Pharmacology unit 4 pearls Flashcards
(49 cards)
What are the symptoms of right-sided heart failure?
CHF
Systemic congestion, swollen lower extremities, and ascites.
CHF
What are the symptoms of left-sided heart failure?
CHF
Pulmonary congestion.
CHF
What arrhythmias can occur in CHF?
CHF
Atrial fibrillation and tachycardia.
CHF
What should be done if a patient’s pulse is abnormal?
CHF
Hold medication and call prescriber for direction.
CHF
What is the therapeutic serum level for cardiac glycosides?
CHF
0.5 to 2 ng/mL.
CHF
How do cardiac glycosides affect the heart?
CHF
They inhibit the sodium/potassium pump, extend the refractory period, slow down heart rate, and increase cardiac output.
CHF
What are common side effects of cardiac glycosides?
CHF
Bradycardia, tachycardia, nausea, visual disturbances, vomiting, abdominal cramps, confusion.
CHF
What is the purpose of loading a patient with a high dose of cardiac glycoside?
CHF
To raise the blood level of the drug, then maintain it with subsequent doses.
CHF
What is an arrhythmia?
ARRHYTHMIAS
Any disorder of rate and/or rhythm of the heart.
ARRHYTHMIAS
What are the groups of drugs used to treat arrhythmias?
ARRHYTHMIAS
Group 1: fast sodium channel blockers; Group 2: beta blockers; Group 3: fast potassium channel blockers; Group 4: calcium channel blockers.
ARRHYTHMIAS
What defines hypertension?
HYPERTENSION
Persistent elevation of systolic and diastolic reading of 130/80 or above.
HYPERTENSION
What should be done for Stage 1 hypertension?
HYPERTENSION
Conduct a 10-year heart disease and stroke risk assessment with lifestyle changes.
HYPERTENSION
What is syncope?
HYPERTENSION
Temporary loss of consciousness caused by a sudden fall in blood pressure.
HYPERTENSION
What may happen when starting a new hypertension medication?
HYPERTENSION
Dosage may need to be adjusted up or down.
HYPERTENSION
What is a potential side effect of ACE inhibitors?
HYPERTENSION
They can cause bronchoconstriction in some people.
HYPERTENSION
What are two major causes of hypertension?
HYPERTENSION
Excessive vasoconstriction and increased blood volume due to water retention.
HYPERTENSION
How do dihydropyridines affect blood pressure?
HYPERTENSION
They inhibit calcium influx into smooth muscle, causing vasodilation and reduced blood pressure.
HYPERTENSION
What is the effect of nondihydropyridines on the heart?
HYPERTENSION
They slow conduction velocity and heart rate, decreasing oxygen demand.
HYPERTENSION
What can respiratory disorders cause in relation to hypertension?
HYPERTENSION
Bronchoconstriction.
HYPERTENSION
What does myocardial infarction mean?
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
Death of tissue due to loss of oxygen.
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
What is the procedure for treating chest pain with nitroglycerin?
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
Sit down, place one sublingual tablet under the tongue, wait five minutes, and repeat if pain persists.
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
What is the risk of combining potent systemic vasodilators?
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
It can reduce blood pressure to dangerous levels.
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
How can reducing workload on the heart help with chest pain?
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
It reduces oxygen demand, which may alleviate pain.
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
What side effect can nitroglycerin cause?
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION
A vascular headache due to dilation of cerebral arteries.
CORONARY ARTERY DISEASE & MYOCARDIALINFARCTION