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Pharm 2 > Unit 9 and 10 > Flashcards

Unit 9 and 10 Flashcards

(53 cards)

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1
Q

Beta Blocker Class II

A

Propanolol

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2
Q

Propanolol Use

A 
Reduce BP
Slow HR, decreases O2 demand
Supraventricular Tachy
Sinus Tachy
Exercise induced vent tachy
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3
Q

Propanolol contraindications

A

Bradycardia and 2nd and 3rd Heartblock

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4
Q

Propanolol Common adverse effects

A

Sexual Disfunction

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5
Q

Propanolol Teaching

A

Start low go slow
Discontinue slow to prevent rebound tachy
6 hr dose schedule

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6
Q

Amiodarone (cordarone) use

A

Dysrythmias

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7
Q

Amiodarone (cordarone) Pharmacokinetics

A

PO and IV (steady state in 1 year)

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8
Q

Amiodarone (cordarone) Contraindications

A

Bradycardia/snycope

2nd and 3rd Heart block

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9
Q

Amiodarone (cordarone) teaching

A

QT prolongation (hypokalemia and hypomagnesemia)
Smooth muscle (resp)
Mix in glass bottle with D5W
Use a pump
Pulse OX and ABG
No Grapefruit juice
Report new onset of cough, SOB and visual acuity

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10
Q

Calcium Channel Blocker

A

Verapamil

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11
Q

Varapamil Contrainidcations

A 
Sick sinus syndrome
CHF
Decreased cardiac function
2nd and 3rd heart block
Hypotension
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12
Q

Varapamil common adverse effects

A 
Constipation
Dizziness, weakness, fainting (bradycardia and hypotension)
Swelling
rash
HA
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13
Q

Varapamil teaching

A

Monitor BP and cardiac
Take pulse, hold if too low of irregular
report wt gain
Increase fluid and fiber (prevent constipation)

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14
Q

Quinidine (Quinora) use

A

Atrial arrhythmia : PAC, atrial tachy, atrial flutter, a fib, VT, VF

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15
Q

Quinidine (Quinora) Serious adverse effects

A

Cariotoxicity: increased PR and QT intevals, Vtach, asystole, atriel embolism, PVCs, complete heart block.

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16
Q

Quinidine (Quinora) Long term use

A

Lupus like syndrome

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17
Q

Quinidine (Quinora) Teaching

A

Monitor EKG for prolonged PR and QT intervals
Labs: CBC, LFTs and a metabolic panal (potassium)
Notify dr is QRS complex increases 25%

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18
Q

Quinidine (Quinora) serum level

A

2-6 mg/ml

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19
Q

Lidocaine use

A

Acute treatment of Vtach r/t cardiac surgery or acute MI

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20
Q

Lidocaine Serious adverse effects

A

CV effects: arrhythmias, hypotension and cardiac arrest
CNS effects: Hallucination, seirzure, LOC,
seizure and coma at >6

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21
Q

Lidocaine nursing intevention

A

start low, go slow

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22
Q

Flecainide (propafenone) Use

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A

Long term life threatening dysrhythmias

23
Q

Flecainide (propafenone) route

24
Q

Flecainide (propafenone) Common adverse effects

25
Nitroprusside (Nitropress) use
``` Lowers BP in crisis Reduces bleeding during surgery Acute CHF Relaxes smooth muscle Reduces preload and afterload ```
26
Nitroprusside (Nitropress) common adverse effects
Hypotension (bottoms out)
27
Nitroprusside (Nitropress) Serious adverse effects
Cyanide poisoning: converted in erythrocytes
28
Nitroprusside (Nitropress) nursing interventions
Monitor BP q5 min at start and q15 during Draw blood q72 hrs thiocyanate levels Start low, go slow
29
Cyanide poisoning S/S
Profound hypotension, metabolic acidosis, dyspnea, HA, LOC, ataxia, vomiting.
30
Dopamine (intropin) Use
Hypotension from shock Septic shock Constricts veins, dilates arteries
31
Dopamine (intropin) Nursing interventions
Monitor lines (pressure) Start with normal volume Monitor BP, UO, CO, PWP Correct Hypovolemia prior to admin
32
Dopamine (intropin) Antidote
SQ injection phentolamine
33
Dobutamine (Dobutrex) Use
Increases HR No renal effect Adults with cardiac decomposition due to decreased contractibility, from organic heart disease or cardiac surgery
34
Nonselective Adreneric agonists
Epinephrine
35
Epinephrine Contrainidications
``` Hypersensitivity Active labor Closed angle glaucoma General anesthesia Organic cardiac disease ```
36
Epinephrine use
anaphylactic shock
37
Epinephrine Serious adverse effects
Cardiovascular stimulation. (HTN crisis, angina, cerebral hemorrhage and arrhythmias)
38
Epinephrine nursing interventions
Monitor VS (IV)
39
Phenylephrine (NeoSynephrine) use
Vasoconstriction. Decreases renal perfusion Decreases Cardiac output and increased BP
40
Phenylephrine (NeoSynephrine) Common adverse effects
HA, restless, excitability | Wired
41
Phenylephrine (NeoSynephrine) Serious adverse effects
Bradycardia (paradoxal)
42
Phenylephrine (NeoSynephrine) nursing interventions
Avoid night driving (blurry vision) Take in the morning Avoid OTC Use large vein
43
Fenoldopam use
Protects kindeys from dye | Renal dilation
44
Neostigmine Use
Myasthenia Gravis (muscle weakness)
45
Neostigmine serious adverse effects
Cholinergic crisis | Cardiac arrest
46
Cholinergic crisis s/s
N/V, peripheral vasodilation, bronchial constriction, increased resp, secretions, resp arrest.
47
Cholinergic Crisis antidote
Atropine
48
Neostigmine Nursing interventions
steroids can decrease effectiveness of drug
49
Atropine common adverse effects
``` DRYS Blurred vision Constipation Dry Mouth Urinary retention ```
50
Chorotropic
Affects heart rate. Positive = increase. Negative = decrease.
51
Inotropic
Strengthen the contractile force of the heart
52
Dromotropic
affects conduction speed of AV node
53
General teaching with meds for dysrhythmias
monitor HR, BP, respiratory, change positions slowly

Pharm 2 (5 decks)

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