LAMA & SAMA & ICS
Name a LAMA (Long acting muscarinic agent) used for bronchodilation in COPD
tiotropium, umeclidinium
Genetically engineered man-made proteins that mimic the body's natural antibodies
monoclonal antibodies (mab)
amiodarone is given for atrial and ventricular dysrythmias. Name a nursing consideration when giving amiodarone
needs a micron filter for IV. Monitor liver enzymes.
What is the synthetic form of ADH (antidiuretic hormone)
vasopressin
Drugs like clopidogrel, prasugrel, cangrelor are P2Y12 meds given as part of DAPT. What does DAPT stand for?
Dual antiplatelet thereapy
name a SAMA (short acting muscarinic agonist)
Ipratropium
hydrochlorothiazide is often the first med prescribed for hypertension. What is an abbreviation commonly used for this med?
HCTZ
Lidocaine treats life threatening ventricular arrhythmias. Is bradycardia and/or heart block a contraindication?
yes. Lidocaine requires levels be drawn, as toxicity may develop affecting the CNS and cause other arrythmias
Dobutamine is typically used for which type of shock
cardiogenic
Heparin breaks down blood clots. True or false
False. It prevents further clot formation
What is an example of an inhaled corticosteroid
beclomethasone, budesonide, fluticasone,
sacubitril/valsartan (Entresto) is the only ARNI (angiotensin receptor/neprilysin inhibitor) approved by the FDA. What is it used for?
Heart failure. Don't take with ACE or ARB. same s/e as those
What is used for supraventricular tachycardias when vagal maneuvers are ineffective?
adenosine. Must be given rapid IV push. Stops the heart and the heart "resets"
dopamine at a very low dose is often referred to as a renal dose. At a higher dose is has strong Beta 1 and alpha 1 and has a ____________effect
Inotropic
apixaban (Eliquis), rivaroxaban (Xarelto) and dabigigatran (Pradaxa0 are direct anticoagulants (DOAC). Why are they preferred over warfarin?
They work quickly and do not require frequent blood monitoring.
What type of inhaler should a patient be taught to rinse their mouth?
Contains corticosteroids to reduce the risk of thrush
Calcium channel blockers inhibit the movement of calcium ions across the membrane of cardiac and arterial muscle cells. Name one
verapamil, diltiazem, amlodipine, nifedipine, felodipine
This drug is used for symptomatic bradycardia and as a treatement for cholinergic crisis
atropine
Norephinephrine (Levophed) is a drug of choice for this type of shock
Septic
How is a low molecular weight heparin like enoxaprin (Lovenox) given?
sub cut
What order to do inhalers and COPD meds
Rescue inhalers first to open airways.
Controller inhalers second for long-term management.
Dry Powder inhalers last.
Wait between inhalers to maximize effectiveness.
Rinse after steroids
Nifedipine is used for angina. A common side effect of the med is:
leg (esp. ankles) swelling. Vasodilation causes fluids to move out
Of all the calcium channel blockers, which two are used as antiarrythmics?
Epinephrine may be given IV in cardiac arrest, but if someone had a severe allergic reaction, it may be given IM for what type of shock?
anaphylactic shock
alteplase (Activase) is a tissue plasminogen activator (tPA) used for pulmonary embolism, ischemic stroke and MI. What does it do?
activate plasminogen to plasmin, breaking down clots.