chapter 8 Flashcards

1
Q

Atrial fibrillation:

A

cardiac arrythmia characterized by rapid contractions of the atrium which may affect the ventricles

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2
Q

Cardiac output:

A

the amount of blood pumped by the cardiac muscle in a minute

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3
Q

Digitalization:

A

a series of digitalis doses given until the drug gives the full therapeutic effect

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4
Q

Ejection fraction:

A

the amount of blood that the ventricle ejects per beat in relation to the amount of blood available to eject

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5
Q

Heart failure:

A

is ventricular dysfunction can be left or right sided heart failure or both sides

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6
Q

Ischemic:

A

is decreased blood flow to the heart thus not delivering oxygen needed

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7
Q

Left ventricular dysfunction:

A

left ventricular systolic dysfunction is the most common type of heart failure

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8
Q

Positive inotropic action:

A

the increased force of contraction of the myocardium throughout the use of cardiotonic drugs

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9
Q

Cardiotonic are drugs used to improve

A

the efficiency and contraction of the heart muscle, leading to improved blood flow to the tissues

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10
Q

Sympathetic nervous system

A

increases secretion of catecholamines

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11
Q

Left-ventricular dysfunction (left-ventricular systolic dysfunction)

A

Is the most common dysfunction

It results in decease of cardiac output and decrease Ejection Fraction

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12
Q

Uses of Cardiotonic Dugs

A

Atrial fibrillation

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13
Q

Thyroid hormones may

A

decrease the effectiveness of digitalis

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14
Q

Miscellaneous Inotropic Drugs

A

They are used for short-termtreatment for heart failure

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15
Q

Patient Management Issues With Cardiotonic And Miscellaneous Inotropic Drugs:

A

These drugs have a high toxicity level therefore the patient should me monitored carefully specially with the initial treatment

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16
Q

Digitalization can be:

A

Rapid digitalization

Gradual digitalization

17
Q

Steps of digitalization:first dose

A

is halve of the whole dose the rest of the dose is administrated as fractions over 6-8 hours interval

18
Q

Steps of digitalization:Maintenance dose:

A

Once the full therapeutic dose is achieved the patient will be given a maintenance dose at home for life