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NURS 488 Cardiovascular System 1 With Complete Solution

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NURS 488 Cardiovascular System 1
With Complete Solution

What do adrenergic receptors do? - ANSWER -Stimulate the SNS
(neurotransmitters norepinephrine and epinephrine and dopamine)

-AKA adrenergic agonist or sympathomimetic

when are adrenergic used - ANSWER ICU

what do catecholamines do - ANSWER -Substances that produce a
sympathomimemetic response

-May be endogenous (such as epinephrine, norepinephrine and dopamine) or
synthetic (such as dobutamine)

when are catecholamines used - ANSWER heart failure patients

stress test

what is Positive chronotropic effect- - ANSWER increased heart rate

what is Positive dromotropic effect - ANSWER Increased conduction through
the AV node to ventricles

what is Positive inotropic effect - ANSWER increase force of contract of the
heart muscle, increases force of contraction

what 3 types of receptors are common to CV - ANSWER Alpha

Beta

Dopaminergic

,what do agonist drugs do - ANSWER drugs that produce a "mimic" effect

what do antagonist drugs do - ANSWER drugs that inhibit or block the action
of a neurotransmitter

what do cardioprotective drugs do - ANSWER applied to Beta Blockers that
inhibit stimulation of the heart by circulating catecholamines, used after an
MI

what do cardioselective beta blockers do - ANSWER beta blocking drugs that
are selective for beta 1 adrenergic receptors

what do nonselective beta blockers do - ANSWER beta blocking drugs that
block beta 1 and beta 2 adrenergic receptors

what do alpha adrenergic block drugs do - ANSWER drugs that interrupt or
block of the stimulation of the SNS

what can beta blockers affect - ANSWER asthma

diabetes

what is the First line antihypertensive in the CHEP guidelines - ANSWER
diuretics

Diuretics May be used alone (_____________) or ______________ - ANSWER
-monotherapy

-combination

what do diuretics do - ANSWER Decrease plasma and extracellular fluid
volumes which decreased preload, cardiac output, and total peripheral
resistance

= overall decrease in the workload of the heart

, what are the 3 types of diuretics - ANSWER -Potassium sparing,

-thiazide

-loop diuretics

what are the most commonly used diuretics - ANSWER Thiazides

- saves potassium

what will happen when preload is decreased - ANSWER amount of stretch
from blood coming back into heart, decreasing that will make right side of
the heart work less

Acetazolamide, Methazolamide - ANSWER Carbonic Anhydrase Inhibitors

Furosemide, Bumetanide, Ethacrynic Acid - ANSWER Loop Diuretics

Chlorothiazide, Hydrochlorothizaide, Indapamide, Metolazone,
Chlorthalidone, Trichlormethiazide - ANSWER Thiazide Diuretics

Amiloride, Spironolactone, Triamterene - ANSWER Potassium-Sparing
Diuretics

Which part of the renal system takes out a lot of fluid and potassium -
ANSWER descending loop of henle

what is the mechanism of action for thiazide diuretics - ANSWER -Inhibits the
reabsorption of sodium, potassium and chloride resulting in osmotic water
loss

-Relax arterioles (reduces afterload)

-Precipitate hypokalemia and hypercalcemia, hyperglycemia, h

what is the indication for thiazide diuertics - ANSWER -Hypertension

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