Some Drugs which May be encountered in Therapy Flashcards
(27 cards)
Benzodizepines (diazepam) does what at low doses
(Sedative) handles anxiety
Opiod analgesics (morphine) does what at low doses
(Sedative) handles pain
Propofol us useful …
(Sedative) rapid awakening
Neuroleptics (haldoperidol) Tx what
(Sedative) Tx agitation
Barbituates are used when…
(Sedative) pt is not responding to/ or tolerating other agents.
What do you call the med dose given for establishing a therapeutic level of the medication
Loading Dose
Def Maintenance dose
amount of the drug needed to maintain a desired level in bloodstream
What do you call the time needed for a medication to become effective
Onset
What do you call the length of time the drug is effective
Duration
What are Vasopressors do
maintain MAP & organ perfusion; blood vessel constriction–>Increases BP
Your 1pm pt, Faith, has sepsis, septic shock, and CHF. What general pharmacuticals do you suspect her to be on.
Vasopressors (NE, epinephrine, dopamine, ephedrine, metaraminol)
What 2 drugs are considered Ionotropes & what do they influence.
Digoxin, digitalis; influence cardiac mm contraction; used to increase BP esp w/ positional changes; influence end organ perfusion & blood circulation.
Faith is taking Ionotropes. 1) What do you monitor 2) what are you cautious with esp w/ heart pts 3) when do you stop tx
1) monitor urine output
2) carful not to overexert pt (esp heart pt)
3) sudden changes in HR/ arrhythmias
[Based on Classmates Presentations of Digoxin] What is the 1) mechanism, 2) effect on heart, 3) Side Effects
[digoxin] 1) increase intracellular Ca levels 2)increase actin & myosin–> stronger myocardial contraction 3) Toxicity
Prednisone, Dexamethasone, Hydrocortisone are all under what category of drugs. These can also be used to tx underlying cause of respiratory failure.
Coricosteroids
Side effects for corticosteroids
mm atrophy, osteopenia, wt gain, alterations in mood
Lyrica is used for 1) what 2 conditions. 2) What are the side effects
1) Diabetic neuropathy, fibromyalgia
2) heart failure, difficulty walking, Lymphedema
Atenolol, propranolol are what type of drugs; What is the affect on HR & BP.
Beta Block; lowers resting HR & BP
For pt on B-blockers what happens to their 1)blunted HR & systolic BP w/ activity 2)max HR 3) initial exercise test
1) blunted HR & systolic BP rise w/ activity
2) cant reach predicted max HR
3) perform FULL initial exercise test
Bumex, Lasix, & HCTZ are all what type of drugs. What do they do.
Diuretics; Deplete volume (im assuming thats decreasing liquids from body)
Faith is taking Lasix, What are you cautious about when tx her.
Diuretics can affect electrolytes–> arrhythmias, dizziness, mm cramps
Verapamil, Cardiezem, Procardia are all what type of drug. What do they do to 1) impulse/conduction velocity 2) mechanical contraction of myocardium
Ca Channel blockers; 1)depress 2)depress
What are side effects of Verapamil?
hypotension, reflex tachycardia, palpitations, peripheral edema
Based on Lecture notes, Digoxin is considered under 2 drug categories. What are they.
Ionotropes & Cardiac glycosides
