Therapeutics 2 exam 3 review

What is the primary pacemaker of the heart?

See case

Ivabradine is dosed based off?

If a patient is unable to walk their ass to the mail box without dying, what is their NYHA functional classification?

Patient is hemodynamically STABLE but in supra ventricular tachycardia (SVT). What do we give them?

Which of the following is NOT a treatment option for a hemodynamically stable patient in VTT?

When you start a new drug for heart failure in a patient, how often should the dose be titrated?

CO = heart rate X preload

When do PVCs become concerning?

Class 1 drugs all work on what ion?

T/F: Pulmonary rales, edema, tachycardia, cardiomegaly, peripheral edema, JVD, S3 gallup all signs of HF

See case

Initial management of a symptomatic patient who is NOT hemodynamically stable with AFib is?

Should all patients with HF be on a diuretic?

All V Fib patients need to be shocked?

All of the following should be avoided in heart failure except?

The most concerning side effect of hydralazine is?

A loading dose is NOT recommended with which of the following drugs?

First line treatment for a patient with 2nd or 3rd degree AV block is?

A patient with a CI of 2.6 and PCWP of 22 would be _____ and treated with?

If you are starting a patient on Entresto, how long do they have to wait after their last dose of an ACEi?

Which of the following is INCORRECT about the treatment of PEA and asystole?

A patient is suffering from torsades de pointes, you've stopped the offending agent. What do you give?

Which of the following anticoagulants should always be stored in its original container?

A side effect unique to spironolactone is?

1a and 3 drugs are both know to cause?

NT-pro-BNP will be ______ in patients with heart failure

AFib goes from paroxysmal to persistent if it has continued for?

In HF patients with AFib there are only 2 agents that can be used, they are?

See case

If a HF patient has no limitation of physical activity, what is their NYHA functional classification?

A patient who OD on metoprolol should be given what to reverse the effects?

You treat first degree AV block by?

Initial management of a asymptomatic patient who is hemodynamically stable with AFib is?

The most important work up tool to diagnosing AFib is?

Which of the following is NOT a presentation of HF?

Isosorbide and hydralazine would be indicated in which of the following patients?

Which of the following anticoagulants does not work as well in pts with good kidney function? (cause that makes sense)

T/F: in patients with HFpEF the best course of action is to treat the symptoms

T/F: Upon starting, stall and dofetilide require ECG monitoring

What is the most important diagnostic test for heart failure?

T/F: Alpha-blockers and thiazolidinediones are not recommended in patients with heart failure

Which of the following drugs has a notable side effect of severe nausea?

Which of the following is a potential cause of arrhythmia?

A patient with unstable LV function (heart failure) who has AFib should be rate controlled to under _____ bpm

Lidocaine and mexiletine treat?

T/F: Aldosterone antagonist are used in patients who have heart failure and a history of HF related hospitalization

Amiodarone, ibutilide, dofetilide, and sotalol are all classified as?

The first line agent for people with sinus bradycardia, with symptoms or hemodynamic compromise is?

Which of the following is NOT a non pharm treatment for HF?

All of the following drugs provide only symptomatic relief, except?

Amiodarone has adverse effects with basically everything but the kidney

Which of these nitrate vasodilators has the unique side effect of coronary steal syndrome and cyanide toxicity?

Which of the following is correctly paired?

A patient suffering from digoxin toxicity should be put on dialysis immediately to remove the drug?

A patient has a HR of 55 bpm, are they considered sinus bradycardic?

Which of the following is NOT a type of ventricular tachycardia?

Initial management of a symptomatic patient who is hemodynamically stable with AFib is?

Which is the preferred method in rhythm control in patients with AFib?

Which of the following electrolytes needs to be monitored in patients on spironolactone?

When is anticoagulation required before cardioversion?

A patient with a CI of 1.8 and PCWP of 14 would be _____ and treated with?

A patient receiving anticoagulation (warfarin) for cardioversion should be on it ____ weeks prior and ____ weeks after.

A patient with stable LV function who has AFib should be rate controlled to under _____ bpm

Know that the 4 drugs/classes listed below can worsen bradycardia. Select one. Pass go and collect $200

If a patient is on ivabradine and their heart rate is 55 bpm, what do you do with the dose

Which of the following will be seen in patients with AFib?

Cardiac index is standardized by a patient's?

Do you shock a patient with pulseless electoral activity or asystole?

Which of the following is NOT a contraindication for ARNi use?

3 of the following are beta blockers indicated for heart failure, which is not?

A patient comes to your retail pharmacy and is on two antiarrhythmics, is this okay?

Double quarter pounder lettuce mayo fries please is to remember class ____ drugs

If you were going to pharmacologically cardiovert an AFib patient which of these drugs would you NOT give?

A patient is suffering from VTT and they are hemodynamically unstable, you need to shock them

Patient is hemodynamically UNSTABLE but in supra ventricular tachycardia (SVT). What do we give them?

CHAD2-VAS scores are only for people with AFib

When classifying a patient with ADHF, what two numbers are important to remember?

T/F: Groups 1c and 3 should be used to treat patients with AFib?

All of the following patients should get digoxin every other day except?

What is the recommended anticoagulant agents for a patient with a mechanical heart valve?

Which of the following patients would you NOT initiate anticoagulation therapy in?