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Cardiac Drugs

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Jennifer Thankachan

on 26 February 2016

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Transcript of Cardiac Drugs

Cardiac Drugs
1. Antilipemics
2. Antihypertensives
3. Heart Failure
4. Antianginals/MI

Class: cardiac glycoside (inotropic)
Action: increases contractility, CO & urine production; relieves pulmonary & peripheral edema; slows conduction of heart
AE: dyrhythmias
Sp. Cons.: take BP & HR before administering; multiple drug interactions

2. Antiarrhythmics, Class II
beta blockers
acebutolol, esmolol, propranolol

3. Antianginals


3. Antianginals

amlodipine, diltiazem, nicardepine, nifedipine, verapamil

Drugs for Heart Failure (HF)

Professor Jennifer Thankachan, RN, MSN
Cardiac Drugs
cardiac glycosides


amiodarone, dofetilide, ibutilide, sotalol

2. Antiarrhythmics, Class III
2. Antiarrhythmics, Class IV
verapamil, diltiazem
2. Antiarrhythmics
amyl nitrite, isosorbide, nitro

3. Antianginals

beta blockers

atenolol, carvedilol, metoprolol,
nadolol, propranolol
calcium channel blockers

4. Antihypertensives
ACE inhibitors
beta blockers
calcium channel blockers
direct vasodilators
4. Antihypertensives
ACE inhibitors
benazepril, captopril, enalapril, enalaprilat, fosinopril, lisinopril, moexipril
4. Antihypertensives
candesartan, eprosartan,
irbesartan, losartan, olmesartan, telmisartan, valsartan

4. Antihypertensives
beta blockers
acebutolol, atenolol, betaxolol,
carteolol, metoprolol, nadolol,
pindolol, propranolol, timolol
4. Antihypertensives
calcium channel blockers
amlodipine, diltiazem,
felopdipine, isradipine, nicardipine, nifedipine, nisoldepine, verapamil
4. Antihypertensives
tx HTN by:
increasing urine output
decreasing edema
decreasing circulating blood volume
decreasing cardiac output

4. Antihypertensives
clonidine, methyldopa
doxazosin, phentolamine, prazosin, terazosin
carvedilol, labetolol
4. Antihypertensives
direct vasodilators
diazoxide, hydralazine, minoxidil, nitroprusside
5. Antilipemics
bile-sequestering drugs
fibrinic acid derivatives
HMG-CoA reductase inhbitors (aka, "the statins")
nicotinic acid
cholesterol absorption inhibitors
5. Antilipemics
bile-sequestering drugs
cholestyramine, colesevelam, colestipol
fibrinic acid derivatives
nicotinic acid
fenofibrate, gemfibrozil
5. Antilipemics
HMG-CoA reductase inhibitor… aka “statins”
atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin
5. Antilipemics
cholesterol absorption
The nurse is preparing to administer digoxin to a patient who has heart failure. The patient reports nausea, vomiting, and a headache. The nurse notes a respiratory rate of 18 breaths per minute, a heart rate of 58 beats per minute, and a blood pressure of 120/78 mm Hg. What will the nurse do next?
a. Administer the next dose as ordered since these are mild side effects.
b. Hold the dose and notify the provider of possible digoxin toxicity.
c. Reassure the patient that these are common, self-limiting side effects.
d. Request an order for an antiemetic and an analgesic medication.
Clicker ? #1
Clicker ? #2
A patient is ordered to receive a nitrate to relieve stable angina. What side effect(s) will the nurse anticipate in a patient receiving this medication?
a. Nausea and vomiting
b. Increased blood pressure
c. Pruritus and skin rash
d. Pounding headache
Clicker ? #3
A patient on the cardiac unit is experiencing multiple premature ventricular contractions (PVCs). What medication would the nurse anticipate the health care provider ordering for this patient?
a. atropine
b. amiodarone
c. morphine
d. epinephrine
Clicker ? #4
A patient who has coronary artery disease is receiving verapamil. The nurse should observe the client for which side effect?
a. aganulocytosis
b. thrombocytopenia
c. pleural effusion
d. postural hypotension
Clicker ? #5
The health care provider orders nitroglycerine 0.4 mg sublingual as an initial treatment for a patient with angina. The nurse understands that this drug achieves its therapeutic effect via which of the following mechanisms of action?
a. stimulation of alpha and beta receptor sites
b. improved conductivity in the myocardium
c. antispasmodic effects on the coronary arteries
d. dilation of the myocardial and peripheral vasculature
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