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cardiac drugs
pharm
Term | Definition |
---|---|
heart failure c.m | cough, SOB, increased BP/HR, edema |
thrombocytopenia c.m | calf pain/tenderness, swelling |
hypocalcemia c.m--excitement | muscle spams, tingling in fingers and toes |
hypercalcemia c.m--depressed | confusion, weakness, Irreg. pulse |
myopathy c.m | muscle pain/ weakness |
hyperkalemia c.m | constipation, N/V, increased urine, depression |
hypokalemia c.m | palpitations, muscle twitching, weakness, Paresthesias |
ototoxicity c.m | hearing loss, tinnitus, vertigo |
angioedema c.m | swelling of mouth/throat |
CNS effects c.m | drowsy/dizzy |
allergic reaction c.m | rash/itching |
anaphylaxis c.m | difficulty breathing, swelling of airway |
hemorrhage c.m | decreased BP, Increased pulse, tachy |
furosemide and digoxin interaction | digoxin toxicity |
digoxin pharmacological actions | exerts + inotropic actions that decrease sympathetic tone and increase myocardial contractility |
lidocaine A.E | Paresthesias |
captopril | dont take NSAIDs |
quinidine gluconate | dont take with digoxin |
bumetanide and spironolactone interaction | reduces R.F hypokalemia |
hydrochlorothiazide A.E | hyponatremia, hypokalemia, dehydration, hyperuricemia |
captopril A.E prevention | dont use salt substitute they are high in potassium, hyperkalemia is an A.E |
aliskiren | avoid fatty foods |
isosorbide | avoid alcohol |
propranolol | beta blocker that treats A and V tachys |
quinidine | sodium channel blocker treats SupV and V dysrhythmias |
amiodarone | potassium channel blocker treats V fib and V tachy |
verapamil | calcium channel blocker treats SupV tachy and A fib |
amiodarone A.E | blurred vision, cough, dizzy, fever |
pt dont respond to antidysrhythmic drug | administer flecainide |
verapamil and amiodarone | avoid grapefruit |
food that increases K+ | raisins |
nitroglycerin | headache |
dobutamine interactions | MAIOs, general anesthetic, tricyclic antidepressant, beta blocker |
propranolol | avoid OTC drugs-- NSAIDS |
loop diuretics' pt with thready pulse, ortho hypotension, confusion | hypokalemia |
milrinone contraindication | acute MI |
gemfibrozil instructions | report fried food intolerance and muscle tenderness, periodic liver function testing |
hydrochlorothiazide | doesn't promote diuresis in renal insufficient pts |
atorvastatin and gemfibrozil interaction | myoppathy |
simvastatin | treats hypercholesterolemia |
captopril A.E | rash, swelling on tongue, dry cough, distorted taste |
spironolactone electrolyte imbalance | hyperkalemia |
Aliskiren A.E | hyperkalemia, throat swelling, cough |
carvedilol and antidiabetic drug interaction | hypoglycemia |
verapamil precautions | history of Second degree AV block |
procainamide | short term cardiac dysrhythmia treatment |
severe digoxin toxicity | administer antigen-binding fragments--digoxin immune Fab |
simvastatin A.E | muscle pain |
reserpine contraindication | severe depression |
captopril action/A.E/instructions | stops angiotensin 2 production, increases BP. stores Na+ and H20, excretes K+, dry cough, hypotension, angioedema, hyperkalemia, neutropenia, monitor K+ levels, ,BP, and WBC |
doxazosin admin/A.E/instructions | give at bedtime(Docks you out), ortho hypotension, reflex tachy, monitor BP, rise slowly, avoid driving |
nifedipine action/A.E/instructions | "Pine" treats HTN & angina, hypotension, brady, P. edema, dizzy/ lightheaded, constipation, hold drug is BP <90, monitor A.E,NO GRAPEFRUIT |
atenolol and metoprolol/ action/A.E/instructions | "Olol" treats HTN, angina, decreases BP and HR, brady, HF, rebound excitation ,monitor HR, DON'T take if pt has COPD/Asthma |
reserpine contraindications/A.E/instructions | severe depression, can cause depression and R.F suicide, monitor pt |
carvedilol admin/ A.E/ interactions | take pulse before giving drug, hypotension, dizzy, brady, DON'T give to pts with Asthma, No MAIOs |
hydralazine action/A.E/instructions | vasodilator, treats Hypotension (IV form treats hypertensive crisis) , headache, palpitations, tachy-can add beta blocker, taper slowly |
hydrochlorothiazide admin/instructions/interactions | give last dose by 3pm, weigh self daily at the same time, monitor for electrolyte imbalances(hypos), hyperglycemia, hyperuricemia, monitor Mg+ levels, eat K+ rich foods, NSAIDs reduce effects, No if pt has allergy to Sulfonamides |
furosemide action/A.E/instructions | most powerful, treats Pul. edema, HTN, hyperkalemia, electrolyte imbalances, hypotension, ototoxicity, hyperglycemia, monitor for digoxin toxicity, NSAIDs decrease effect |
gemfibrozil action/admin/A.E/interactions | reduces LDL, give 30 min before meals, liver toxicity-monitor levels, warfarin increases R.F bleeding |
nitroglycerin action/admin/A.E/instructions | treat/prevent angina(causes severe headache), take off at night(patch) sublingual (up to 3,5 min apart, store in dark container up to 24 months, causes ortho hypotension, tachy, wear gloves, monitor BP and HR. DON'T take with slidenafil(ED med) |
digoxin action/A.E/precautions | helps heart pump more effectively, treats HF, check pulse before giving, toxicity, headache, visual disturbances (therapeutic level: 0.5-2) hypokalemia, imp kidney function, monitor for toxicity |
atorvastatin action/A.E/admin | reduces LDL, liver toxicity-monitor levels, take at bedtime, NO GRAPEFRUIT JUICE |