MARK KLIMEK LECTURE #3 – CARDIAC
Calcium Channel Blockers are like Valium for your heart (calms your heart down)
CCB’s are negative inotropics, negative dromotropics, and negative chromotropics.
Weaken, slow down, and depress the heart. Cardiac depressant.
They treat: A, A-A, and A-A-A
Anti-hypertensive – relaxes heart and blood vessels – BP goes down
Anti-Angina – relaxes the heart – decreases oxygen demand – pain goes away
Anti-Atrial-Arrhythmia= it treats everything atrial related
= treats supra ventricular tachycardia (supra means above, above the ventricle is the atrial).
Side effects: Headache & Hypotension
Headache (vasodilation in the brain)
Hypotension (relaxes the heart and the blood vessels)
Monitor BP intermittently. If systolic is <100, hold!
Names of CCB’s:
Names ending in “dipine” (You're dipping in the calcium channel)
amlodipine, felodipine, isradipine, nicardipine, nifedipine, nisoldipine
Verapamil, Diltiazem, Cardizem [Cardizem = Continuous IV drip]
For drip, monitor BP continuously. If systolic BP is 98 titrate it down.
, Cardiac Arrhythmias (#03 – time13:33)
1. Normal sinus rhythm - Peaks of p waves are evenly spaced
2. V-fib - Chaotic squiggly line. No pattern
3. V-tach - Sharp peaks & jags. There's a pattern
4. Asystole - Flat line
5. Atrial Flutter
6. Atrial Fibrillation
7. PVCs
Calcium Channel Blockers are like Valium for your heart (calms your heart down)
CCB’s are negative inotropics, negative dromotropics, and negative chromotropics.
Weaken, slow down, and depress the heart. Cardiac depressant.
They treat: A, A-A, and A-A-A
Anti-hypertensive – relaxes heart and blood vessels – BP goes down
Anti-Angina – relaxes the heart – decreases oxygen demand – pain goes away
Anti-Atrial-Arrhythmia= it treats everything atrial related
= treats supra ventricular tachycardia (supra means above, above the ventricle is the atrial).
Side effects: Headache & Hypotension
Headache (vasodilation in the brain)
Hypotension (relaxes the heart and the blood vessels)
Monitor BP intermittently. If systolic is <100, hold!
Names of CCB’s:
Names ending in “dipine” (You're dipping in the calcium channel)
amlodipine, felodipine, isradipine, nicardipine, nifedipine, nisoldipine
Verapamil, Diltiazem, Cardizem [Cardizem = Continuous IV drip]
For drip, monitor BP continuously. If systolic BP is 98 titrate it down.
, Cardiac Arrhythmias (#03 – time13:33)
1. Normal sinus rhythm - Peaks of p waves are evenly spaced
2. V-fib - Chaotic squiggly line. No pattern
3. V-tach - Sharp peaks & jags. There's a pattern
4. Asystole - Flat line
5. Atrial Flutter
6. Atrial Fibrillation
7. PVCs
