CVICU Meds

Question 1

xxx-lol

Answer 1

beta blocker (propranolol, atenolol, metroprolol)

* DO NOT give with ASTHMA, BRONCHIAL CONSTRICTIVE DISEASE!!!*

Antihypertensive. Blocks beta-adrenergic receptors in heart, decreases excitability of the heart, reduces cardiac workload and O2 consumption. Lowers BP.

Check BP before giving (hypotension)

• Orthostatic Hypotension
• Do not D/C abruptly (2wks)
• Blocks normal signs of Hypoglycemia (sweating, tachycardia). Monitor Blood glucose!!

Contraindicated in uncompensated HF & pulmonary edema

Question 2

xxxxx-tropine

Answer 2

anticholinergics, contraindicated for glaucoma because of increased ocular pressure

Question 3

Procainamide

Answer 3

txs supraventricular and ventricular arrhythmias
class 1a antiarrhythmic, ADE are hypotension and HF

Question 4

ketorolac

Answer 4

NSAID, don’t give for more than 5 days because of renal effects

Question 5

verapamil

Answer 5

antihypertensive calcium channel blocker

Question 6

isoproterenol

Answer 6

antidysrhythmic used for heart block

Question 7

xxx-pril

Answer 7

ACE inhibitors (benazepril, captopril, quinapril)
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful vasoconstrictor).
Decreased aldosterone secretions leading to sodium and fluid loss, hyperkalemia.
Take on empty stomach
Check BP before giving (hypotension)
First dose phenomenon of hypotension

*Orthostatic Hypotension, cough, avoid K supplements

Question 8

xxx-dipine

Answer 8

calcium channel blockers (amlodipine, nifedipine)

Slow the HR and decrease BP (check HR and BP before). Inhibits mvmt of Calcium ions across membrane or cardiac and arterial muscle cells. Results in slowed impulse conduction, depression of myocardial contractility, dilation of coronary arteries.

ADE: Constipation, AV block
No grapefruit juice

Question 9

calcium channel blockers

Answer 9

Very Nice Drugs
Verapamil
Nifedipine
Diltiazem
ADE: Bradycardia, heart block, constipation, edema, postural hypotension
*No grapefruit juice*

Question 10

xxx-azosin

Answer 10

alpha blockers (prazosin, doxazosin)
Anti-HTN, anti-BPH
be careful of caffeine
discontinue slowly
first dose at bedtime bc of orthostatic hypotension

Question 11

xxx-sartan

Answer 11

ARBs (candesartan, losartan, valsartan)
Block action of angiotensin II
Contraindicated in pregnancy
ADE: angioedema