Chapters 25, 26, and 18: Lots of Drugs Flashcards
Class 1B Drug Treatment for Dysrhytmias
Class 1B: Lidocaine: treatment of symptomatic PVC’s and VT; prevention of V Fib. (quiets down the heart)
What should patients avoid when taking Antidysrhythmic Drugs?
Avoid OTC cold and asthma meds, appetite suppressants, and antisleep preparations which are stimulants that can cause irregular heart beats
Do not drink grapefruit juice
What drug do you take for Angina?
Nitroglycerin:
Three side effects of Nitroglycerin?
Severe headache, dizziness, orthostatic hypotension
When do you not use nitroglycerin?
Withhold if patient has hypotension (systolic lower than 90)
What arterial disease is a functional disorder caused by vasospasm of ateries and arterioles in fingers
Raynaud Phenomenon
Difference between primary and secondary Raynaud Phenomenon
Primary- seen on healthy young women due to cold or strong emotions
Secondary- associated with previous vessel injury like frostbite or trauma
What Secondary causes of hypercholesterolemia/hyperlipoproteinemia:
high calorie intake, sedentary lifestyle, obesity, and DM.
What is CRP?
synthesized in the liver as a marker for systemic inflammation
(C-Reactive Protein)
What is the First symptom of collagen disease?
Raynaud Phenomenon
What is Recurring progressive, non atherosclerotic inflammation and thrombosis of small and medium sized arteries and veins, usually plantar and digital vessels
Thromboangiitis Obliterans:
What is a predominant symptom related to distal arterial ischemia?
Pain - intermittent claudication
Onset, peak, and duration for nitroglycerin?
Sublingual onset 1-3 minutes, peak 4 – 8 min, duration 30-60 min
When do you not use nitroglyerin?
(head injury and low BP)
May increase ICP so do not use if there is head injury
Withhold if patient has hypotension (systolic lower than 90)
How does nitroglycerin work?
Converted to nitric oxide, a potent vasodilator which relaxed smooth muscle in blood vessel walls.
