Cardio Quiz 1

generic, brand, class, moa, use, normal adult dose, contraindications, bbw

lisinopril

lisinopril

Prinivil, Zestril

lisinopril class

ACE inhibitor

lisinopril moa

inhibits conversion of angiotensin I to angiotensin II

lisinopril use

hypertension, heart failure

lisinopril dose

5-40 mg PO qD

lisinopril contraindications

pregnancy, angioedema

lisinopril bbw

do not use during pregnancy

amlodipine

Norvasc

amlodipine class

CCB

amlodipine moa

inhibits calcium ion influx into vascular smooth muscle and myocardium

amlodipine use

hypertension, heart failure

amlodipine dose

5-10 mg PO qD

amlodipine contraindications

none

amlodipine bbw

none

metoprolol

Lopressor, Toprol XL

metoprolol class

B1 blocker

metoprolol moa

selectively antagonizes beta-1 adrenergic receptors

metoprolol use

hypertension, angina, CV event prevention, migraine

metoprolol dose

50-100 mg PO BID or 50-200 m ER PO qD

metoprolol contraindications

sinus bradycardia, 2nd/3rd degree heart block, heart failure

metoprolol bbw

do not stop abruptly

losartan

Cozaar

losartan class

ARB

losartan moa

selectively antagonizes angiotensin II receptors

losartan use

hypertension, diabetic neuropathy, stroke prevention

losartan dose

50-100 mg PO qD

losartan contraindications

pregnancy

losartan bbw

do not use during pregnancy

carvedilol

Coreg, Coreg CR

carvedilol class

Selective alpha and non-selective beta-adrenergic blocker

carvedilol moa

Selectively antagonizes alpha 1 adrenergic receptors and non-selectively antagonizes beta 1 and beta 2 adrenergic receptors

carvedilol use

hypertension, heart failure

carvedilol dose

6.25-25 mg PO BID

carvedilol contraindications

bradycardia, asthma, sick sinus syndrome, 2nd/3rd degree heart block

carvedilol bbw

none

atenolol

Tenormin

atenolol class

selective beta 1 blocker

atenolol moa

selectively antagonizes beta-1 adrenergic receptors

atenolol use

hypertension, angina, post MI CV event prevention

atenolol dose

25-100 mg PO qD

atenolol contraindications

sinus bradycardia, 2nd/3rd degree heart block, heart failure

atenolol bbw

do not stop abruptly

propranolol

Inderal, Inderal LA

propranolol class

nonselective beta blocker

propranolol moa

non-selectively antagonizes beta-1 and beta-2 adrenergic receptors

propranolol use

hypertension, angina, arrhythmias, CV event prevention

propranolol dose

80-240 mg qD divided BID/TID or ER

propranolol contraindications

Asthma, sinus bradycardia, AV block

propranolol bbw

do not stop abruptly

diltiazem

Cardizem, Cardizem CD, Cardizem LA, Cartia XT, Dilacor XR, Taztia XT, Tiazac

diltiazem class

CCB

diltiazem moa

inhibits calcium ion influx into vascular smooth muscle and myocardium

diltiazem use

hypertension, angina, a fib

diltiazem dose

30-90 mg PO QID, or 120-480 mg ER PO qD

diltiazem contraindications

sick sinus syndrome, 2nd/3rd degree heart block, SBP <90

diltiazem bbw

none

valsartan

Diovan

valsartan class

ARB

valsartan moa

selectively antagonizes angiotensin II receptors

valsartan use

hypertension, heart failure

valsartan dose

80-320 mg PO qD

valsartan contraindications

pregnancy, age <60

valsartan bbw

not to be used during pregnancy

benazepril

Lotensin

benazepril class

ACE inhibitor

benazepril moa

inhibits conversion of angiotensin I to angiotensin II

benazepril use

hypertension, heart failure

benazepril dose

5-10 mg PO qD

benazepril contraindications

pregnancy, angioedema

benazepril bbw

not to be used during pregnancy

nifedipine

Adilat CC, Nifedical. XL, Procardia, Procardia XL

nifedipine class

CCB

nifedipine moa

inhibits calcium ion influx into vascular smooth muscle and myocardium

nifedipine use

angina, hypertension

nifedipine dose

10-20 mg PO TID or 30-90 mg ER PO qD

nifedipine contraindications

hypertensive crisis

nifedipine bbw

none

enalapril

Vasotec

enalapril class

ACE inhibitor

enalapril moa

inhibits conversion of angiotensin I to angiotensin II

enalapril use

hypertension, heart failure

enalapril dose

5-40 mg divided qD/BID

enalapril contraindications

pregnancy, angioedema

enalapril bbw

not to be used during pregnancy

verapamil

Calan, Calan SR, Verelan, Verelan PM

verapamil class

CCB

verapamil moa

inhibits calcium ion influx into vascular smooth muscle and myocardium

verapamil use

hypertension, angina, anti-arrhythmia

verapamil dose

80-120 mg PO TID or 180 mg ER PO qD

verapamil contraindications

left ventricular dysfunction, sick sinus syn, SBP <90, 2nd/3rd degree AV block

verapamil bbw

none

ramipril

Altace

ramipril class

ACE inhibitor

ramipril moa

inhibits angiotensin converting enzyme, preventing conversion of angiotensin I to angiotensin II

ramipril use

hypertension, heart failure, CV event prevention

ramipril dose

2.5-20 mg divided qD or BID

ramipril contraindications

angioedema, pregnancy

ramipril bbw

not to be used during pregnancy

irbesartan

Avapro

irbesartan class

ARB