Cardiac Pharm 2

Which of the following drugs is contraindicated in patients with asthma?

• Albuterol

• Epinephrine

• Norepinephrine

• Propranolol

To increase myocardial contractility and heart rate and to relax the bronchial smooth muscle, you must give a drug that:

• Stimulates B1 and B2 receptors

• Stimulates B2 and alpha receptors

• Blocks B1 and B2 receptors

• Blocks beta receptors and stimulates alpha receptors

Administering a drug that possesses a positive chronotropic effect will have a direct effect on:

• Stroke volume

• Blood pressure

• Heart rate

• Cardiac output

A patient with an elevated cholesterol level would MOST likely take:

• Altocor (Lovastatin)

• Isordil (Isosorbide dinitrate)

• Diovan (Valsartan)

• Inderal (Propranolol)

Which of the following medications would be the MOST acceptable alternative to morphine for analgesia in patients with an acute coronary syndrome?

• Fentanyl

• Ibuprofen

• Versed

• Diazepam

Which of the following medications is a calcium channel blocker?

• Tenormin (Atenolol)

• Capoten (Captopril)

• Cardizem (Diltiazem)

• Lanoxin (Digoxin)

When administering aspirin to a patient with an acute coronary syndrome, you should:

• administer half the usual dose if the patient has a history of stroke.

• give up to 325 mg of enteric-coated aspirin for the patient to swallow.

• first check to make sure the patient is not severely hypertensive.

• have him or her chew and swallow 160 to 325 mg of baby aspirin.

Which of the following statements regarding the use of vasopressin during cardiac arrest is correct?

• Vasopressin may be substituted for the second dose of epinephrine.

• Vasopressin has been shown to be clinically superior to epinephrine.

• If used during cardiac arrest, vasopressin is given in a dose of 20 units.

• If the patient is in asystole, vasopressin can be given every 5 minutes.

You are assessing a conscious and alert middle-aged male who complains of chest discomfort and nausea. His blood pressure is 112/70 mm Hg, pulse is 90 beats/min and regular, and respirations are 20 breaths/min and regular. The patient’s past medical history is significant for hypothyroidism and hyperlipidemia. His medications include Synthroid, Lipitor, Cialis, and one baby aspirin per day. Which of the following medications would you be LEAST likely to administer?

• Aspirin

• Morphine

• Nitroglycerin

• Fentanyl