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control ventricular dysrhythmias
IV amiodarone (cordarone)
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relieves pain by decreasing O2 demand and increasing O2 supply
IV nitroglycerin
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helps prevent ventricular remoldeling
ACE inhibitors
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relieves anxiety and cardiac workload
IV morphine
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associated with decreased reinfarction and increased survival
beta-adrenergic blockers
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minimizes bradycardia from vagal stimulation
stool softeners
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decrease preload
nitrates
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dilate coronary arteries
nitrates and CCB
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prevent thrombosis if plaques
antiplatelets & asprin
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decrease heart rates
beta-blockers
-
-
decrease myocardial contractility
- beta-blockers
- calcium channel blockers
-
what type of drug is procardia (nifedipine)
- CCB that decreases O2 demand by reducing systemic vascular resistence (SVR) and decreases contractility and HR.
- increases O2 suppply by dilating coronary arteries.
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Spironalactone (Aldactone)
- Potassium sparing diuretic
- Blocks action of aldosterone, decreasing intravascular volume by sodium excretion, but retains potassium
-
IV nitroglycerin
- antianginals
- Primarily reduces preload and increases myocardial oxygen supply
-
digoxin (Lanoxin)
- Antiarrhythmic
- Increases cardiac contractility and output slows heart rate
-
Furosemide (Lasix)
- Loop diuretic
- Primary effect is due to decreased intravascular fluid volume, thus decreasing preload and improving less intricate function
-
IV Nitroprusside (Nipide)
- Antihypertensive and vasodilator
- Potent vasodilator that decreases both preload and after load, increasing cardiac contractility and output
-
Enalapril (Vasotec)
- Antihypertensive, Ace inhibitor
- Decreases after load by vasodilating and preventing sodium and water retention
- reducing levels of angiotensin II an aldosterone
-
Dopamine (Intropin)
- vasopressor and Andrenergics
- Increases cardiac contractility but may increase ventricular irritability
-
Milrinone (primacor)
- inotropic
- Improves cardiac contractions, decreases preload & after load, and increases cardiac output
-
IV morphine
- opioid agonist
- dilates arterial and venous blood vessels in addition to relieving anxiety
-
Carvedilol (Coreg)
- antihypertensive and beta blocker
- directly blocks sympathetic nervous system's negative effects on the failing heart
-
Nesiritide (Natrecor)
- vasodilator & human B-natriuretic peptide
- recombinant form of a natriuretic peptide that decreases preload and after load
-
metroprolol ( lopressor)
- beta blocker
- block sympathetic response to failure and decrease HR
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