CV, Diuretics, & HTN Medications Flashcards

(41 cards)

1
Q

Angiotensin is a very potent vaso___.

A

Vasoconstrictor

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2
Q

Does the parasympathetic system ⬆ or ⬇ our BP?

A

Decrease, vagal down, bradycardia

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3
Q

Which system is “fight or flight”?

A

Sympathetic system

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4
Q

Which electrolyte controls muscle contraction, nerve impulse, and stimulates production of ADH with high levels of Na.

A

Na

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5
Q

Which electrolyte controls cardiac contraction?

A

K

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6
Q

Which electrolyte controls muscle contraction and nerve function?

A

Ca

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7
Q

Which electrolyte controls muscle contractility?

A

Mg

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8
Q

What substance allows for electrical and mechanical function of the heart?

A

Electrolytes

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9
Q

What is inhibited by Digoxin?

A

Na-K pump

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10
Q

Amount of volume in left ventricle before contracting.

A

Preload

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11
Q

Positive inotropic?

A

Contractility

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12
Q

Negative chronotropic

A

Heart rate

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13
Q

Negative dromotropic

A

Conduction of heart

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14
Q

What does digoxin do?

A

Increases the force and contractility of the heart, increases CO, and decreases preload.

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15
Q

T/F

The first dose of digoxin is smaller than the maintenance dose.

A

False, first dose is larger than the second dose.

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16
Q

Dose of digoxin for the first 24 hrs.

A

0.75mg- 1.25mg in divided doses

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17
Q

Maintenance dose for digoxin

A

0.125mg - 0.25mg daily

18
Q

Peak and Duration for digoxin

A

Peak in 2hrs, duration of 6 days

19
Q

HF that causes blood to back up into the periphery tissues is called?

A

Right-sided HF

20
Q

HF that causes blood to back up into the lungs is called?

A

Left-sided HF

21
Q

Can you reverse damage done when it comes to HF?

22
Q

What stage of HF is high risk of HF w/o symptoms or structural disease

23
Q

What stage of HF is severe structural heart disease and marked symptoms of HF at rest.

24
Q

List some nonpharmacologic tx for HF.

A
  • limit salt intake
  • limit or avoid alcohol
  • stop smoking (nicotine-vasoconstrictor)
  • decrease saturated fats
  • mild exercise
25
What is brain natriuretic peptide (BNP)?
Proteins that are released because of over-stretching of the ventricles (Atria-ANP)
26
What is the positive value of BNP for signs of HF?
>100 (normal - 100)
27
Therapeutic range for digoxin
0.5-2.0 ng/mL
28
What disorder can worsen digitalis toxicity?
Hypokalemia
29
What do you do if a pts K is low but Digoxin levels are normal?
Pt needs to hold the digoxin and take K supplements until normal, then resume digoxin.
30
What should you admin if a digoxin level is severely high?
Digibind
31
How much Digibind is required to elleviate 0.5mg of digoxin?
38mg of Digibind
32
Over how much time should Digibind be admin?
30mins
33
What are some teaching points for pts on digoxin?
* check HR, if <60 notify HCP * intake of foods rich in K * report side effects
34
What causes angina?
Imbalance of myocardial O2
35
Atherosclerosis
Plaque build up narrowing and occluding arteries
36
Arteriosclerosis
Hardening of the arteries
37
Angina that is triggered by predictable activity, and is relieved by resting is what kind of angina?
Stable angina
38
What kind of angina is unpredictable, more frequent, and is not relieved by rest?
Unstable angina
39
What type of angina is caused by vasospasms and can occur at rest?
Prinzmetal angina
40
Be aware of asthma and respiratory problems with what anti-anginal?
Beta-blockers
41
Ca channel blockers end with what?
-pine