Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Med Surg > Exam 2 Meds > Flashcards

Exam 2 Meds Flashcards

(63 cards)

Start Studying
1
Q

What med would you hold before a stress test? Why?

A
  • Beta blocker

- Because it would inhibit raising the HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What med would you administer to a patient with sinus bradycardia?

A

Atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Medicines that cause sinus tachycardia

A
  • Beta agonists
  • Adrenergics
  • Anticholinergics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What medicines would you administer for a patient with sinus tachycardia? (2)

A
  • Beta blockers

- Calcium channel blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What medicines would you administer to a patient with atrial flutter (3)?

A
  • Beta blockers
  • Digoxin
  • Calcium channel blockers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What medicines would you administer to a patient of rapid ventricular response (Afib over 100) (3)

A
  • Beta blockers
  • Digoxin
  • Calcium channel blockers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What medication would you administer to a patient with ventricular standstill

A

Atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What medication would you administer for treating weinkebach

A

Atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Versed: Indication

A

Pre-op sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nitroglycerine: Indcation

A

Angina pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Methods of nitroglycerine administration (4)

A
  • Sublingual
  • Topical
  • IV Tridil
  • PO
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Two characteristics of sublingual nitroglycerine

A
  • Works within three minutes

- Burning sensation under tongue is normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Three characteristics of IV Tridil (Nitroglycerine)

A
  • BP must be within parameters
  • Watch for headache, drop in BP
  • Works very quickly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Four characteristics of PO Nitroglycerine (Isosorbide)

A
  • Long acting
  • Helps patient carry on with ADLs
  • Brown bottle: Deactivated by light
  • Should be taken if pain lasts more than ten minutes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Two characteristics of Topical Nitroglycerine

A
  • Taken off at night so body doesn’t acclimate

- Keep out of reach of children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mechanism of nitroglycerine (3)

A
  • Nitro dilates vessels (decreased preload)
  • Dilates myocardial arteries (increases blood supply to heart.)
  • Dilates other arteries (decreases BP and afterload)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Other meds (besides nitroglycerine) used for angina: 6

A
  • Beta blockers
  • Calcium channel blockers
  • Ace inhibitors
  • ARBs
  • Anticoagulants
  • Cholesterol lowering drugs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mechanism of beta blockers

A

Reduce the myocardial oxygen demand by lowering the heart rate, BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What do beta blockers block?

A

The SNS. (Negative Inotropic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When should beta blockers NOT be used? (3)

A
  • During acute exacerbation (use only when patient is stabilized)
  • If systolic BP is <60
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Patient teaching for beta blockers (1)

A

Do not stop suddenly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Beta blocker drugs (2)

A
  • Propanalol (Inderal)

- Ateolol (Tenormin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Mechanism of calcium channel blockers (3)

A
  • Slow the SA-AV node conduction
  • Slow depolarization and HR
  • Decrease BP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Three Calcium channel blocker drugs

A
  • Verapamil (Calan)
  • Nifedipine (Procardia)
  • Dilitazim (Cardizem)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
ACE Inhibitors mechanism (2)
- Inhibits angiotensin I from becoming angiotensin II | - Decreases afterload by reducing PRESSURE.
26
ACE inhibitors - 3 ADEs
- Little cough - Hypotension - Fluid retension (usually on thiazide or loop diuretic also)
27
ACE Inhibitor Drugs (2)
Captopril (Capoten) | Vasotec
28
ARB Mechanism
Block angiotensin II receptors
29
ARB drug (1)
Losartan (Cozaar)
30
Mechanism of anticoagulants
Reduces platelet action
31
Three anticoagulant drugs and one note on each
- Asprin (81 mg or 325 mg) - Ticlopidine (if ASA not tolerated) - Heparin (check PTT)
32
For Heparin, you check _____ | For Warfarin, you check ______
HEPARIN: PTT WARFARIN: PT/INR
33
Two cholesterol lowering drugs
- Atorvastatin (Lipitor) | - Lovastatin (Mevacor)
34
What meds wouldl you give for MI
1) Asprin - antiplatelet 2) Nitro - pain relief 3) Morphine - pain relief 4) Antiarrhythmics 5) Thrombolytics
35
Benefits of Morpine for an MI or PE patient
- Relieves pain - Decreases anxiety - slight vasodilatation effect (decrease preload)
36
IV push of morphine dose
2-4 mg q 5-15 minutes
37
Door to needle time for thrombolytics (MI)
30 minutes. After that, risks begin to outweigh benefits.
38
Contraindicatiosn of thrombolytics (3)
- Major trauma / surgery within past six weeks - Active bleeding - Pregnancy or one month post partum
39
What drugs are given post PTCA? (3)
- Nitroglycerine | - Anticoagulatns (Heparin, Aggrastat)
40
_____ is given during CABG surgery, _____ reverses this.
Heparin | Protamine
41
Meds administered for pulmonary edema (4)
1) Positive inotropics 2) Morphine 3) Diuretics 4) Other meds, depending on condition
42
Three positive inotropics
1) Digoxin 2) Dopamine / Dobutamine 3) Primacor, Inocor
43
Which of morphine's adverse drug effects should you be especially careful of when using it for pulmonary edema?
May slow respiratory rate
44
Drug categories used for CHF (5) | + 3 others
- ACE inhibitors - ARBs - Diuretics - Beta blockers - Digitalis Also: - Positive Inotropics - Antihypertensive - Antianginal
45
When would you give a CHF patient ACE inhibitors?
With mild sxs of failure
46
ACE inhibitor indications (2)
MI | CHF
47
ACE inhibitor administration (2)
- Can be given IV at a hospital or PO at home
48
If a patient is on an ACE inhibitor, you may also expect to see them on a _________ because of the _______.
Diuretic (loop or thiazide | Fluid retension
49
What CHF patients get ARBs?
Patients who can't tolerate ACE inhibitors -- very similar results as ACE but without the captopril cough
50
What CHF patients get beta blockers?
STABILIZED patients
51
Why do you need to be careful with beta blockers in CHF patients?
They are negative inotropics. We don't want to decrease the pumping ability during an acute exacerbation
52
Why DO we give beta blockers to cHF patients
Blocks CNS; prevents cyclical compensatory mechanisms.
53
Symptoms of dig toxicity
- Vision problems - Halos - Arrhythmias
54
ADE of dig
Bradycardia
55
Why do we give digitalis to CHF patients
Doesn't lower mortality rates, but does reduce symptoms and allow for ADLs
56
Indication for milrinone (primacor)
Positive inotropi, given IV over several hours at a clinic 2 days per week for CHF patients.
57
Benefits of milrinone (primacor) (2)
- Improves quality of life | - Decreases readmission rates
58
What meds would you administer to a patient at risk for DVTs / PE? (4) PROPHYLACTIC
- Asprin - Plavix - Heparin - Lovanox
59
Three drugs used to treat PE
- Anticoagulant (Heparin) | - Thrombolitic
60
Medications indicated for CHF (5)
- Epinephrine - Atropine - Lidocaine - Amidorone - Dopamine
61
What drugs would you initially put a HTN patient on? (2)
- Diuretics | - Beta blockers
62
What drugs would you add LATER after a HTN patient has already been on meds
- ACE inhibitors - ARBs - Calcium channel blockers
63
What are the medications of choice in hypertensive crisis?
- Sodium nitropursside | - Nitroglycerine

Med Surg (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions