Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacology > ATI Section 3: Cardio meds > Flashcards

ATI Section 3: Cardio meds Flashcards

1
Q

Antihypertensives

Nursing interventions

A
  • Assess weight, vital signs, hydration status
  • BP in supine, sitting, and standing position
  • Assess labs: renal function, coagulation
  • Teach clients to take meds at the same time everyday
  • Avoid hot tubs and saunas
  • Dont abruptly discontinue
  • Prevent orthostatic hypotension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Angiotensin-Converting Enzyme ACE inhibitor

A
  • suffix -pril
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Angiotensin II Receptor Blocker (ARBs)

A

-

-suffix- sartan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ACE & ARBs

A
  • Therapeutic use: hypertension, heart failure, MI, diabetic nephropathy
  • Suffix: ACE inhibitor -pril, ARBs -sartan
Side/Adverse effects: 
persistent non-productive cough with ACE inhibitors
-Angioedema
-hypotension
-do not use during  pregnancy

Nursing interventions and client education
Caporal should be taken 1 hr before meals
-monitor BP
-monitor for angioedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Calcium Channel CCB

A
  • Suffix: -dipine, verapamil, diltiazem

Therapeutic use:

  • angina
  • hypertension

Precautions/interactions:
use cautiously in clients taking digoxin and BBs

Contraindicated:
-clients who have heart failure, heart block, bradycardia

-NO GRAPEFRUIT JUICE!

  • Side/Adverse effects:
  • reflex tachycardia
  • peripheral edema

Nursing Interventions/Client education:

  • do not crush or chew
  • administer IV injection over 2-3 min
  • slowly taper if discontinuing
  • monitor HR and BP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Alpha Adrenergic Blockers (Sympatholytics)

A
  • Suffix: -azosin

Therapeutic use:
-primary hypertension

Precautions/Interactions:
-Increased risk of hypotension and syncope if given with other antihypertensives, BBs, or diuretics

Side/Adverse effects:

  • dizziness
  • fainting

Nursing Interventions and client education:

  • monitor HR and BP
  • take at bedtime to minimize effects of hypotension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Centrally acting Alpha2 agonist

A

-Meds: clonidine, guanfacine, methyldopa

Therapeutic use:

  • primary hypertension
  • hypertensive crisis
  • severe cancer pain

Precautions/Interactions:

  • anticoagulant therapy
  • MAOIs
  • do not administer methyldopa through and IV line with barbiturates or sulfa

side effects/adverse effects:

  • dry mouth
  • drowsiness/sedation
  • rebound hypertension
  • black or sore tongue

Nursing interventions and client education:

  • monitor for CNS effects, HR, CBC, BP
  • assess for weight gain or edema, monitor for rebound hypertension
  • never skip a dose, take at bedtime
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Beta Adrenergic Blockers (sympatholytics)

A

-Suffix: -olol

Therapeutic use:

  • primary hypertension
  • angina
  • tachydysrhythmias
  • heart failure and MI

Precautions/Interactions:

  • propranolol may mask the effects of hypoglycemia in clients with DM
  • do not administer labetalol in same IV with furosemide

Side/Adverse effects:

  • bradycardia
  • nasal stuffiness
  • AV block
  • rebound myocardium excitation if stopped abruptly
  • bronchospasm

Nursing interventions and client education:

  • do not crush or chew
  • hold med and notify provider if systolic BP is less than 100 mm Hg or pulse less than 60/min
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Vasodilators

A
  • nitroglycerin

Therapeutic use:
-hypertensive emergency

Precautions/Interactions:

  • hepatic or renal disease older adults
  • electrolyte imbalances

Side/Adverse effects:

  • profound hypotension
  • cyanide toxicity
  • thiocynate poisoning

Nursing interventions and client education:

  • nitroprusside cannot be mixed with any med
  • continuous ECG and BP monitoring
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cardiac Glycosides

A

-Digoxin

Therapeutic use:

  • heart failure
  • atrial fibrillation

Precations/Interactions:

  • thiazide or loop diuretics increase risk of hypokalemia and precipitate digoxin toxicity -ACE and ARBs increase the risk of hyperkalemia
  • verapamil increases risk of toxicity

-Side/Adverse effects:
-GI (anorexia) and CNS (fatigue, weakness
blurred vision and halos around objects)

  • Nursing interventions and client education:
  • assess apical pulse 1 min prior to admin
  • notify provider if HR less than 60 (adult), 70 (child), 90 (infant)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Management of Digoxin toxicity

A
  • Discontinue digoxin and potassium-wasting meds
  • treat dysrhymias with phenytoin (Dilantin) or lidocaine
  • Treat bradycardia with atropine
  • For excess overdose, admin Digibind to prevent absorption
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Antianginal Medications

A

to tx pain related to imbalances between myocardial oxygen supply and demand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

organic nitrates

A

-Nitro

Therapeutic use:
-acute angina attack

Precautions/interactions:
-head injury and ED meds

  • Side/Adverse Effects:
  • reflex tachycardia
  • Nursing Interventions and client education:
  • admin sublingual, repeat in 5 min if no relief call 911 up to 3 doses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Antidysrhythmic medications

adenosine

A

Therapeutic use:
-convert SVT to sinus rhythm

Side/Adverse effects:

  • flushing
  • nausea
  • bronchospasm
  • prolonged asystole

Nursing Interventions:
-Rapid IV (1-2 seconds) push, flush immediately with normal saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Antidysrhythmic medications

Amiodarone

A

Therapeutic use:

  • ventricular fibrillation
  • unstable ventricular tachycardia

Side/Adverse effects:

  • Bradycardia
  • cariogenic shock
  • pulmonary disorders

Nursing interventions:
-Incompatible with heparin, monitor for respiratory complications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Antidysrhythmic medications

Atropine

A

Therapeutic use:
-bradycardia

Side/Adverse effects:
has no contraindications when used of life-threatening emergency

Nursing interventions:
-monitor for dry mouth, blurred vision, photophobia, urinary retention, and constipation

17
Q

Antilipemic Medications

A

Therapeutic use:

  • primary hypercholesterolemia
  • prevention of coronary events
  • protection against MI and stroke in clients with diabetes
Side/Adverse effects: 
muscle aches
-hepatotoxicty
-myopathy
-rhabdomyolysis
-peripheral neuropathy
  • Nursing Interventions and client education:
  • take in the evening
  • monitor renal and liver function
  • low fat high fiber diet
18
Q

Statin medications

A

-statin

  • Precautions/Interactions:
  • prolonged bleeding in clients taking warfarin
  • multiple drug interactions

-NO GRAPEFRUIT JUICE!

19
Q

Cholesterol Absorption Inhibitor

A

-Ezetimibe

  • Nursing interventions and client education:
  • take 1 hr before or 4 r after other antilipemics
  • risk of liver damage increased when combined with statins

Pharmacology (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions