Cardio System(Pharm) Flashcards Preview

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Flashcards in Cardio System(Pharm) Deck (77)
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1

Nitroprusside(Nipride)

-Nitroprusside(Nipride)

2

Dopamine(Intropin)

-Dopamine(Intropin)

3

Epinephrine(Andrenalin)

-Epinephrine(Andrenalin)

4

Warfarin Na(Coumadin)

-Warfarin Na(Coumadin)

5

Amlodpine(Norvasc)

-Amlodpine(Norvasc)

6

Lisinopril(Prinivil)

-Lisinopril(Prinivil)

7

Captopril(Capoten)

-Captopril(Capoten)

8

Amiodarone Cl(Cordarone)

-Amiodarone Cl(Cordarone)

9

Ticlopidine(Ticlid)

-Ticlopidine(Ticlid)

10

Clopidogrel(Plavix)

-Clopidogrel(Plavix)

11

Simvastatin(Zocor)

-Simvastatin(Zocor)

12

Digoxin(Lanoxin)

-Digoxin(Lanoxin)
-cardiac glycoside
-cardiotonic
-po,im,iv
-loading dose(0.5-1.25 every 6-8hrs initially
-maintenance dose(0.125-0.25mg daily)
-0.8-2.0ng theraputic dig level

13

Procainamide(Pronestyl)

-Procainamide(Pronestyl)

14

Lidocaine(Xylocaine)

-Lidocaine(Xylocaine)

15

Isosorbide(Isordil)

-Isosorbide(Isordil)
-NItrate drug
-coronary vasodilator
-po,chewable,sublingual
-sublingual-under tongue, dont drink,smoke,eat after
-taking on empty stomach

16

Propanolol(Inderal)

-Propanolol(Inderal)

17

Dilitiazem(Cardizem)

-Dilitiazem(Cardizem)

18

Nifedipine(Procardia)

-Nifedipine(Procardia)

19

Verapamil(Isoptin)

-Verapamil(Isoptin)

20

Methyldopa(Aldomet)

-Methyldopa(Aldomet)

21

Enoxaprin(Lovenox)

-Enoxaprin(Lovenox)

22

Cardiac Glycosides(Cardtiotonics) ACTION:
DIGOXIN

action:
-act directly on the myocardium to slow down conduction and increase the force of myocardial contraction
-increase cardiac output through positive inotropic activity
-decrease conduction velocity through the SA/AV nodes
-result increase efficency and improved contraction of the heart muscle

23

Cardiac Glycosides(Cardtiotonics)
DIGOXIN
INDICATION:

indication:
-heart failure
-atrial fibrilation
-supraventricular tachycardia

24

Cardiac Glycosides(Cardtiotonics)
DIGOXIN(LANOXIN)
Route/Dose:

-po,im,iv
-digitalization: a series of doses given until the drug begins to exert full therapeutic effect
Dose:
-loading dose: 0.5-1.25mg every 6 to 8hrs initally
-maintainance dose: 0.125-0.25mg daily
-Theraputic dig level: 0.8-2.0ng
-over 2.0 is toxic

25

Cardiac Glycosides(Cardtiotonics)
DIGOXIN
Side effect:

Gi: early signs=N&V, anorexia,diarrhea

Neuro: headache,facial pain,apaty,drowsiness,disorientation,confusion,mental depression,delirium, convulsion

Visual: blurred,galo,diplopia,colored vision,yellow vision

Cardiac: bradycardia,tachycardia,extra systole,extra beats,atrial fibrilation and flutter

early signs of toxicity=nausea,vomitting, anorexia,diarrhea

later signs of toxicity=changes in mental status

26

Early signs of toxicity(Digoxin)

nausea,vomitting,anorexia,diarrhea

27

Later signs of toxicity(Digoxin)

changes in mental status

28

Factors that predispose patient to digoxin toxicity

-increase potassium
-decrease potassium
-decrease magnesium
-renal impairment
-recent mi and iv administration
-hypothyrodism-slows metabolism

29

Treatment of digoxin toxicity

1-withdraw drug(hold med)
2-treat the dysrrythmia with dilantin
3-atropine for bradycardia

antidote for digoxine is digibind not first line choice b/c drug is life threatening

30

Digoxin(Lanoxin) Nursing implication

-digoxin onset action 30min peak 2hrs, duration 2-6day
-i/o-weight-examine extremities for edema
-2lbs per day or 5lbs per week must be recorded
- B/P-respiration-sputum ausculate lungs
-assess for jugular vein distention=fluid retention
-assess apical heart rate one full minute
-take same time each day
-oral preparation w/o regards to meals
-avoid antacid
-decrease k levels, increase k levels
-poorly absorbed IM
-periodic EKG-electrolytes/kidney function