cardio Meds

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Author:
sarai111
ID:
156652
Filename:
cardio Meds
Updated:
2012-05-31 13:14:30
Tags:
Cardiac medications
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Description:
Nclex cardiac meds
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  1. Calcium Channel Blockers

    *inhibits calcium transport into myocardium
    *for HTN/angina
    *^ vasodilation
    *decrease PVR
    • verapamil Calan
    • amlodipine Norvasc


    • Assessment:
    • monitor peripheral edema
    • change pt slowly
    • swelling hands/feet??!!!!

    THIS WORK BETTER ON AA FOR BP
  2. Beta Blockers LOLS :]
    TO DECREASE BP, HR, ANGINA
    cardioselective
    block beta 1 heart

    Non-cardioselective
    block beta 2 lungs
    metoprolol Lopressor

    atenolol Tenormin

    esmolol Brevibloc

    • ASSESSMENT
    • take apical pulse <50 or arrythmia hold
    • BUN, creatine, AST, LDH

    AA dont respond to BB so give with Diuretics

    • AE:(
    • fatigue, weak, dizzy. bradycardia, hf, edema
  3. Nitrates

    for vascular/coronary vasodilation on smooth muscle...decrease preload
    • Short acting
    • nitroglycerin Nitrostat, Nitrobib
    • Long acting
    • isosorbide Isordil, Imdur


    • Assessment
    • orthostatic hypotension *
    • patch remove nightly yo avoid tolerance
    • no alcohol
    • HEADACHE A COMMON SIDE EFFECT
    • MEDS WITH ERECTILE DISFUCTION MIGHT CAUSE FATAL HYPOTENSION
  4. Inotrope *cardiac glycoside

    FOR HF
    digoxin (Lanoxin)

    • ^contractions
    • ^CO
    • slows HR

    • assessment
    • check apical pulse
    • therapeutic level *toxicity = n/v pain, blurred vision, anorexia
    • AE: (
    • fatigue, headache, yellow/green vision
  5. Anticoagulants
    for DVT prevention
    • lmw heparin
    • enoxoparin Lovenox ....sub Q IN Abd

    apTT

    warfarin Coumadin

    pt/INR

    • assessment
    • pt should be 1.25-2.5
    • INR 2-3X
    • PTT 1.5-2x
    • protamine for heparin
    • vit k for warfarin

    pt avoid BLEEDING AND NSAIDS
  6. Renin Inhibitor

    binds to renin reduces angie 1,2 aldo
    *for hTN
    aliskiren Tekturna

    • ASSESSMENT
    • *angioedema (face, lips, tongue difficult breathing)
    • PO once daily
    • avoid fat

    check diahrrea/dizzy
  7. Aldosterone Receptor Blocker

    BLOCK ALDO SO bp goes down so sodium is reabsorbed in kidneys.
    eplerenone Inspra

    • once daily
    • not use salt substitus or grapejuice!

    HYPERKALEMIA***
  8. ACE Inhibitors pril

    blocks conversion of angie 1and realease of aldo
    ***HTN
    captopril capoten DECREASE PROGRESSION OF DM nephropathy

    enalapril Vasotec

    lisinopril Prinivil

    ramipril Altace ^ SURVIVAL AFTER MI

    • Assesseement:
    • hyperkalemia
    • report irritant cough
    • postural hypotension with first doses

    AA need diuretics with ACES
  9. Angiotensin 2 receptor Blockers ARBS sartans =]

    for pts that cant tolarate ACES or have hyperkalemia
    • candesartan Atacand
    • losartan Cozaar
    • valsartan Diovan



    • take same time daily
    • monitor liver/renal labs
    • URI?
  10. DIURETICS
    Thiazides

    prevent na and h2o reabsorption in kidneys
    lower BP slowly
    for edema
    • hydrochlorothiazide hydroDiuril
    • chlorothiazide Diuril
    • assessment
    • hypokalemia
    • give food with K
    • watch for sugar elevations
  11. DIURETICS
    LOOP ide
    • furosemide Lasix
    • bumetanide Bumex

    more potent than thiazides but short duration


    • ASSESSMENT
    • check weight daily
    • lungs sounds
    • dehydration?
    • iV slowly over 2 MIN give am to prevent sleep disruption

    • check
    • hypochloremia
    • hypokalemia
    • hypomagnesia
  12. DIURETIC

    POTASSIUM SPARING
    • spironolactone Aldactone
    • amiloride Midamor

    • weak diuretic/antihypertensive
    • ***hyperkalemia (muscle weakness, fatigue, arrhythmia, paresthesia)
    • **hyponatremia
    • keeps K
    • avoid food rich in K

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