Ischemic Heart Disease Lab Formulary Flashcards

(89 cards)

1
Q

Alteplase

A

t-PA, Activase

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2
Q

Alteplase (side effects)

A

Hemorrage

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3
Q

Alteplase (monitoring)

A

signs of bleeding, reduction in chest pain

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4
Q

Alteplase (dosing)

A

If >67kg: 15mg bolus followed by 50mg infusion over 30 minutes, then 35mg over 60 minutes
If <67kg: 15mg bolus, then 0.75mg/kg over 30 minutes, then 0.5mg/kg over 60 minutes

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5
Q

Captopril

A

Capoten

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6
Q

Captopril (side effects)

A

Hypotension, hyperkalemia, cough

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7
Q

Captopril (monitoring)

A

liver function, kidney function

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8
Q

Carvedilol

A

Coreg

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9
Q

Carvedilol (side effects)

A

Decreased HR, Decreased BP, hyperglycemia, peripheral edema

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10
Q

Carvedilol (monitoring)

A

reduction in angina

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11
Q

Carvedilol (dose)

A

25-50mg bid

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12
Q

Eplerenone

A

Inspra

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13
Q

Eplerenone (side effects)

A

Hyperkalemia, increased SCr

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14
Q

Eplerenone (monitoring)

A

Serum potassium

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15
Q

Eplerenone (dose)

A

50mg daily

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16
Q

Isosorbide mononitrate

A

Ismo, Imdur

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17
Q

Isosorbide mononitrate (side effects)

A

hypotension, dizziness, headache

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18
Q

Isosorbide mononitrate (monitoring)

A

reduciton in angina

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19
Q

Isosobide dinitrate

A

Isordil

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20
Q

Isosobide dinitrate (side effects)

A

hypotension, lightheadedness, headache

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21
Q

Isosobride dinitrate (monitoring)

A

reduction in angina

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22
Q

Nadolol

A

Corgard

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23
Q

Nadalol (side effects)

A

bradyarrhythmia, dizziness, fatigue

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24
Q

Nadalol (monitoring)

A

HR, reduction in angina

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25
Nicardipine
Cardene
26
Nicardipene (side effects)
Hypotension, peripheral edema, tachyarrhythmia, N/V, headache
27
Nicardipene (monitoring)
reduction in angina
28
Nicardipene (dose)
20-40mg tid
29
Nifedipine
Adalat
30
Nifedipine (side effects)
Hypotension, palpitations, peripheral edema, flushing, nausea, dizziness, headache
31
Nifedipine (monitoring)
signs of chest pain
32
Nifedipine (dose)
10-30mg 3-4x/day, max 180mg/day
33
Nitroglycerin
Minitran, NitroDur, Nitrostat
34
Nitroglycerin (side effects)
Hypotension, flushing, dizziness
35
Nitroglycerin (monitoring)
relief of symptoms
36
Nitroglycerin (dosing)
(SL tablets) 1 tablet SL at first sign of attack; repeat every 5 minutes if needed for a total of 3 tablets in 15 minutes; if no relief, seek medical attention promptly (ER Tabs) 2.5-6.5mg 3-4x/day (Ointment) 7.5-30mg qam and 6 hrs after (Patch) 0.2-0.8mg/hr
37
Propranolol
Inderal
38
Propranolol (side effects)
diarrhea, vomiting, dizziness, fatigue
39
Propranolol (monitoring)
HR, reduction in angina
40
Propranolol (dose)
IR: 80-320mg/day (2-4x/day) ER: 80mg qd up to 320mg max
41
Ranolazine
Ranexa
42
Ranolazine (side effects)
constipation, nausea, dizziness, headache
43
Ranolazine (monitoring)
reduction of angina, sCr
44
Ranolazine (dose)
500mg bid, increase to 1000mg bid
45
Reteplase
Retavase
46
Reteplase (side effects)
hemorrhage
47
Reteplase (monitoring)
Evidence of cardiac reperfusion, signs of bleeding
48
Tenecteplase
TNKase
49
Tenecteplase (side effects)
hemorrhage
50
Tenecteplase (monitoring)
ECG, cardiac enzymes, signs of bleeding
51
Tenecteplase (dose)
``` IV bolus <60kg: 30mg 60-69kg: 35mg 70-79kg: 40mg 80-89kg: 45mg >90kg: 50mg ```
52
Ticagrelor
Brilinta
53
Ticagrelor (side effects)
hemorrage, increased sCr, dyspnea
54
Ticagrelor (monitoring)
reduction of CV events in pts w/ ACS
55
Ticagrelor (dose)
180mg loading dose, then 90mg bid for 12 months
56
Abciximab
ReoPro
57
Abciximab (side effects)
chest pain, hypotension, nausea, hemorrhage, backache
58
Abciximab (monitoring)
aPTT, platelet count
59
Amlodipine
Norvasc
60
Amlodipine (side effects)
peripheral edema, flushing, palpitations
61
Amlodipine (monitoring)
reduction in angina
62
atenolol
tenormin
63
atenolol (side effects)
Bradyarrhythmia, cold extremities, hypotension, dizziness, depression, fatigue
64
atenolol (monitoring)
reduction in angina
65
clopidogrel
Plavix
66
Clopidogrel (side effects)
hemorrhage
67
Clopidogrel (monitoring)
signs of bleeding
68
Clopidogrel (dose)
600mg at time of PCI, then 75mg daily
69
eptifibatide
Integrelin
70
eptifibatide (side effects)
hypotension, hemorrhage
71
eptifibatide (monitoring)
PT, aPTT, ACT
72
lisinopril
Prinvil, Zestril
73
Lisinopril (side effects)
dry cough, chest pain, hypotension, headache
74
Lisinopril (monitoring)
sCr, serum potassium
75
Metoprolol
Lopressor, Toprol, Toprol XL
76
Metoprolol (side effects)
bradyarrhythmia, dizziness, fatigue
77
Metoprolol (monitoring)
reduction in angina, improved exercise tolerance
78
Metoprolol (dose)
25-50mg q6 hrs (around 200mg/day for ER form)
79
Prasugrel
Effient
80
Prasugrel (side effects)
HTN, HLD, bachache, nosebleeds, headache
81
Prasugrel (monitoring)
none listed
82
Prasugrel (dose)
60mg loading dose, then 10mg daily
83
Verapamil
Isoptin, Calan, Covera, Verelan
84
Verapamil (side effects)
edema, headache, CONSTIPATION
85
Verapamil (monitoring)
reduction in angina
86
Verapamil (dose)
80-120mg tid | 180mg daily for ER
87
Tirofiban
Aggrastat
88
Tirofiban (side effects)
hemorrhage
89
Tirofiban (monitoring)
Platelet count 6 hours after initiation and daily during therapy