Answer 21

Amiodarone

Question 22

What are side effects and patient teaching with amiodarone?

Answer 22

Causes photosensitivity, increased weight gain, hypotension, report, lethargy, cold intolerance

Question 23

What are some nitrate drugs?

Answer 23

Nitroglycerin
Isosorbide denitrate

Question 24

CCB patient teaching

Answer 24

-Don’t use with class 4 drugs, such as digoxin
-Watch for lethargy, hypotension, edema, and swelling, shortness of breath

Question 25

Beta blocker nursing concerns

Answer 25

-Do not discontinue drug suddenly you usually have to taper off contraindicated and patients with chronic heart failure, and lung conditions -Used for a longer-term treatment of angina

Question 26

General patient teaching for cardiac medication’s

Answer 26

– Follow up visits to monitor blood pressure, heart rate – Check heart rate and BP at home – Should have periodic eye exams – Clonidine with CNS depresents, can cause severe drowsiness – Don’t miss doses

Question 27

Normal cholesterol count

Answer 27

<200

Question 28

Normal LDL count

Answer 28

100

Question 29

Optimal HDL count

Answer 29

60

Question 30

What are nursing considerations when administering statins?

Answer 30

Rnhabdomyolisis risk, leg cramps, older adults may have confusion, liver disease

Question 31

What drug is known as a bile acid sequestrant preventing reabsorption of bile

Answer 31

CHOLESTYRAMINE (QUESTRAN)

Question 32

What are some nursing considerations for QUESTRAN?

Answer 32

May cause G.I. upsets, constipation, elevates, triglycerides, decreased absorption of other drugs, such as Coumadin

Question 33

What drugs are known as fabric acid derivatives that break down cholesterol

Answer 33

Have FIB in the middle of their name FENOFIBRATE GENFIBROZIL

Question 34

What are nursing considerations with fabric acid derivatives?

Answer 34

Can cause gallstones, myopathy, high risk for RHABDOMYOLYSIS if taken with statin, contraindicated in liver or renal diseases

Question 35

What is the bee vitamin that decreases triglycerides?

Answer 35

NAICIN

Question 36

What are some considerations for NIACIN?

Answer 36

- Flushing and pruritus are significant side effects – Hyperglycemia and hyperuricemia also SE

Question 37

What drug is a selective cholesterol absorption inhibitor

Answer 37

ZETIA