heart meds

Question 1

Nitro

Answer 1

1. vasodilation, decrease cardi O2 demand
2. s/s headache, flush, tachyC, dizzy, ortho hypo
3. don’t take with erection pills

Question 2

metoprolol, carvedilol

Answer 2

1. class 2 beta, lowers HR, BP, contr
2. treats: angina, acute MI, dysrhythmias, HF
3. s/s bradyC, hypoT, AV blocks, asthma, fatigue, impotence, mask hypogly
4. BP and pulse, no sudden stop, glu mon

Question 3

verapamil, diltiazem (cardizem)

Answer 3

1. class 4 Ca block, low O2 demand
2. treat: HTN, tachydysrhythmias, vasospasms, angina
3. s/s dizzy, flush, headaches, bradyC, AV blocks, hypoT, ortho hypo, peri swell
4. pulse and BP, no grapefruit

Question 4

aspirin, clopidogrel (plavix), prasurgrel, ticagrelor

Answer 4

1. antiplatelets
2. treat: unstable angina, acute MI, coronary interventions
3. bleeding, epigastric discomfort, bruising, gastric ulcer
4. take w food

Question 5

heparin

Answer 5

1. antithrombin

2. mon PTT

Question 6

morphine

Answer 6

1. pain relief and anxiety during MI

2. hypoT, resp depression, bradyC, nausea, restlessness

Question 7

diltiazem (cardizem) dysrhythmias

Answer 7

afib, aflutter, SVT

Question 8

amiodorone dysrhythmias

Answer 8

1. afib, aflutter, SVT, ventricular dysrhythmias, class 3

2. mon heart rate, rhythm, prolongs QT

Question 9

sotalol dysrhythmias

Answer 9

ventricular dysrhythmias, class 3

Question 10

lisinopril

Answer 10

1. ACEI, inhibits remodeling
2. treat HTN, heart fail, after MI
3. mon UOP and K, avoid NSAID, ortho hypo

Question 11

digoxin

Answer 11

1. inotrope, increase contr
2. treat hrt fail, shock, renal fail
3. s/s visual disturbances, n/v/d, confusion
4. hypoK increase toxic risk

Question 12

dobutamine

Answer 12

1. inotrope, same as digoxin

2. end stage HF, stress test

Question 13

nesiritide (natrecor)

Answer 13

1. BNP
2. decompensated CHF
3. wacht -K

Question 14

murmurs

Answer 14

1. Mitral Regurgitation=Systolic
2. Mitral Stenosis=Diastolic
3. Aortic Regugitation=Diastolic
4. Aortic Stenosis=Systolic