CARDIAC DRUGS

HR ¥60 -

CAUTIONS Dont give

A ACE / Prils ) ,
ARB 's Garton ) IHR Bp -90160¥
:
ct
pregnancy lboth )

* Both -4
B
Beta
+ ARI # BP p Beta
I
Beta Blockers * 2
Libido
Heart wnqs
-

THR -

Bronchodilation

Kent Rice ¥9s ) ¥r Inanition

[ Cat channel Blockers *

4HR&¥BP
cardiac t.HR Non-selective Selective
Digoxin (Digitalis )= Glycosides BIIBZ B1

Dilators /Vasodilators) IBP * Propranolol

towsony.in#itr-Bisoprobl
- -

-
Penbutolol
- Dilate vessels nitroglycerin -

+ BP -
Timok -
Glaucoma
A- 9- enow
it 02
-
-

- Relax muscle of the

load Nadolol Beta-0101
to preload , * After
- -

-
-

t, vascular Resistance COPD _& ASTHMA

a- Acebvtolol
-
.
-

to - Relieve coronary spasm

-

Esmowl

④¥É
-

* tlletopntol
-

iiwapamil
Nifedipine
Diltiatun

CORONARY ARTERIES

right
coronary Artery
=taiwmHe×
.
coronary artery

↳
RV DAN
left Anterior Decendiñg
\?
Artery
→ ischemic Dse / CAD

Top b- Vasodilators
i.
Nitroglycerin ⑧
2. Nitroprusside 5. minoxidil G- severe Failure)
3.
Hyctralazine -

for pregnant
4. lsosorbide
 NTG Patch
Nitroglycerin -
unstable Anginal chest pain @ Rest )

SIE -

Expected -

Given Once a
day
-

ok w/ shower
Headache

} Hypotension orthostatic)
Hot Flushes LFacial Redness)
-

Not

Rotate
PRN

Daily site
- subclavian Part
upper chest
-

( Sildenafil)
-

tips NO VIAGRA Broken skin - Arm

callus, BUM ,

⑧ stop Dng ! -

severe # BP Hair , scar

clean
¥100mmHg OR shaved , Hairless
¥30mmHg
E¥om 140 doin to 110
to
use Gloves ( Potent in skin )
* Disposal : Fold together sticky part
signs of low BP :
-
infectious → Orange Bin
-
irritability
-

pallor
-
sweating
Lack of coordination@
-

Types of Nitroglycerin
NTG PILL SPRAY
stable Angina
S -
A -

F E -

Goal : No chest pain (ADL )

* 3 Doses ( 5 mins Interval )
* call 911 :
After 5min / 1st Dose
w/ chest pain
↳ if WI chestifpariah
* SUBLINGUAL ( moist )

STORAGE -
Dark container
\ Pocket

6 months
* Replace
 Ischemic Heart D. -

Narrowing , ¥02 muscles OF

A the

1. CAD coronary
Artery D.) CAUSES SODDA
"☒ KAD
angina
MI HTN

¥
,

1. s -
stress . smoking
- stimulants (caffeine ,
ginseng )

to if it mrsten
2. 0 -

Obesity (F25Bm1 )
2. Stable Angina Diabetics mellitus 1- HTN
g. ☐ -

¥¥
*
Nitroglycerin 1- fat)
Pills pray grams
4. p .
piet ( ±µa Fred
"

Nata ,
safe
200 i. Chile

↳ }
-

150 -

Tñqly
too -
in
Unstable syndrome (Acs )
3.
Angina Acute coronary # wafer "
-

-1^40
"

HDL (good Heaven )

¥:¥É
"
-

* NTG Patch

5. A -
African American male
⑧ NSTEMI High unstable Angina
-

a- Depression
-
-450 y -
O ( Men )

4. MI ( Myocardial Infarction)

* -p

I. ¥
-
-
LADA
NO 02 supply

Muscle Death
 MI / HEART ATTACK
p
Fibrinolysis
-
sudden crushing , i. * Thrombolytic
-

Radiating , Heavy →
give wlin 4.5 Hours

Dissolve the clot

subs tornal
→
-

-
1 Dose (window follows)
-
saw
↳ F Risk
Bleeding
-
shoulder / midback ⑨
-
injection
-
urination
-

② Arm -

-
ABG
✓Q
-

Heartburn
-
Dont give on Central line
⑧ SOB , Dyspnea , labored breathing ⑧ - only peripheral line

⑧ NIV ( Abdominal pain) TPA -

tissue plasminogen activator

o⑧ sweating .
Pale, cold clammy skin
streptokinase
Urokinase
Diagnostics :
Alteplase
I shot of Thrombolytic the
1. ECG ⑧ ST -

Elevation llntry -1002)

⑨ 1- wave Inversion ( Ischemia -1+02 ) 2 Heparin blood clots

prevent further
-
-
.

⑨ Pathologic a-wave Gast after

-

my
↳
scarring / Infarction -
permanent

4. Cardiac catheterization
⑧ a- depression → ¥02 ischemia A B C
to CAD , Angina IHD , 1. A -
Artemio / Angio
"
/ gram
" "

Marty
"
-

[ Ballon / stent ) ( Image )

2. Troponin ⑧ 1×0.35ngldl
-

NPO 642A
MI =P 0.5
-

Flat apter
other → CKMB
2. B- Bypass CCABG )
⑧ saphenous vein
3 . 1 .

Oxygen 0

A
/↳ ⑧ 3-5 days
⑧ Vitt ointment ( Healed)
Healing
2-
Anticoagulants ✗ NO Bath ✓ shower
3- NTG N

4- Morphine M e- Creatinine
④ 0-6 -
l -

3mg kill
3. C -
contrast ( Radiopaque ✓ -
v. 0.30mW
⑧ Hold metformin
Dye ) 48A before
⑧ tactic Acidosis
Kidney Harm
→
-

Iodine )
" A- Allergies /CSeafood not related
C- can't palpate
Abcd ⑧ sheepish
-

-
to contract
MYTH
Pedal Pulse
⑧ 4- RH
pB= Bleeding
at Cath rile
⑧ t/Diminished
} Report
pulse
Direct -

pressure 5- 15min
cold temp Distal
.

thbtood Thinners w/ in
poppier detect pulse -

vsemactnhebec weak Pulse

→ 6-Hours ☐ mora palpate
 Congestive Heart Failure
problem -
Fluid overload

⑧ tv Na , tv Fluid barons Na ,
2 Liters fluid)

⑧ Loop Diuretics -

Furosemide
preload
¥ -

Bumetanide
Pulmonary Edema

⑧ Kt -
Bec . Furosemide waste the K

Right
-
sided

congestion
Heart Failure

←
÷:÷:¥→* left sided Heart Failure
-

Left ventricle problems

-
Cor -

pulmonate ( long ¥8,31M ) - MI

Slsx CONGEST
SPX RESPIRATORY
Jugular vein Distention Dyspnea
-

Hepatomegaly SOB
-
-

-
RUQ Pain -
crackles
Edema
Peripheral
-

" "
BOTH
-
-

Anorexia
Insomnia

Weakness

Fatigue

Aptt → N 25 -35sec
1-5×2 times )
( DOWN SYNDROME) ⑨ looking Heparin (
Trisomy 21
4170sec
-

AFP ( Alpha Foto protein ) ¥

At Canal Defect
Accurate in
-

determining effectiveness
Heparin
-

of
-
ASD
VSD aptt
Heparin
- -

- PDA
-
1-OF ⑧ Low modewcar weight Heparin LMWH

Enoxaparin ⑧ bleeding
-

*
-
Fraxepanh
- No need to always monitor Aptt
CBC
-
only
 ±"
Mechanical Prosthetic Value Furosemide
-
IBP
Durable
loop iwretics
-

long term anticoagulants ( watdfogtixg) fast dose /giving fast 010 TOXICITY Fast -
-

4mg lamin
>
120mg

4mg 1min
Heparin
÷
IV -

effective ( 2-alto )
Ex -

160mg
= 40min
aptt
SQ -

effective @-12AB)
Antidote : protamine soy /stop -
Bec short
effect
A High Dose of Furosemide Nephrotic

Warfarin lloumadin )
2-7- days
Adenosine -
short Acting
⇐ secs )
¥ -9¥ ,
-
DO C
-
SVT
1NRl¥ 1.17
.

④ 2.0-3.0 Antidote : Vitamin K

Avoid green leafy veg -

1-2 seconds H bows 1- FWMWI saline

↳ Rich
'

in bit K
-
close to Heart Kline

Monitor ECG
Aneurysm weak Area of Arteries
-
-

Himpulse ( Av node )
HE Itsystole
-
-

Expect -

Flushing chest pain ,

palpitation

) "÷i÷÷÷÷: µpGamt%%eM
"
Pulmonary stenosis
/tttpetts / Hypopeyanol
-

;
* earwax or Right Hyperthropy
vent
-

ventricular replica perfect

Fallot goods
W
Blood
⑧ mixing of Oz w/ Umtoyqenated

⑧ stress t Pain
( procedures )
mngt -

swaddle
-

waking -

small prevent
-

Hunger feeding
crying → A Venous Return
knee chest
/ squat
-
-

Feeding
CPR
-
Between Nipples
-
center of chest

-
100 -1201min
Depth
2- 2- 4inch
C - 30 1006pm

A -

Tawtnwst

B- (2) Tithing

NEW /or
Gnintiddilenacavaf
☐
.

AAA Abdominal Aortic Aneurysm

-

⑧ Echymosis
* Hot
Denis groin scrotum
* v. Output , ,

THR ( Pavin )

weak peripheral Pulse ⑧ ☒ Abd girth