Cardiovascular Drugs Flashcards

(44 cards)

1
Q

Digoxin (Lanoxin)

A

-Increases heart contractility
-Slows HR (prolongs AV conduction time)
-Treats CHF, AFib, SVT

Side-effects:
-Anorexia
-Vomiting
-Diarrhea
-Arrhythmias

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2
Q

Epinephrine

A

-Adrenergic agent
-Stimulates all Adrenergic receptors
-Incr HR and cardiac output (esp post-CPA)
-Not for long-term use (once workload of heart and causes arrhythmias)
-Constricts blood vessels in skin
-Dilates bronchioles
-Incr metabolic rate

Side-effects:
-Tachycardia
-Hypertension
-Nervousness
-Cardiac arrhythmias
-Pulmonary edema

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3
Q

Isoproterenol (Isuprel)

A

-Adrenergic agent
-Pure beta stimulator
-Bronchodilator
-Treats atropine-resistant bradycardia

Side-effects:
-Tachycardia
-Hypertension
-Nervousness
-Cardiac arrhythmias
-Pulmonary edema

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4
Q

Dopamine

A

-Adrenergic agent
-Precursor of Epi and Norepi
-Treats shock and CHF
-Incr heart contractility & HR
-Incr renal perfusion, BP, & cardiac output

Side-effects:
-Tachycardia
-Hypertension
-Nervousness
-Cardiac arrhythmias
-Pulmonary edema
-Vomiting

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5
Q

Dobutamine (Dobutrex)

A

-Adrenergic agent
-Beta-1 agonist
-Incr cardiac contractility without dilating vascular beds
-Does not once HR or arrhythmias
-Short-term tx of heart failure & DCM

Side-effects:
-Tachycardia
-Hypertension
-Nervousness
-Cardiac arrhythmias
-Pulmonary edema

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6
Q

Amrinone/Milrinone

A

-Positive inotropic agents

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7
Q

Pimobendan (Vetmedin)

A

-Positive inotropic agent
-Incr calcium sensitivity of cardiac myofilaments
-Produces balanced vasodilation
-Reduces cardiac preload & afterload
-Treat CHF, atrioventricular insufficiency, DCM

Side-effects:
-Anorexia
-Lethargy
-Diarrhea
-AFib

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8
Q

Quinidine

A

-Class 1A antiarrhythmic
-Treats AFib & ventricular arrhythmias

Side-effects:
-Anorexia
-Vomiting
-Diarrhea
-Weakness
-Laminitis (horses)

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9
Q

Procainamide (Pronestyl)

A

-Class 1A antiarrhythmic
-Treats VPCs, VTach, atrial tachycardia

Side-effects:
-Anorexia
-Vomiting
-Diarrhea
-Hypotension
-Tachycardia

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10
Q

Lidocaine

A

-Class 1B antiarrhythmic
-Controls VPCs and VTach
-Local anesthetic

Side-effects:
-Drowsiness
-Ataxia
-Tremors

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11
Q

Tocainide/Mexiletine

A

-Class 1B antiarrhythmic
-Long-term management of VPCs

Side-effects:
-Vomiting
-Ataxia

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12
Q

Propranolol

A

-Class II antiarrhythmic
-Beta blocker
-Treats HCM, feline systemic hypertension, feline hyperthyroidism

Side-effects:
-Bradycardia
-Hypotension
-Worsening heart failure
-Lethargy
-Bronchospasm

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13
Q

Atenolol (Tenormin)

A

-Class II antiarrhythmic
-Beta blocker
-Treats SVTs, VPCs, hypertension, cardiomyopathy

Side-effects:
-Bradycardia
-Lethargy
-Hypotension
-Syncope
-Heart failure

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14
Q

Carvedilol (Dilatrend)

A

-Class II antiarrhythmic
-Beta blocker
-Improve cardiac efficiency

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15
Q

Esmolol (Brevibloc)

A

-Class II antiarrhythmic
-Beta blocker
-Improve cardiac efficiency
-For short-term use

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16
Q

Metoprolol (Lopressor)

A

-Class II antiarrhythmic
-Beta blocker
-Improve cardiac efficiency
-Similar to propranolol

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17
Q

Bretylium (Bretylol)

A

-Class III antiarrhythmic
-May treat VFib if defibrillator not avail

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18
Q

Amiodarone (Cordarone)

A

-Class III antiarrhythmic

19
Q

Sotalol (Betapace)

A

-Class III antiarrhythmic
-Similar to propranolol
-Long-term treatment of ventricular arrhythmias

20
Q

Verapamil hydrochloride

A

-Class IV antiarrhythmic
-Treats SVTs, atrial flutter, AFib

Side-effects:
-Hypotension
-Bradycardia
-Tachycardia
-Pulmonary edema
-Worsening CHF

21
Q

Diltiazem (Cardizem)

A

-Class IV antiarrhythmic
-Treats SVTs and hypertension, HCM

22
Q

Nifedipine (Adalat)

A

-Class IV antiarrhythmic
-Treat hypertension

23
Q

Amlodipine (Norvasc)

A

-Class IV antiarrhythmic
-Decr afterload

Side-effects:
-Hypotension
-Bradycardia

24
Q

Hydralazine (Apresoline)

A

-Arterial vasodilator
-Reduces afterload associated with CHF

Side-effects:
-Hypotension
-Vomiting
-Diarrhea
-Na & H2O retention
-Tachycardia

25
Nitroglycerin ointment (Nitro-Bid)
-Venous vasodilator -Reduces preload from blood pooling in peripheral vessels and decr venous return to the heart -Improves cardiac output -Decr pulmonary edema Side-effects: -Hypotension -Rash at application site
26
Prazosin (Minipress)
-Alpha-1 Adrenergic blocker -Combined vasodilator -Decr BP and periph vasoconstriction -Does not activate renin-angiotensin system -Adjunctive treatment in CHF, DCM, hypertension, pulmonary hypertension Side-effects: -Hypotension -Syncope -Vomiting -Diarrhea
27
Nitroprusside
-Mixed vasodilator -Short-term use in acute hypertension and acute pulmonary edema
28
Enalapril (Enacard, Vasotec)
-ACE inhibitor -Mixed vasodilator -Can treat hypertension in CHF or HCM in cats Side-effects: -Hypotension -Azotemia -Vomiting -Diarrhea -Hyperkalemia
29
Benazepril (Lotensin)
-ACE inhibitor -Mixed vasodilator -Can treat hypertension in CHF or HCM in cats Side-effects: -Hypotension -Azotemia -Vomiting -Diarrhea -Hyperkalemia
30
Captopril (Capoten)
-ACE inhibitor -Mixed vasodilator Side-effects: -Hypotension -Azotemia -Vomiting -Diarrhea -Hyperkalemia
31
Lisinopril (Prinivil, Zestril)
-ACE inhibitor -Mixed vasodilator Side-effects: -Hypotension -Azotemia -Vomiting -Diarrhea -Hyperkalemia
32
Ramipril (Vasotop, Altace)
-ACE inhibitor -Mixed vasodilator Side-effects: -Hypotension -Azotemia -Vomiting -Diarrhea -Hyperkalemia
33
Isosorbide (Isordil)
-Vasodilator
34
Isoxsuprine (Vasodilan)
-Vasodilator
35
Sildenafil (Viagra)
-Vasodilator -Can treat pulmonary hypertension
36
Tadalafil (Cialis)
-Vasodilator -Can treat pulmonary hypertension
37
Aspirin
-Decr pain, inflammation, fever, platelet aggregation -Decr tendency for clot formation in heart work tx and congestive cardiomyopathy in cats
38
Class 1A Antiarrhythmics
-Depress myocardial excitability, prolong refractory period, decr automaticity, incr conduction times -Quinidine -Procainamide
39
Class 1B Antiarrhythmics
-Sodium channel blockers (Stabilize myocardial cell membranes by blocking influx of Na into cell and preventing depolarization) -Lidocaine -Tocainamide -Mexiletine
40
Class II Antiarrhythmics
-Beta blockers (Parasympathomimetic in the heart) -Decr HR, slows cardiac conduction, decr myocardial O2 demand, decr BP and cardiac output -Propranolol -Atenolol -Esmolol -Metoprolol -Carvedilol
41
Positive Inotropes
-Incr calcium ions avail in mycocardial cells by inhibiting Na-K-ATP -Incr myocardial sensitivity to calcium -Incr cardiac contractility -Digoxin -Pimobendan -Amrinone -Milrinone
42
Class III Antiarrhythmics
-Potassium channel blockers -May treat VFib -Bretylium -Amiodarone -Sotalol (also a beta blocker)
43
Class IV Antiarrhythmics
-Calcium channel blockers (Depress contractile mechanism in myocardial/smooth muscle cells and depresse impulse transmission; Decr calcium availability relaxes smooth muscle, which causes vasodilation) -Decr BP through vasodilation -Incr cardiac output through decr afterload -Verapamil -Diltiazem -Nifepidine -Amlodipine
44
ACE Inhibitors
-Angiotensin converting enzyme inhibitors (Prevent production of angiotensin II and release of aldosterone, which prevents vasoconstriction and Na/H2O retention) -Lowers BP -Decr preload & afterload -Enalapril -Benazepril -Lisinopril -Captopril -Ramipril