Cardiac Medications

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Questions and Answers

A patient presents with bradycardia and hypotension. Which medication is MOST appropriate based on its primary pharmacological action?

  • Furosemide
  • Dopamine (correct)
  • Fentanyl
  • Nitroglycerin

A patient is on a lidocaine drip. Which of the following infusion rates falls within the standard therapeutic range?

  • 5 mg/min
  • 2 mg/min (correct)
  • 0.5 mg/min
  • 6 mg/min

Which medication is classified as a synthetic sympathetic agonist?

  • Lidocaine
  • Furosemide
  • Dobutamine (correct)
  • Nitroglycerin

A patient with acute chest pain is being treated with fentanyl. What is the MOST likely reason for administering fentanyl in this scenario?

<p>To reduce the patient's cardiac oxygen demand. (C)</p> Signup and view all the answers

Which of the following best describes the mechanism of action of diuretics?

<p>Reducing circulating blood volume via the kidneys. (A)</p> Signup and view all the answers

A patient is prescribed an ACE inhibitor. Which of the following medications is MOST likely from this drug class?

<p>Lisinopril (C)</p> Signup and view all the answers

Which medication is used to cause vasoconstriction, particularly in hypotensive emergencies?

<p>Vasopressin (B)</p> Signup and view all the answers

A patient is experiencing an acute asthma exacerbation. Which of the following medications would be MOST appropriate to administer?

<p>Ipratropium (B)</p> Signup and view all the answers

Following a large dose of IV morphine, a patient exhibits signs of respiratory depression. Which drug would MOST likely reverse this effect?

<p>Naloxone (D)</p> Signup and view all the answers

A patient with a history of heart failure is admitted with fluid overload. Which medication would be MOST appropriate to help manage this condition?

<p>Furosemide (A)</p> Signup and view all the answers

Flashcards

Dobutamine (Dobutrex)

Synthetic sympathetic agonist, increases heart rate and contractility.

Lidocaine Drip Rate

Antiarrhythmic; typical maintenance infusion rate.

Dopamine Drip

Precursor to norepinephrine, dose-dependent effects (renal vasodilation at low doses, increased blood pressure at higher doses)

Dopamine Use

Given for bradycardic and hypotensive patients to increase heart rate and blood pressure.

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Fentanyl Effect on Heart

Analgesic that reduces cardiac oxygen demand.

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Diuretics

Medications that reduce circulating blood volume by increasing urine production in the kidneys.

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Beta Blockers

Medications that block the effects of epinephrine and norepinephrine, slowing heart rate and lowering blood pressure.

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ACE Inhibitors

Medications that block the conversion of angiotensin I to angiotensin II, leading to vasodilation and lower blood pressure.

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Calcium Chloride

Electrolyte supplement used to increase cardiac contractility and treat hyperkalemia/hypocalcemia.

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Vasopressin

Vasoconstrictor and antidiuretic hormone used in septic shock and cardiac arrest.

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Study Notes

  • Dobutamine (Dobutrex) is a synthetic sympathetic agonist.
  • Lidocaine drip rate is 1-4mg per minute.
  • Dopamine drip rate is 5-20 mcg/kg/min.
  • Dopamine is administered to treat bradycardia and hypotension.
  • Fentanyl decreases cardiac oxygen demand.
  • Diuretics reduce circulating blood volume in the kidneys.
  • Antiarrhythmics affect the heart's electrical activity to regulate heart rhythm
  • Beta blockers and ACE inhibitors are important classes of medications to study

Examples of Medications

  • Study the indications and mechanisms of these medications:
  • Calcium Chloride
  • Dopamine
  • Morphine
  • Nitroglycerin (Paste, Spray, Tablets)
  • Vasopressin
  • Furosemide
  • Ipratropium

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