cardiac drug hawley

Prevents conversion of angiotensin I to II,  preventing major vasoconstriction; also has amild diuretic effect R/T aldosterone

for HTN Reduce mortality & improve LV dysfunction in post MI pt.Heart failure

side effect Dry, hacking cough; orthostatic hypotension

• “chemical defibrillator,” interrupts or slowsrapid, chaotic electrical conduction pathways; asystole 10-15 seconds
• For Convert SVT to sinus rhythm

side effects Flushing, chest pain, asystole, near death experience

• FOR Ventricular tachycardia/fibrillationAlso used with A-fib
• Side effect Hypotension

Blocks platelet aggregation

FOR ACS given to anyone with S/S of angina/ischemic injuryReduces mortality

Side effect Bleeding precaution

• Parasympatholytic (increase conduction & thus HR by   inhibiting acetylcholine)
• For Primary drug used for symptomatic bradycardias (SB,   junctional, heart blocks, idioventricular)AsystolePEA

Side effect Dry mouth, urinary retention, tachycardia, dilates pupils

Negative inotropicDecreases HR and contractility.  Puts the heart muscle to sleepBronchoconstricts

For ACS pts to reduce angina& reduce incident of           VFSlow conduction in SVTEmergent antihypertensive

Side effect Impotence (*noncompliance issue)

• Relaxes smooth muscle to decrease BP, slows HR via the   conduction system suppression

For Slow SVT & rapid atrial fib/flutterAntianginal therapy 

Side effect Hypotension, bradycardia, heart block, CHF

Replaces CaBinds K+ 

For Known or suspect hyperkalemiaIonized hypocalcemiaAntidote for CCB

• Positive inotropic, negative chronotropic (decreased HR)

For Rapid atrial fibrillation, CHF, SVT

Side effect Decreased HR, Toxicity -N/V, arrhythmiasLoss of appetiteColor changes in field of vision (green halos-textbook)

For To increase BP in CHF when no shock evident (after fluid   therapy)

Depends on dose:Low- 1-5 mcg/kg/min-renal &   messenteric artery vasodilationModerate dose- 5-10   mcg/kg/min—loose the low dose effect instead beta  effects (increase HR & contractility) High dose-10-20   mcg/kg/min-beta & alpha    effects (vasoconstriction)

For   Low dose Renal perfusion(controversial);Mod & High dose Used for hypotensionTo increase HR

Side effect Tachycardia, hypotension, palpitations, sloughing of skin   if infiltrates peripherally

Peripheral vasoconstriction, increase BP & HR

For Cardiac arrest; V-fib/V-tach, asystole, bradycardias &   PEA; severe hypotensionAnaphylaxis reaction-bronchospasms

Side effect Can potentiate myocardial ischemia

Dissolves clots Clot buster

FOR AMI <12 hours from onset, Ischemic StrokeHave a window of opportunity  Timing is important

Side effects Bleeding anywhere, arrhythmiasMost significant bleeds are intracerebral bleeds because   they are life threatening

Loop diuretic

For Pulmonary edema, HTN, renal or liver disease

Side effect Hypokalemia, dehydration, arrhythmias, decreased BP

Inhibit platelet aggregation

For ACS –NonSTEMI or unstable angina possibly with planned PCI

Side effect Recent active bleeding or disorder Thrombocytopenia

Prevent clots from forming

For Prophylaxis and treatment of thrombosis and embolism. 

Side effects Contra in recent active bleeding, surgery or bleeding   disorders, Heparin Induced Thrombocytopenia (HIT)

• Prevent clots from forming

For ACS-NonSTEMI or unstable anginaPrevent DVTs

Side effect Hemorrhage is complication

Suppresses ventricular arrhythmias by decreasing   automaticityNumbs the irritated ventricular electrical cell(s)

For Common drug used to treat ventricular irritability like   PVCs, VT, & V-fib

Side effect Toxicity-Neuro changes—drowsiness, disorientation,   decreased hearing, slurred speech, heavy tongue, SEIZURES

Antiarrhythmic Anticonvulsant

For Treat hypomagnesium which can cause arrhythmias &   sudden cardiac deathTx seizures R/T preeclampsia and eclampsia

Side effect Rare toxicity—flushing, sweating mild bradycardia,   decreased BP

Opioid analgesic, vasodilator

For Chest pain

Side effect Hypotension, change in LOC, respiratory depression

Reverse resp depression & sedative effects

For Resp & neuro depression D/T opiate overdose

Side effect May not outlast effect of narcotic  Recurrent resp depression

Vasodilator      

For   Antianginal, MI, HTN, CHF Lowers blood pressure

Side effect Severe headache, hypotension

Peripheral vasodilator

For Lowers blood pressureHTN emergencyReduce afterload in HF

Side effect HA, N/V

• Potent vasoconstrictor

For Severe cardiogenic shock or significant hypotension 

Side effect Arrhythmia

Enrich blood with O2

For Any emergency, SOB, CP, stroke or hypoxemia

Side effect Caution in COPD pts D/T hypoxic resp drive

Platelet aggregation inhibitor

For Decreases risk of strokes, MIs and vessel occlusions   (stents)

Side effect Bleeding precautions

Alkaline agent

For Management of metabolic acidosisHyperkalemia

Side effect Edema, sodium & water retention, alkalosis,   hypernatremia, hypokalemia

Potent vasoconstrictorAlso an antidiuretic hormone

For VF, asystole, PEA, septic shockDiabetes InsipidusGI bleeding/varicies