Cardiology Respiratory

Cardiology RespiratoryLecture Learning Guide

Introduction:• Introduction: There are a total of 4 Learning

Activities that will provide an opportunity for the students to gain an understanding and achieving the following learning objectives:

Learning Objectives• Identify 3 common patient diagnoses for each

classification of drugs: Cardiovascular and Respiratory.• Categorize from a list given commonly used drugs for

cardiovascular classifications of drugs.• Assess possible side effects of cardiac drugs.• Describe the action of cardiac drugs on a patient. • Assess possible side effects of each drugs listed.• Summarize any specific patient teaching that is required

for these drugs.• Discuss what the role of a MA would be in caring for

patients who are prescribed one of these classifications of drugs. Things to consider would be patient diagnosis and patient teaching.

Module 7: Learning Activities – See Handout labeled “Module 7: Learning Activities” for the 4 different learning activities for this module.

Cardiology

Diagnosis - Group Work• Sign &

Synmptoms• Preventive

measures

Drugs - iClicker• Classification• Common use• Patient

Teaching

Respiratory

Diagnosis - Group Work• Sign & Synmptoms• Preventive measures

Drugs - iClicker• Classification• Common use• Patient Teaching

Get your Ready!

• http://www.drugs.com/digoxin.html

• What general classification is digoxin?

A. CardiologyB. RespiratoryC. Urology

Digoxin

A. Cardiology

Digitalis• Part of cardiac glycosides classification of

medicines• Usually used for CHF• Derived from foxglove plant• Strengthen and slow heart muscle• Improves myocardial muscle tone• Used in conjunction with diuretics

Signs of Digitalis Toxicity

DigitalisToxicity

Common

GI

CardioSystem

Apical Pulse

< 60bpm

Musculo-skeletal

NervousSystem

• http://www.drugs.com/mtm/lidocaine-injection.html

• http://www.drugs.com/propranolol.html

• What specific classification are these two drugs?A. VasopressorB. VasodilatorC. Antiarrhythmic D. Asthma

lidocaine HCL and propanolol

C. Antiarrhythmic

• http://www.drugs.com/pro/phenylephrine-hydrochloride-injection.html

• What is this specific drug classification and what is it used to treat?

A. Antihypertensive, High BP

B. Vasopressor, ShockC. Vasodilator, Angina

phenylephrine HCL

B. Vasopressor, Shock

• http://www.drugs.com/cdi/nitroglycerin.html

• What is this specific drug classification and what is it used to treat?

A. Antihypertensive, High BPB. Vasopressor, ShockC. Coronary Vasodilator,

AnginaD. Peripheral Vasodilator, PVD

nitroglycerin

C. Coronary Vasodilator, Angina

• http://www.drugs.com/mtm/microzide.html

• This drug classification is a diuretics that can be used to help treat HTN.

A. True B. False

hydrochlorothiazide. Microzide

A. True

• http://www.drugs.com/atenolol.html

• What specific type of Antihypertensive agent is this drug?

A. Beta-BlockerB. ACE InhibitorC. Angiotensin II antagonistD. Calcium channel blocker

atenolol, Tenormin

Reminder: The generics end in ololA. Beta Blocker

• http://www.drugs.com/losartan.html

• What specific type of Antihypertensive agent is this drug?

A. Beta-BlockerB. ACE InhibitorC. Angiotensin II antagonistD. Calcium channel blocker

losartan, Cozaar

Reminder: The generics end in sartan

C. Angiotensin II antagonist

• http://www.drugs.com/lisinopril.html

• What specific type of Antihypertensive agent is this drug?

A. Beta-BlockerB. ACE InhibitorC. Angiotensin II antagonistD. Calcium channel blocker

lisinopril, Prinvil, Zestril

Reminder: The generics end in pril

B. ACE Inhibitor

• http://www.drugs.com/metoprolol.html

• What specific type of Antihypertensive agent is this drug?

A. Beta-BlockerB. ACE InhibitorC. Angiotensin II antagonistD. Calcium channel blocker

metoprolol, Lopressor

A. Beta-Blocker

• http://www.drugs.com/mtm/quinapril.html

• What specific type of Antihypertensive agent is this drug?

A. Beta-BlockerB. ACE InhibitorC. Angiotensin II antagonistD. Calcium channel blocker

quinapril, Accupril

B. ACE Inhibitor

• http://www.drugs.com/diltiazem.html

• What specific type of Antihypertensive agent is this drug?

A. Beta-BlockerB. ACE InhibitorC. Angiotensin II antagonistD. Calcium channel blocker

diltiazem ER, Cardizem CD, Dilacor XR, Tiazac

D. Calcium Channel Blocker

• Heparin is a anticoagulant that can be given orally, SubQ, and IV.

A. TrueB. False

Heparin

B. False - Routes are either SubQ 90* or IV

• http://www.drugs.com/warfarin.html

• Patient teaching for a patient on warfarin include all but:

A. Can turn urine a red-orange color

B. Need to get an INR drawn to assess required dose

C. Watch for S&S of BleedingD. Avoid Alcohol and ASAE. None of the above

warfarin, Coumadin

E. None of the above – all are things a patient should be instructed on when on warfarin

• http://www.drugs.com/mtm/enoxaparin.html

• This drug is used prophylactically in adult before knee or hip surgery or ABD surgery and is taken orally.

A. TrueB. False

enoxaparin, Lovenox

B. False – it is self administered by the patient at a 90* angle SubQ

• http://www.drugs.com/mtm/lovastatin.html

• The specific classification of this drug is and it is used to:

A. Megalobastic Amenia, AmeniaB. Thrombolytic Agent, Acute MIC. Hemostatic Agent,

Coagulation D. Hematinic Agent, Iron

DeficiencyE. Antihyperlipidemic Agent,

Decrease Cholesterol

lovastatin, Mevacor

Reminder: Many of the generics end in statin

E. Antihyperlipidemic Agent, Decrease Cholesterol

• http://www.drugs.com/cons/streptokinase-intravenous-intracoronary.html

• The specific classification of this drug is and it is used to:

A. Megalobastic Amenia, Amenia

B. Thrombolytic Agent, Acute MIC. Hemostatic Agent,

Coagulation D. Hematinic Agent, Iron

DeficiencyE. Antihyperlipidemic Agent,

Decrease Cholesterol

streptokinase, Kabikinase, Streptase

B. Thrombolytic Agent, Acute MI

• http://www.drugs.com/simvastatin.html

• The specific classification of this drug is and it is used to:

A. Megalobastic Amenia, AmeniaB. Thrombolytic Agent, Acute MIC. Hemostatic Agent, Coagulation D. Hematinic Agent, Iron

DeficiencyE. Antihyperlipidemic Agent,

Decrease Cholesterol

simvastatin, Zocor

Reminder: Many of the generics end in statin

E. Antihyperlipidemic Agent, Decrease Cholesterol

• http://www.drugs.com/mtm/iron-dextran.html

• The specific classification of this drug is and it is used to:

A. Megalobastic Amenia, AmeniaB. Thrombolytic Agent, Acute MIC. Hemostatic Agent,

Coagulation D. Hematinic Agent, Iron

DeficiencyE. Antihyperlipidemic Agent,

Decrease Cholesterol

Imferon

Reminder: Z-tack used

D. Hematinic Agent, Iron Deficiency

• http://www.drugs.com/mtm/cyanocobalamin.html

• The specific classification of this drug is and it is used to:

A. Megalobastic Amenia, Pernicious Amenia

B. Thrombolytic Agent, Acute MIC. Hemostatic Agent, Coagulation D. Hematinic Agent, Iron

DeficiencyE. Antihyperlipidemic Agent,

Decrease Cholesterol

cyanocobalamin, Vitamin B12

Reminder: In brown multi-vial container, dosed in mcg

A. Megalobastic Amenia, Pernicious Amenia

Respiratory Drugs to Check-out• Antihistamines:

• fexofenadine, Allerga• loratadine, Claritin• cetirizine, Zyrtec• diphenhydramine, Benadryl

• Decongestants:• Afrin• pseudoephedrine HCL, Sudafed

Respiratory Drugs to Check-out: Continued• Antitussives:

• codeine phosphate• Expectorants:

• guaifenesin, Robitussin

• Mucolytic:• Mucomyst

• Sympathomimetic Bronchodilators:• Epinephrine

• Xanthine Bronchodilators:• aminophylline

• Glucocorticoids:• triamcinolone acetonide, Azmacort

Respiratory Drugs to Check-out: Continued• Albuterol• Flonase• Rhinocort

Drug Pronunciation Tools• http://prontopass.com/index.php?page=free_pron

unciations• www.drugs.com• www.howjsay.com• http://www.merckmanuals.com/home/resources/pr

onunciations/index/a.html• http://www.drugguide.com/ddo/ub

Cardiac Resources• http://www.webmd.com/heart/atrial-fibrillation-stro

ke-11/default.htm?vid=vd-1134-tc-0003• http://www.webmd.com/heart-disease/common-m

edicine-heart-disease-patients• http://www.fiercepharma.com/special-reports/top-

10-cardio-drugs-2012• http://www.healthcentral.com/heart-disease/r/med

ications/• http://heartdisease.about.com/od/drugsforheartdis

ease/a/htn_drug.htm

Respiratory Resource• Respiratory• http://www.healthcentral.com/asthma/r/medicatio

ns/