Cardio meds on test

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Cardio meds on test
2013-09-16 22:03:19
Cardio meds test

Cardio meds on test
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  1. Furosemide
    Loop diuretic
  2. Method of action for loop diuretics
    Peeing decreases water volume, which decreases blood volume, which decreases venous return to the heart.
  3. S/e of Lasix
    Hypokalemia, Electrolyte disturbances, Volume depletion, Oxotoxicity (hearing loss), Hypomagensemia, hypochloremia, hyperuricemia,hypercalcemia, hyponatremia
  4. Nursing considerations for Lasix
    Monitor for orthostatic hypotension, Monitor potassium levels (3.5 – 5.3 is normal)
  5. Enalaparil (Vasotec)
    ACE Inhibitor
  6. Captopril (Capoten)
    ACE Inhibitor
  7. Method of action of ACE Inhibitors
    Decreases conversion of angiotensin I to angiotensin II in the lungs
  8. S/e of ACE Inhibs
    Dry, hacking cough, Angioedema, Hypotension, Hyperkalemia
  9. Nursing considerations for ACE Inhibs
    Don't give w/ K+ sparing diuretics
  10. Nadolol (Corgard)
    Beta blocker
  11. Method of action for beta blockers
    Reduce BP by blocking beta 2 (lungs) adrenergic effects, Decrease heart rate (myocardial oxygen demand is decreased by reducing HR, BP, and contractility)
  12. S/e of b-blockers
    Hypotension, Bronchospasm, Erectile dysfunction, Depression, Bradycardia
  13. Nursing considerations for b-blockers
    Monitor pulse and BP, Use with caution in patients with DM, Teach pt not to stop taking suddenly
  14. Sodium nitroprusside (Nipride)
  15. Method of action for vasodilators
    • Decrease systemic vascular resistance (SVR) by
    • arterial vasodilation, Used during hypertensive emergencies
  16. S/e of vasodilators
    Palpitations, tachycardia
  17. Nursing considerations for vasodilators
    Need BP checks every 15 minutes, Thiocynate levels must be monitored
  18. Enoxaparin (Lovenox)
  19. Method of action for LMWH
    Alters the blood’s ability to clot (blood thinner)
  20. How to admin LMWH
    • Must be given SQ in love handles, do NOT expel
    • air bubble before administrating drug
  21. S/e of LMWH
  22. Nursing considerations for LMWH
    Monitor CBC, Protamine sulfate partially reverses effects of drug, Routine coagulation tests NOT done
  23. Heparin
  24. Method of action of heparin
    • Prevents conversion of fibrinogen to fibrin and
    • prothrombin to thrombin, Used for VTE prophylaxis, Given IV or SQ, Prevents thrombus enlargement and prevents
    • further embolization
  25. S/e of heparin
    Low platelet counts
  26. Nursing considerations for heparin
    • Dose is usually weight-based,aPTT monitored for drug effectiveness (every 6
    • hours), normal aPTT is 25-35 seconds (off Heparin), aPTT on Heparin should be 50-70 seconds, Protamine Sulfate (antidote) should be immediately available, Coumadin is started while on Heparin
  27. Warfarin (Coumadin)
    anticoagulant; Vitamin K antagonist
  28. S/e of warfarin
    Skin necrosis or gangrene, “Purple Toes Syndrome”
  29. Nursing considerations for warfarin
    International ratio (INR) used for monitoring therapeutic levels, Antidote is Vitamin K, Avoid green, leafy vegetables
  30. Niacin (Nicobid)
    cholesterol lowering agent
  31. Mode of action of niacin
    Decrease LDL, Decrease triglycerides, Increase HDL
  32. S/e of niacin
  33. Rosuvastatin (Crestor)
    cholesterol lowering agent
  34. Mode of action of Crestor
    HMG-CoA reductase inhibitor, Decrease LDL, Decrease triglycerides, Increase HDL
  35. S/e of Crestor
    Increased liver enzymes, Myopathy (muscle weakness), Rhabdomyolysis (damaged skeletal muscle tissue breakdown)
  36. Nursing considerations for Crestor
    Liver enzymes may be monitored every few months, Creatinine kinase (CK) level may increase too much, which could cause muscle aches and/or weakness
  37. Nitrostat
    sublingual nitroglyceran
  38. Tridil
    IV nitroglycerin
  39. Mode of action of nitros
    Coronary artery dilation (increases blood flow), Used in management of angina, peripheral dilation
  40. Short acting nitros are used. . .
    To abort angina attacks that have occurred
  41. Long acting nitros are used. . .
    • In prophylactic management (maintain health
    • & prevent spread of disease)
  42. S/e of all nitros
    Orthostatic hypotension, Headache
  43. Nursing considerations for nitros
    Teach pt they may take Tylenol for headache, If a patch is used, it should placed on area free of hair, May take 1 sublingual nitroglycerin, every 5 minutes for angina
  44. Amlodipine (Norvasc)
    Ca+ channel blocker
  45. Mode of action of Norvasc
    • Blocks movement of calcium into cells, causing
    • vasodilation and decreased HR, decreased SVR, and decreased contractility
  46. S/e of Norvasc
  47. Nursing considerations for Norvasc
    Use w/caution in pts w/ heart failure
  48. Fibrinolytics
    Clot busters
  49. Mode of action of fibrinolytics
    Breaks up fibrin meshwork in clots, Used only in STEMI
  50. S/e of fibrinolytics
  51. Nursing considerations for fibrinolytics
    Give within first 6 hours of onset of chest pain, Be aware of absolute contraindications and relative contraindications, Monitor patient for bleeding (gums or IV site bleeding is normal and not a reason to stop therapy)
  52. STOP tx with fibrinolytics if any of the following occur . . .
    • 1. Change in LOC
    • 2. Blood in urine or stools
    • 3. Sudden drop in BP
    • 4. Increase in HR
  53. Leads that show occlusion in RCA
    II, III, aVF
  54. Leads that show occlusion in LAD
    V1, V2, V3, V4
  55. Leads that show occlusion in LCx
    I, aVL, V5, V6
  56. RCA supplies blood to:
    • SA, AV nodes
    • Rt atrium
    • Rt ventricle
  57. LAD supplies blood to
    Lt ventricle
  58. LCx supplies blood to
    Lateral wall of lt ventricle