Pharm Final

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Terms in this set (39)
s/s of toxicity for Digoxin (cardiac glycosides) 1. arythmia/Dysthrhythmia 2. 3. Change in vision (yellow halos around lights)- really late sign 4. 5. High K+ Level2. GI upset/Diarrheal 4. HeadacheIMPORTANT Nursing Considerations for Digoxin (Cardiac Glycosides)1. Take Apical Pulse for a full minute 2. Don't give Digoxin if HR is less than 60 3. Don't switch brands or miss a dose 4. Don't give with Antacids or milk 5. Don't give with grapefruit JuiceAntidysrhythmics agent Classes1. Membrane Stabilizing Agents 2. Beta-Blockers 3. No specific name/Miscellaneous 4. Calcium Channel BlockersAntidysrhythmic agents Agent (Class 1)- Membrane Stabilizing Agent Med to RememberQuinidine (PO) & Lidocaine (IV only- good for ventricular problems)Membrane stabilizing agents Effect? Which phase does it prolongSlows electrical conduction of the heart by blocking Na+ channels. Prolongs phase 0S/S of toxicity for membrane stabilizing agentExaggerated action of the desire effect. (bradycardia, hypotension, cardiac arrest)Beta Blocker for Antidysrhythmic agents MedsPropranolol (Inderal)Class 3 MedsAmiodarone & Corvert (ibutilide)Class 4- Calcium Channel blocker medsVerapamil (calan) & Diltiazem (Cardizem)Chest Pain/Angina Classifications1. Nitrates (Anti-anginal) 2. Beta Blockers 3. Calcium Channel BlockersNitrates MedNitroglycerinBeta Blockers (Chest Pain) MedsMetoprolol (lopressor) & Atenolol (tenormin)Calcium Channel Blockers (chest Pain)Nifedipine (procardia) - rapid effect on BPLoop Diuretic MedFurosemide (Lasix)Osmotic Diuretics - Inhibiting reabsorbtion of water + solutesOsmitrol (Mannitol)Potassium SparingSpironolactone (Aldactone)Thiazide(HCTZ - Hydrochlorothiazide)antilipidemic Med - StatinAtorvastatin (Lipitor)Eye Med MioticConstrict the pupil + treats glaucomaEye Med MydriaticDilate the pupil + to examine the retinaWhat is pharmacokinetics?Action of med (Absorption)- Getting med in body in bloodCholinergic Toxicity: SLUDGE MeaningSalivation Lacrimation Urinary Incontinence Diarrhea GI Cramps EmesisAdrenergic Blockers (Relax SNS meds)Clonidine (Catapress) & Prazosin (Minipress)Beta Blocker MedsPropranolol (Inderal) Metoprolol (Lopressor) Atenolol (Tenormin )Warning about Beta Blockers Use with AsthmaNOT GIVEN WITH ACUTE ASTHMA.Cholinergic Med (Stimulate PNS)Bethanechol (Urecholine) - Increase Bladder tone, relax sphincter.Cholinergic-Blocking Agents (Anticholinergics) blocks whatBlock action of AcetylcholineAnticholinergic medsAtropine (used in surgery to dry secretions) Scopolamine (Prevent Motion Sickness) Tolterodine ("gotta go"- cause urgency)Anticholinergics actions/useDilate Pupils for eye exam Decrease GI motility Increase HR Decrease Bladder constriction Decrease sweating (could be bad) Dries mucus membranes before Surgery Relax Muscles Opens airways Balance acetylcholine and norepinephrine