Pharm Cardiology - Lecture 4

What class drug is metoprolol?

selective beta blocker

What class drug is amiodarone?

class III anti-arrhythmic, K-channel blocker

What class drug is clonidine?

alpha-2 adrenergic agonist

What class drug is amlodipine?

Ca channel blocker

What class drug is diltiazem?

class IV anti-arrhythmic, Ca channel blockers

What class drug is verapamil?

class IV anti-arrhythmic, Ca channel blocker

What is the goal of HTN treatment?

SBP <130

What systems have alterations in HTN?

nervous system, renal system (RAAS), cardiovascular

What are the first line treatment for HTN?

thaizide-type diuretics, Ca channel blockers, ACE inhibitors, ARBs

What is inadequate cardiac output which lead to poor circulation of blood leading to congestion and edema?

heart failure

What anti-arrhythmic class are beta-adrenergic blockade?

class II

What anti-arrhythmic class are K channel blockade?

class III

What anti-arrhythmic class are Ca channel blockade?

class IV

What heart fxs are controlled by the nervous system?

HR and BP

What type of beta blockers target beta-1 receptors that are safer to use in lung conditions?

cardio selective

What type of beta blockers affect beta-1 and beta-2 receptors causing bronchoconstricton?

cardio non-selective

What type of beta blockers block beta and alpha adrenergic receptors but can be used for HTN during pregnancy, with the same side effects of metoprolol but higher risk for bronchospasm?

non selective

What type of Ca channel blocker is vascular selective vasodilators that work in the periphery and are more likely to cause peripheral edema?

DHP

What type of Ca channel blocker is cardiac-selective - work in the heart and slows HR (more likely to cause bradycardia)?

Non- DHP

What drug is 1st line for chronic HTN?

amlodipine

What nursing considerations are needed with cardiac drugs?

monitor BP and HR before and after admin, assess tolerance when initiating therapy - tele, vitals, new symptoms, meds may need held when acutely ill, meds may need adjusted after big event, avoid fast position changes to avoid ortho static hypotension