PhPr 815B - Cardiology Clerkship
(Also refer to the general goals and objectives for PhPr 815)
Goal
To integrate basic pharmacy-related concepts and cardiology patient care through patient care activities, discussions, and selected exercises.
Objectives
At the completion of this rotation, the student should be able to:
- Demonstrate a comprehensive understanding about the clinical use, pharmacokinetics, route of administration, adverse effects, and drug interactions of the following:
- Antidysrhythmic drugs: quinidine, procainamide, disopyramide, lidocaine, tocainide, mexiletine, flecainide, bretylium, amiodarone, beta blockers, verapamil, diltiazem, ethmozine, propafenon, and digoxin
- Inotropic agents: digoxin, amrinone, and milrinone*
- Antihypertensives: diuretics, beta blockers, prazosin, methyldopa, guanadrel, hydralazine, clonidine, guanabenz, captopril, minoxidil, guanethidine, sodium nitroprusside, diazoxide, and calcium channel antagonists
- Antianginal agents: nitrates, beta blockers, and calcium channel antagonists
- Anticoagulants and antiplatelet drugs: heparin, warfarin, aspirin, dipyridamole, sulfinpyrazone, and thrombolytic agents
- Sympathomimetics: epinephrine, norepinephrine, isoproterenol, dopamine, dobutamine, and phenylephrine
- Parasympatholytics: atropine
- Vasodilating agents: nitrates, hydralazine, prazosin, captopril, minoxidil, nifedipine, sodium nitroprusside, nitrates, enalapril*
- Discuss the pathophysiology, associated laboratory and physical findings, and recommend the therapeutic maneuvers for the following disease entities:
- Acute myocardial infarction
- Angina pectoris including effort angina, Prinzmetal's angina, and unstable angina
- Supraventricular dysrhythmias: atrial fibrillation, atrial flutter, multifocal atrial tachycardia, PSVT
- Ventricular dysrhythmias: ventricular tachycardia, ventricular fibrillation, Torsades de Pointes
- Pre-excitation syndromes: Wolf-Parkinson-White
- Atrioventricular blocks
- Heart failure
- Hypertension
