Cardiac Drugs

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Methodist College

N313 Pathopharmacology

Exam IV Study Guide – Spring 2013

1. Understand how to properly administer these drugs (what should you educate your patient on?): a. Nasal corticosteroid
i. Decrease inflammation
ii. Vanceril- Inhaler. Decreases production of prostaglandins

b. Antitussives
iii. Depresses cough center.
iv. Broncho-restricts
v. Opiate or Non-opiate (DM)

c. Theophylline (Theo-dur)
vi. Bronchodilating
vii. Treats asthma and COPD

d. Exectorant
viii. Guaifenisin(Robitussin) (Musinex)
ix. Decreases thickness of mucous

e. Intranasal sympathomimetics / corticosteroids
x. For allergic nose inflammation
xi. Bronchodilation that lowers airway resistance and makes breathing easier for the client. xii. Limit the use to 3-5 days.

f. Beta-adrenergic agonists
xiii. During asthma attack (beta 2)

g. Coumadin
xiv. Cat. X
xv. Vitamin K antagonist
xvi. PO

h. Heparin
xvii. HIGH risk IV
xviii. Stim. Anti throm. II
i. Lovenox
xix. SQ in lovehandles
xx. Adv. Face swelling

j. Beta-blockers
xxi. 1. Decrease heart rate, contract., and conduction xxii. 2. Constrict bronchi
xxiii. Lopressor
xxiv. Uses- stage fright, HTN, migraine.
xxv. Adverse- Hypotension, brady, brochospasm.

k. ACE inhibitors
xxvi. Vasotec
xxvii. Block enzyme for angio 1 & 2
xxviii. Increase urine, decrease preload, dilate vessels, and decrease BP xxix. Adv. Swelling of face, hyperkalemia, othro hypo

l. Nitroglycerin (nitrates)
xxx. Prevent and relieve chest pain due to lack of oxygen in heart xxxi. Under tongue
xxxii. 3 times every 5 min

m. Digoxin
xxxiii. Treats heart rhythm problems and heart failure xxxiv. Mouth or injection

2. Understand why these drugs are administered:
n. Albuterol (Proventil)
xxxv. Treats asthma, bronchodilator

o. Ipratropium bromide (Atrovent)
xxxvi. COPD and asthma
xxxvii. Block PNS. Increase SNS

p. Cromolyn (Intal)
xxxviii. Mast cell stabilizer- inhaler
xxxix. Prevents asthma and release of histamine
xl. Prior to exercise

q. Mucolytics
xli. Mucomyst
xlii. EXTREME
xliii. Overdose on Tylenol

r. Expectorants
xliv. Musinex
xlv. Decrease thickness of mucous

s. Inhaled glucocorticoids
xlvi. Vanceril

t. Coumadin / Heparin
xlvii. Prevent clots- Antithrombin

u. Clopidogrel (Plavix)
xlviii. Prevents platelet adhesion
xlix. Prolong bleeding time
l. Uses for chest pain, MI, No NSAIDS

v. HMG-CoA reductase inhibitors (statins)
li. Lower lipids
lii. Inhibit enzyme needed to produce cholesterol
liii. PO at night, slow dementia, decrease risk colon cancer

w. ACE inhibitors
liv. Vasotec
lv. Increase urine. Dilate vessels. Decrease BP
lvi. Swelling of face, ortho, hyperkal.

x. Dobutamine (Dobutrex)
lvii. Treats heart failure
lviii. Injection

y. Atropine sulfate (Atropine)
lix. Injection
lx. Keeps heart stable after heart attack

z. Diltiazem (Cardizem)
lxi. Calcium channel blocker
lxii. Vasodilate and decrease heart rate
lxiii. Uses for HTN, chest pain
lxiv. Decrease afterload. Increase preload

{. Epinephrine
lxv. Treats severe allergic reaction

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|. Vasopressors
lxvi. Dopamine- Increase blood flow to kidney and CO lxvii....
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