Exam (elaborations)
PNM300 Test 2 Latest Updated @
- Course
- Institution
PNM300 Test 2 Latest Updated @ ...
[Show more]
Content preview
PNM300 Test 2 Latest Updated @2024-2025
Drugs of choice for EARLY treatment of HF? - Answer > ACE inhibs
> ARBs
> BBs; ie. bisoprolol, extended-release metoprolol tartrate, carvedilol
> Loop D. ie. furesemide
> Aldosterone inhibs ie. spirinolactone = as HF progresses.
Class I HF - Answer No limitation of physical activity
Class II HF - Answer regular activity results in fatigue, dyspnea or other symptoms
Class III HF - Answer marked limitation of physical activity
Class IV HF - Answer Symptoms @ rest or w/ no activity at all.
inotropic - Answer drugs that affect contractility
dromotropic - Answer drugs that affect the conduction of electrical impulses through
the heart
chronotropic - Answer drugs that affect the heart rate
Adverse effects of Inotropic drugs: early signs - Answer -nausea
-vomiting
-anorexia
Adverse effects of inotropic drugs: late signs - Answer -arrhythmias
-AV heart block
-blurry yellow vision
-HYPERkalemia
what drug class is Digoxin (Lanoxin)? - Answer cardiac glycoside
Digoxin antidote - Answer Digoxin immune Fab (Digibind)
T/F: Assess apical + radial pulses for a full minute before giving a BB or Digoxin for HF? -
Answer True.
, why should a pt avoid taking high fibre foods (ie. Bran) when taking digoxin? - Answer
b/c fibre ie.bran binds to digoxin; lowers digoxin levels
what should you do if the (adult) pts HR is less than 60 or greater than 100 before being
given the HF drug? - Answer hold the dose & notify the prescriber.
effect of HYPOkalemia w/ digoxin? - Answer increases risk of toxicity
treatment for HYPERkalemia associated w/ digoxin toxicity? - Answer B.I.G.K
- sodium BICARBONATE infusion
- INSULIN infusion
- GLUCOSE/dextrose infusion
- KAYEXELATE
drug of choice for digitalis-induced arrhythmia?
**HINT: an antiepileptic - Answer Phenytoin (Dilantin)= antiepileptic
Positive inotropic drug classes? - Answer Phosphodiesterase inhibitors
Cardiac glycosides
B-type natriuretic peptides
Work by inhibiting the enzyme phosphodiesterase - Answer phosphodiesterase
inhibitors
phosphodiestrase inhibitor available in canada - Answer milrinone (injectable)
negative chronotropic effect - Answer decreases heart rate
Negative dromotropic effect - Answer decreased automaticity at SA node, decreased
AV nodal conduction..
what drug class do heparin and warfarin belong to? - Answer anticoagulants
acetylsalicylic acid (aspirin) & clopidrogel (plavix) are? - Answer antiplatelet drugs
"-ASE"
ie. Streptokinase, urokinase, alteplase - Answer thrombolytic drugs
desmopressin, tranexamic acid (cyklokapron) are? - Answer antifibrinolytic
(hemostatic) drugs
which drug class inhibit the action/formation of clotting factors? - Answer
anticoagulants
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Flat. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now