Pharmacological Treatment of Cardiovascular Conditions Flashcards Preview

Quick Cardio > Pharmacological Treatment of Cardiovascular Conditions > Flashcards

Flashcards in Pharmacological Treatment of Cardiovascular Conditions Deck (62)
Loading flashcards...
1

If controlling the rate in regular narrow complex tachycardia fails with IV adenosine, which drug class should be utilised?

Beta blockers

2

When would digoxin be considered first line for atrial fibrillation RATE control?

When atrial fibrillation is coexistent with heart failure

3

Lignocaine belongs to which class of antiarrhythmic drugs?

Class Ib

4

What is the third line treatment for hypertension?

ACE inhibitor + calcium channel blocker + thiazide diuretic

5

What are the treatments for Wolff-Parkinson-White syndrome?

Sotalol

or

Amiodarone

or

Flecainide

6

Diltiazem blocks which type of ion channel and whereis it located?

L-type calcium channel

Heart and vasculature

7

Digoxin blocks which membrane protein?

Na+/K+ ATPase

8

How does warfarin function?

Blocks gamma carboxylation of factors II, VII, IX and X

9

According to STEMI and NSTEMI guidlines, what treatment should all patients get regardless of the type of MI?

  • Morphine
  • Oxygen
  • Nitrates
  • Aspirin
  • Clopidogrel

MONA + C

10

When a patient has an irregular broad complex tachycardia which treatment is best?

IV magnesium sulphate

11

Which treatments may be considered if a patient's chronic heart failure is poorly managed by second line treatments?

Digoxin

Potentially ivabradine is the symptoms are still severe

12

Name a class IC antiarrhythmic drug

Flecainide

13

When a patient has a regular broad complex tachycardia, which treatment should considered?

Amiodarone

14

When is digoxin strongly indicated for heart failure?

When heart failure coexists with atrial fibrillation

15

In atrial fibrillation which drug should be given to prevent clotting?

Warfarin

16

Name a thiazide diuretic

Bendroflumethiazide

17

If a person has Wolff-Parkinson-White syndrome they can be treated with sotalol, but not when they have which co-existant condition?

Atrial fibrillation

18

Which loop diuretic may be used to treat fluid build-up from various causes?

Furosemide

19

What is the acute treatment for a supra-ventricular tachycardia in a patient with asthma?

Verapamil

20

When morphine is administered which anti-emetic is also given?

Metoclopramide

21

When treating the RHYTHM in atrial fibrillation which drugs may be used?

  • Amiodarone
  • Flecainide

22

When a patient who has both diabetes and hypertension, what is the first line treatment if they are from African or Caribbean origin?

ACE inhibitor and Calcium channel blocker

23

Which of the following drugs is an organic nitrate?

  • Isosorbide mononitrate
  • Digoxin
  • Milrinone

Isosorbide mononitrate

24

Which type of drug class does nicorandil belong?

Potassium channel agonist

25

In poorly controlled hypertension, after third line treatment, what are the remaining options and indications for when each may be used?

  • Spironolactone (aldosterone antagonist) - when K+ <= 4.5mmol/l
  • Increased thiazide diuretic dose - when K+ >= 4.5mmol/l
  • Alpha or beta blocker - when diuretics are not tolerated or ineffective

26

Name a renin inhibitor

Aliskiren

27

Ivabradine is an antagonist of which channel?

HCN

(for funny current)

28

What is the long term treatment for supra-ventricular tachycardia?

Beta blocker

29

What is the first line treatment for a caucasian patient > 55 years old with hypertension?

Calcium channel blocker

30

What is rivaroxiban?

Factor Xa inhibitor